<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409036
Report Date: 10/18/2022
Date Signed: 10/18/2022 01:51:22 PM

Document Has Been Signed on 10/18/2022 01:51 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
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:
10/18/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Yolanda Baraba and Laura PadillaTIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On October 18, 2022 Licensing Program Analyst (LPA) Indira Loza and Licensing Program Manager (LPM) Mayla Mendoza met with Assistant Yolanda Baraba. Present for the inspection were the fingerprint cleared assistant and three infants. The daycare is operating out of the converted garage and a fully fenced backyard.

At approximately 11am LPA Loza requested to see the Infant sleep logs. Based on interviews and record review it was determined that the facility has not been keeping record of the infant sleep logs. The lack of keeping a sleep log for the infants violate the California Code of Regulations 102425(j)(1)(2). Which results in a Type A deficiency, this poses an immediate risk to the health and safety of children in care.

At approximately 10:30am LPA and LPM interviewed the staff, parents, a resident of the home, and the Licensee, it was determined that the Licensee is not spending at least 80% of the time at the facility. It was also stated that the Licensee does not live at the facility, this violates the California Code of Regulations 102417(a), which is a Type B violation. This poses a potential risk to the health and safety of children in care.

The Licensee must provide a copy of this report to all parents of children currently enrolled, and the parents of newly enrolled children in the next 12 months. In addition, Form LIC 9224 (Acknowledgment of receipt of Licensing Reports) must be signed by each parent and placed in each child's file.

A copy of the LIC 9224 is being provided to the Licensee during the inspection.

Exit interview conducted. Report and Appeal Rights provided to Assistant Laura Padilla.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022
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 3
Document Has Been Signed on 10/18/2022 01:51 PM - It Cannot Be Edited


Created By: Indira Loza On 10/18/2022 at 11:49 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: 10/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/19/2022
Section Cited
CCR
102425(j)(1)(2)

1
2
3
4
5
6
7
Infant Safe Sleep 102425(j) - The provider shall supervise infants while they are sleeping and adhere to the following requirements: (1)The provider shall physically check on the infant every 15 minutes. (2) The provider shall check and document... This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee shall review the Infant Safe Sleep regulations and submit a statement discussing why the sleep regulations are enforced by October 19, 2022. The Licensee shall also submit a log for each child for a 5 day period by October 28, 2022.
8
9
10
11
12
13
14
Based on interviews and record review it was determined that the staff were not keeping the Infant Safe Sleep log documenting the times the children were checked and the conditions they were in. This poses an immediate threat to the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
8
9
10
11
12
13
14
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: 10/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2022


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 10/18/2022 01:51 PM - It Cannot Be Edited


Created By: Indira Loza On 10/18/2022 at 01:17 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ODE, VALERIA
FACILITY NUMBER: 073409036

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/19/2022
Section Cited
CCR
102417(a)

1
2
3
4
5
6
7
Operation of a Family Child Care Home - (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times... Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
1
2
3
4
5
6
7
Licensee must be present at the home at least 80% of the time. The LPA will also visit the facility to ensure that the Licensee is present.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Based on interviews and observation it has been determined that the Licensee is not present in the facility at least 80% of the time the facility is operating. This poses a potential threat to the health and safety of the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 10/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2022


LIC809 (FAS) - (06/04)
Page: 3 of 3