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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409036
Report Date: 10/04/2022
Date Signed: 10/04/2022 11:19:10 AM

Document Has Been Signed on 10/04/2022 11:19 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ODE, VALERIAFACILITY NUMBER:
073409036
ADMINISTRATOR:ODE, VALERIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 313-8268
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
10/04/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Yolanda BarabaTIME COMPLETED:
11:30 AM
NARRATIVE
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On October 4, 2022 at 9:08am, Licensing Program Analyst (LPA) Indira Loza arrived at the facility to conduct a case management visit. LPA met with Assistants Yolanda Baraba and Laura Padilla. Present for the inspection were the fingerprint cleared assistants and three infants. The daycare is operating out of the converted garage and a fully fenced backyard.

At approximately 9:20am LPA observed three jumpers in play pens located on the on the back wall of the garage. At 9:30am LPA conducted a tour of the backyard and observed a baby walker behind the playhouse in the yard. The baby walker and baby jumpers violates the Health and Safety Code 1596.846(b)and(c), which result in a Type B citation.

An exit interview was conducted with Laura Padilla.
Report and Appeal Rights provided. Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/04/2022 11:19 AM - It Cannot Be Edited


Created By: Indira Loza On 10/04/2022 at 10:47 AM
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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ODE, VALERIA
FACILITY NUMBER: 073409036

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2022
Section Cited
HSC
1596.846(b)and(c)

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c).
This requirement is not met as evidenced by:
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Licensee shall remove the baby walker and bouncers, as well as review the regulation HSC 1596.846(b)and(c), conduct a training with staff, and email LPA a statement from each staff describing what they have learned by October 18, 2022.
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Based on observations there were three baby bouncers inside the daycare and one baby walker in the backyard. This poses a potential risk to the children 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:Mayla Mendoza
LICENSING EVALUATOR NAME:Indira Loza
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2022


LIC809 (FAS) - (06/04)
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