073409307-5-14-2024-02-CC-ILOA-D59TGB-20240514144251

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409307
Report Date: 05/14/2024
Date Signed: 05/14/2024 02:43:10 PM

Document Has Been Signed on 05/14/2024 02:43 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:	YATES, SHANEL		FACILITY NUMBER:	073409307
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 5	DATE:	05/14/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:50 PM
MET WITH:	Shanel Yates		TIME VISIT/ INSPECTION COMPLETED:	02:50 PM

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On May 14, 2024 Licensing Program Analyst (LPA) Indira Loza met with Licensee Shanel Yates to conduct an Annual/Random inspection. Present during today's inspection was Licensee, two infants, and three preschoolers. The Licensee lives in the home alone.The facility operates 24 hours 7 days per week..

The facility is a single story apartment located on the 2nd floor. The home consists of a kitchen, living room, dining area, two bedrooms, two bathrooms, garage, and patio.

ON LIMITS AREA: living room, first bedroom to the right and at the end of the hallway, the bathroom next to the 1st bedroom, and dining area.

OFF LIMITS AREA: Master bedroom and bathroom, kitchen, patio, and garage.

ISOLATION AREA: 1st bedroom (baby/nap room)

The inside of the home is observed to be neat and clean with ample age-appropriate materials for the children. All areas that were off limits to the children were inaccessible to children by using gates, closed and/or locked doors, and visual supervision. All toxins and cleaning products were observed to be in inaccessible areas. Licensee stated she provides all food. Per Licensee there are no firearms in the home. The home has one fully charged 2A10BC fire extinguisher in the kitchen. There is one working combined smoke detector and carbon monoxide detector by the hallway bathroom. The home is equipped with central heat and was well ventilated for children's comfort. The children play in the apartment complex's exclusive playground for outdoor play. LPA observed ample age appropriate materials for the children in care. There were no harmful bodies of water in or around the home. The Licensee stated she currently does not have Liability Insurance. The facility was in ratio during today's visit. LPA reviewed 5 children files and one staff file. All children files were complete, and had the

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: YATES, SHANEL	FACILITY NUMBER: 073409307
	VISIT DATE: 05/14/2024

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sleep logs in the infants file. The Licensee's file was also complete. The Licensee has a current Mandated Reporter Certificate, which expires 1/3/2025. The Licensee also has a current CPR/First Aid certificate, which expires 10/22/2024. Fire/disaster drills are conducted every 6 months with the last drill logged 11/7/2023. All required forms are posted and visible by the front door.

Licensee was reminded that California law requires Licensees to report unusual incidents and/or injuries to children in care, to the child's parents, and to the Department within 24 hours by phone. Within seven (7) days from the incident, Licensee’s must submit the Unusual Incident/Injury form (LIC 624B) to the Department. Licensee was reminded that any structural changes or additions to the home must be reported to Community Care Licensing. Children’s Roster must be properly maintained, and fire/disaster drills must be conducted every six (6) months and documented. Licensee was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Licensee was also informed that Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every two (2) years by visiting https://mandatedreporterca.com/.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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 (USDOJ) 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: YATES, SHANEL	FACILITY NUMBER: 073409307
	VISIT DATE: 05/14/2024

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During the exit interview, Licensee Shanel Yates, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

There no deficiencies cited during today's visit.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted
Report and Appeal Rights was reviewed with the Licensee Shanel Yates.
****************************************************** End of Report ****************************************************

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC809 (FAS) - (06/04)

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