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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444405989
Report Date: 06/05/2023
Date Signed: 06/05/2023 12:00:28 PM

Document Has Been Signed on 06/05/2023 12:00 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:HENDEL, PATTY & CHUCKFACILITY NUMBER:
444405989
ADMINISTRATOR:HENDEL, PATTYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 335-5512
CITY:FELTONSTATE: CAZIP CODE:
95018
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 0DATE:
06/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Patty & Chuck HendelTIME COMPLETED:
12:10 PM
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Licensing Program Analyst (LPA), Cortney Nelson, met with Licensee's, Patty & Chuck Hendel, for an unannounced Required- 1 Year Inspection. LPA was granted access to the home by Chuck and toured both indoors and outdoors during the inspection. Upon arrival, there were no children present today as the home only cares for children on Tuesdays and Thursdays. LPA observed all required postings near the entrance to the home and the typical hours of operation are Tuesdays & Thursdays 7:30AM-5:30PM.

Licensee states that adults, over the age of 18, residing in the home are: herself and her spouse (Chuck). All adults residing in the home have Criminal Background Check Clearance and proof of negative tuberculosis (TB) test.

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 reviewed facility roster (LIC9040) and fire/disaster drill log and observed the last drill was conducted on 5/16/2023, which is compliant with the six-month requirement for homes. LPA observed a fully charged 2A10BC fire extinguisher, functioning smoke detector and carbon monoxide detector. LPA advised annual servicing for fire extinguishers. Licensee states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. There are no weapons or firearms in the home.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Family Child Care Homes, Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2023
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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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: HENDEL, PATTY & CHUCK
FACILITY NUMBER: 444405989
VISIT DATE: 06/05/2023
NARRATIVE
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Indoor areas of the home were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. Off-limits inside the home include: one bedroom. There is a wall heater that is properly barricaded and the Licensee understands it must be cool to the touch while children are present. Furniture, such as tables, chairs, and shelves, are in good condition and safe for children. The Licensee states that she provides food for the children including breakfast, lunch, dinner, and snack. The bathroom in the home is clean, sanitary, and operable. There is a working telephone in the home.

The outside area of the home was inspected and observed to be fenced in. LPA observed sufficient play-equipment and supplies for the children that are in good condition and age-appropriate. Off-limit areas outside of home include: fenced pool area. The Licensee has an above ground pool that has a properly latched gate that is at least five feet tall surrounding it.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

Three (3) children’s files were reviewed and most required documents were present.
The Licensee and her Spouse's files were reviewed. The Licensee has CPR/First-Aid that expired 5/2023 and has scheduled a date to renew. The Licensee needs to renew her mandated reporter training.

The Licensee states that she will rarely 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.

Exit interview conducted and report was reviewed with the Licensees, Chuck & Patty Hendel.

As a result of todays inspection, deficiencies were cited, see LIC809-D.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3
Document Has Been Signed on 06/05/2023 12:00 PM - It Cannot Be Edited


Created By: Cortney Nelson On 06/05/2023 at 11:31 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HENDEL, PATTY & CHUCK
FACILITY NUMBER: 444405989

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above for herself and her spouse, Chuck, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/16/2023
Plan of Correction
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The Licensee will submit proof of completion for Mandated Reporter training for herself and her spouse, Chuck, by 6/16/2023. If attending training in person, proof of registration and date of training should be submitted to the Department. Training can be taken online: www.mandatedreporterca.com for Child Care Providers (AB1207) & General Training.
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above for one out of three children enrolled, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/16/2023
Plan of Correction
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The Licensee will submit current immunization record for one child (Eleanor) who does not have proof by 6/16/2023.
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:Joel Segura
LICENSING EVALUATOR NAME:Cortney Nelson
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2023


LIC809 (FAS) - (06/04)
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