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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416823
Report Date: 08/15/2024
Date Signed: 08/15/2024 03:29:04 PM

Document Has Been Signed on 08/15/2024 03:29 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MENDEZ, AMBERFACILITY NUMBER:
274416823
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
08/15/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:53 PM
MET WITH:Amber Mendez TIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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Licensing Program Analyst (LPA), Elizabeth Larios, met with Licensee, Amber Mendez, to conduct inspection for capacity increase at Family Child Care Home (FCCH). Upon arrival, there were four day care children and Licensee minor daughter present which is compliant with current home capacity requirements. Hours of operation are Monday - Sunday 8:00AM-6:30PM.

Licensee states she is the only adult over the age of 18 living in the home and other adult present (assistant) have criminal record clearances. Licensee also has four minor children (sons ages 17, 8, 3 years old and daughter age 5 years old ) residing in the home.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA conducted tour of inside of FCCH during today's inspection and home was observed to be clean, orderly, and safe for the day care children. Off limits inside of the home include: the entire second floor two bedrooms, bathroom, and first floor: pantry, and garage. Smoke alarm and carbon monoxide detectors are functioning and FCCH is equipped with 2A10BC fire extinguisher. Fire pull station is installed in the entry way near front door. Fire Clearance for large capacity was conducted and approved on July 24, 2024 by City of Salinas Fire Department. There are conditions for fire clearance approval (Maintain smoke/carbon monoxide alarms per manufacturer's recommendation, Maintain fire sprinkler system, Maintain fire extinguishers, Exit Drills, post and practice, Maintain single-action door hardware, Maintain egress to the public way). Licensee has napping cots/mats and play yards for day care children. All food is prepared and provided for children by the FCCH. Licensee is enrolled in the food program.

====CONTINUE ON LIC 809-C====
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MENDEZ, AMBER
FACILITY NUMBER: 274416823
VISIT DATE: 08/15/2024
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LPA conducted tour of outside of FCCH during todays inspection. Off limits outside the home include: right side of house.

A file review was conducted for assistant Paloma Figueroa that will be assisting Licensee. LPA advised Licensee that staff who will be alone with the day care children must have current First-Aid/CPR certificates. LPA reminded Licensee to update roster and paperwork for children prior to enrollment at the home. LPA reviewed capacity and staffing requirements for large family child care home with Licensee and provided copy of regulation. (102416.5 Staffing Ratio and Capacity)

Supervision of children was discussed with the Licensee and she understands that she must be home during day care hours and ensure that children are supervised at all times. Licensee additionally understand that she must be home at least 80% of the time FCCH is open.

The Licensee states that she does not transport day care children. LPA reminded Licensee that children should not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping.

No deficiencies were cited. Exit interview was conducted, where this report was reviewed and discussed with Amber. A copy of this report was also provided.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA advised the Applicant that increase in capacity will be issued pending manager review.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC809 (FAS) - (06/04)
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