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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444414388
Report Date: 05/22/2024
Date Signed: 05/22/2024 01:09:35 PM

Document Has Been Signed on 05/22/2024 01:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MENESES-ALCANTARA, MARIAFACILITY NUMBER:
444414388
ADMINISTRATOR/
DIRECTOR:		MENESES-ALCANTARA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 763-7792
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
05/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:56 AM
MET WITH:Maria Meneses-AlcantaraTIME VISIT/
INSPECTION COMPLETED:
01:12 PM
NARRATIVE
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On 05/22/24 at 10:56, Licensing Program Analyst (LPA) Teodoro Trujillo met with Licensee daughter who assists, LiIibeth Meneses-Alcantara, Licensee Maria Meneses-Alcantara arrived 10 minutes later. LPA also observed Licensee's daughter/assistant Lilibeth Meneses Alcantara and four day care children; two infants and two preschoolers.

Days and hours of operation are Monday - Friday from 6:00 AM to 6:00 PM. The adults that reside in the home are the Licensee, spouse Benito, daughter Lilibeth, two adult sons' Pedro and Jesus Alcantara. The home is divided into two living quarters; Licensee's sister, Esmeralda Meneses Rojas lives in downstairs portion of the home with her two minor children (ages 8 and 10 yrs old). LPA did not observe an updated facility floor plan, licensee states work to divide the home began on November 2023. Licensee did not notify the department of room additions to the home. Licensee provided City of Watsonville with plans to separate the home to two different units, 8 Claremont Ave, for upper unit(currently licensed for child care) and bottom unit as, 8 Claremont Ave, Unit A. The home is currently being remodeled to separate the home, Unit A is still uninhabitable. LPA observed fire disaster drill was done on 07/10/23.
Type B Deficiencies were cited today. Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

Exit interview conducted and report was reviewed with the licensee Maria.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 05/22/2024 01:09 PM - It Cannot Be Edited


Created By: Teodoro Trujillo On 05/22/2024 at 12:22 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: MENESES-ALCANTARA, MARIA
FACILITY NUMBER: 444414388

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2024
Section Cited
CCR
102416.3(a)

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Alterations to Existing Building or Grounds
(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following...
This requirement is not met as evidenced by:
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Licensee's will submit a statement stating she understand that she must notify the Department of any changes made to the home prior to changes to CCLD by POC date.
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Based on interview and record review, the licensee did not comply with the section cited above. Licensee's failed to notify the Department of changes to home which poses/posed a potential health, safety or personal rights risk to persons in care.
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Licensee also provided City of Watsonville builing permit for the bottom ADU.
Type B
06/05/2024
Section Cited
CCR102417(g)(9)(A)

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Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement is not met as evidenced by:
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Licensee will submit a copy of proof of conducting fire/disaster drill to the San Jose Regional Office by close of business 06/05/2024.
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in licensee states she has not conducted a fire/disaster drill as of 07/2023, which poses/posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Susy Cervantes
LICENSING EVALUATOR NAME:Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE:
DATE: 05/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/22/2024


LIC809 (FAS) - (06/04)
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