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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314144
Report Date: 05/05/2023
Date Signed: 05/05/2023 11:51:57 AM

Document Has Been Signed on 05/05/2023 11:51 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SANDERS, SUNETHRAFACILITY NUMBER:
304314144
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
05/05/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Sunethera Sanders, LicenseeTIME COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Stacy Torrence conducted a case management inspection, in response to licensee’s request for a capacity increase. LPA met with licensee Sunethra Sanders, who guided analyst on a tour of the facility. LPA observed four children in the daycare activity room. During today’s inspection, licensee’s assistant Marie Sebaste was also present. Upon LPA Torrence review of Ms. Sebaste records it was discovered that she was fingerprint cleared; however, was not associated to the facility. Per Title 22 Regulations, Division 12 Section 102370(d)(2) Criminal Record Clearance states that prior to working, residing, or volunteering in a licensed facility: all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from one state licensed facility to another or Trustline. Per licensee, assistant Ms. Sebaste worked Monday, Wednesday, and Friday of this week at the facility. An immediate civil penalty of $300.00 is being assessed today for this deficiency. LPA informed licensee that Ms. Sebaste has to immediately leave the facility.

The facility was within licensed capacity and the required ratio.

This is a two-story home with 4 bedrooms, 3.5 bathrooms, living room, kitchen, dining room, laundry room, back yard (fenced), no front yard, and garage. There is no fireplace in the home. There are stairs in the home; barricaded by a locked child proof safety gate, at the bottom of the stairs. Licensee has designated the living room, 1 bedroom, 1.5 bathrooms, kitchen, and dining room, as the day care areas. Licensee has designated the entire 2nd floor (3 bedrooms, 2 bathrooms, and laundry room), as the off-limit areas. Licensee has placed a child proof safety gate at the bottom of the stairs leading to the 2nd floor, ensuring the area is inaccessible to the children in care. The licensee acknowledged the children may never enter the off-limit areas, during operation hours. Control of property was verified by LPA during today’s inspection. The licensee has a cell phone that is used for childcare. The licensee was informed if a cell phone is used for childcare, it must remain on the premises at all times during hours of operation. Licensee was informed and understands the home is to be free from smoking during hours of operation.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2023
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 05/05/2023 11:51 AM - It Cannot Be Edited


Created By: Stacy Torrence On 05/05/2023 at 11:05 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SANDERS, SUNETHRA
FACILITY NUMBER: 304314144

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/08/2023
Section Cited
CCR
102370(d)(2)

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102370(d)(2) Criminal Record Clearance.(d) prior to working, residing, or volunteering in a licensed facility: facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from one state licensed facility to another or Trustline.
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Licensee says she will fix this deficiency by sending a copy of the assistant's transfer fingerprint clearance forms to the licensing office by 05/05/23.
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This requirement was not met as evidence by: licensee's assistant's fingerprints were not transfer to the facility. This poses an immediate health and safety risk to children.
An immediate civil penalty of $300.00 is being assessed today.
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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:Thuy Ho
LICENSING EVALUATOR NAME:Stacy Torrence
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2023


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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SANDERS, SUNETHRA
FACILITY NUMBER: 304314144
VISIT DATE: 05/05/2023
NARRATIVE
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The facility does not have a fireplace. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible in areas designated for children. Licensee state (that there are no poisons on the premises). Licensee was advised that any poisons must be locked with a key or combination lock. There are no bodies of water. The toys are age appropriate and in good condition for the potential ages served. Baby walkers, bouncers, jumpers, and similar items will not be used for children in care. Licensee stated there are no weapons or firearms on the premises. When firearms are present, they must be locked and stored separately from the ammunition. During today's inspection, the smoke detector and carbon monoxide were operable, and the fire extinguisher was charged.

Licensee will use the backyard for children's outdoor activities. The back yard is appropriately fenced. LPA observed play equipment to be safe and free of hazards.

Licensee stated she will provide, breakfast, lunch, and PM snacks for the children. Licensee was informed if children bring food from home to ensure the children’s name is on their lunch bag and refrigerated properly.



Per licensee, all children will nap in the living room, on mats and play pens. Licensee stated parents will provide linen and blanket for the children.

Per applicant, the one infant child only comes to the daycare half days; therefore, she doesn’t take naps.

Licensee’s Mandated Reporter Training were current. EMSA approved Pediatric CPR and Pediatric First Aid was current for licensee, which expires on 01/2025.

LPA advised the licensee how to access forms, regulations and quarterly updates online at: www.ccld.ca.gov.


LPA consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SANDERS, SUNETHRA
FACILITY NUMBER: 304314144
VISIT DATE: 05/05/2023
NARRATIVE
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Fire clearance granted on 04/17/2023.

The facility was not in compliance and violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed and cited at the time of the visit. The following violation of the California Code of Regulations, Title 22; Division 12, was observed and cited today: 102370(d)(2) Criminal Records Clearance (see LIC 809D).

The facility received a Type 'A' violation the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days. The licensee is to keep Acknowledgement Receipt (LIC9224) signed by parents in each child’s file.

A new license for operating a Large Family Child Care Home shall be issued upon final review and if additional information is needed, licensee shall be contacted.

An exit interview was conducted. The report was reviewed and discussed with licensee. Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. The Notice of Site Visit must be posted on or adjacent to the door. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
LIC809 (FAS) - (06/04)
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