Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842131
Report Date: 01/22/2016
Date Signed 01/22/2016 12:10:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BADILLO FAMILY CHILD CAREFACILITY NUMBER:
364842131
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
01/22/2016
TYPE OF VISIT:Annual/RandomANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Nellie & Robert BadilloTIME COMPLETED:
12:20 PM
NARRATIVE
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(2) On date and time listed, Licensing Program Analyst (LPA) Dawn Parker arrived at the facility to conduct an annual visit and to ensure compliance prior to issuing a large capacity license. Present in the home during this visit is the licensee, her husband and potential staff (staff #S1) caring for 4 children. LPA toured the facility, inside and out, records were reviewed and the following was observed:
Facility operates: Monday - Sunday from 5:00am - 12:00am
· Off limit areas include: ALL BEDROOMS, GARAGE AND FRONT YARD
· The facility is operating within the licensed capacity and appropriate ratios
· Appropriate supervision provided during visit – when temporarily away from the home, the License shall arrange for a substitute adult to care for and supervise children in their absence
· A working telephone is present
· Appropriate fire extinguisher, smoke detector and carbon monoxide detector present
· All hazardous items inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children
· The Licensee states that they are/are not providing Incidental Medical Services at this time. LPA informed the Licensee that prior to providing any incidental medical services that a written plan must be submitted to the licensing office. For details on how to complete a plan and for which incidental medical services review the plan or operation portion of the policies and procedures portion of the evaluator manual located on the department's website www.ccld.ca.gov
· Storage areas for poisons shall be inaccessible to children and are locked
· There are properly stored and locked weapons and ammunition present at the home.
SUPERVISOR'S NAME: Lya JohnsonTELEPHONE: (951) 782-4216
LICENSING EVALUATOR NAME: Dawn ParkerTELEPHONE: (951) 782-4949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2016
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BADILLO FAMILY CHILD CARE
FACILITY NUMBER: 364842131
VISIT DATE: 01/22/2016
NARRATIVE
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· Stairs are not barricaded - there are 4 steps located in the backyard that cannot have a gate installed on it. The licensee understands that a provider must be outside supervising the children whenever they are playing in this area. _______________________________________________
Licensee's signature
· Verification of control of property on file - homeowner
· Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights poster are posted
· Pediatric CPR and First Aid Card expired on 02/2015
· Health & Safety Certificate - completed on 02/17/2013
· No bodies of water
· Fireplace is properly barricaded
· The home is clean and orderly with proper heating and ventilation for safety and comfort
· Outside play area is properly fenced or the Licensee maintains appropriate supervision
· Current roster on file
· Documentation of fire drills on file - last drill conducted on 07/25/2015 (licensee is being made aware that this month is the 6th month since the last drill, a drill should be conducted in January 2016).
· The licensee was asked to provide information in regard to having an association to any licensed community care facility. The applicant states that she is associated to other community care facilities.
· Resident and/or staff records reviewed on *01/22/2016* indicate that all adults who require caregiver background checks have received all required clearances or exemptions.
· There is a trampoline present in the backyard play area. The trampoline has the attached netting which is latched to prevent access by children. The licensee intends to use this with the daycare children however a waiver has not been issued as of this date. Prior to the new license being issued the licensee must submit a request and be granted a waiver prior to the new license being issued.
SUPERVISOR'S NAME: Lya JohnsonTELEPHONE: (951) 782-4216
LICENSING EVALUATOR NAME: Dawn ParkerTELEPHONE: (951) 782-4949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2016
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BADILLO FAMILY CHILD CARE
FACILITY NUMBER: 364842131
VISIT DATE: 01/22/2016
NARRATIVE
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The following was reviewed with the licensee(s):
- AB 978 – Zero Tolerance Related Regulations went into effect January 18, 2011 – In accordance with California Health and Safety Code Section 1596.99(c)/1597.58(c) – it was explained that an immediate $150 Civil penalty will be assessed for each serious violation and a civil penalty of $150 per day per violation will be assessed until corrected
- AB 2084 - Nutritious Beverages in Child Care Facilities effective Januay 1, 2012 - was explained that only low-fat or non-fat milk is to be served to children 2 years of age or older; and limit juice to one serving of 100% juice per day; serve no beverages with added sweeteners; and water must be available and accessible to children throughout the day.
- AB 1918 – Smoking prohibition on the premises of Family Child Care Homes, effective January 1, 2015 – This bans smoking tobacco in a home that is licensed as a family child care home, and in those areas of the family child care home where children are present. This change in law was based on demonstrated negative health effects of second and “thirdhand” smoke on children. Thirdhand smoke generally refers to the residue from tobacco smoke that sticks to surfaces after the secondhand smoke has cleared.
- AB 2621 – Public information posted on the internet, effective January 1, 2015 – The Department shall post licensing information for Family Child Care Homes on its Internet Web site to include:
    · The Name
    · The Status of the license
    · The number of site visits, including:
      · Non-complaint inspections
      · Substantiated and inconclusive complaint inspections
      · The number of citations
    This information will be updated at least monthly on the website and will span the preceding five-year period.
SUPERVISOR'S NAME: Lya JohnsonTELEPHONE: (951) 782-4216
LICENSING EVALUATOR NAME: Dawn ParkerTELEPHONE: (951) 782-4949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2016
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BADILLO FAMILY CHILD CARE
FACILITY NUMBER: 364842131
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2016
Section Cited
102416(c)(1)(d)
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PERSONNEL REQUIREMENTS:
(d) Completion of the training required pursuant to subdivisions (a) and (b) shall be demonstrated, upon request of the licensing agency, by the following:
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The licensee agrees to schedule an appointment to renew this required training and send a copy of the confirmation of the training date. Once this is received.a provisional license can be issued which will be effective for 90 days. Then when the updated cards have been received then a regular perpetual license will be issued.
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The licensee's Pediatric CPR and First Aid card has expired (02/2015).

This presents a potential risk to children.
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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: Lya JohnsonTELEPHONE: (951) 782-4216
LICENSING EVALUATOR NAME: Dawn ParkerTELEPHONE: (951) 782-4949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2016
LIC809 (FAS) - (06/04)
Page: 5 of 5


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BADILLO FAMILY CHILD CARE
FACILITY NUMBER: 364842131
VISIT DATE: 01/22/2016
NARRATIVE
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- AB 2236 – Civil Penalties, effective July 1, 2015 – Enacts new civil penalties in cases where the Department determines that a violation of licensing standards resulted in the death or serious injury, or constitutes physical abuse of a child in care. The bill establishes an appeal procedure specific to these civil penalties. The bill also expands the scope of the Child Health and Safety Fund in order to assist parents in securing alternative child care when a Child Care Center or Family Child Care Home license has been suspended or revoked. These civil penalty amounts are scaled in relation to the total capacity of all of the licensee’s facilities and not just the specific facility cited or limited to that facility type.

- Responsibilities of being a mandated reporter
- Access to forms & Regulations for Family Child Care online at www.ccld.ca.gov
- Responsibility to know the regulations for anyone providing care
- Inaccessibility of hazards must be constantly reassessed depending on the children in care
- Current facility’s phone numbers must be on file at all times.
- Baby walkers, bouncy seats, excersaucers and other similar items are prohibited
- The licensee is urged visit the U.S. Consumer Product Safety Commission webpage at
www.cpsc.gov to ensure that equipment used for the day care has not been recalled
- Criminal record clearances required prior to all adults living or working in a Family Child Care
Home. A civil penalty of $100.00 per day per person, may be assessed.
- The Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days.
If a serious violation is cited, a copy of the licensing report (LIC809/LIC9099) must also
be posted for 30 days, as well as any documents showing correction of Type A deficiencies. A
civil penalty of $100 per violation will be assessed for noncompliance.
  • See LIC809D for cited deficiencies.
  • During the exit interview, the licensee, Nellie Badillo, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.
  • Appeal rights discussed and a copy of this report was provided to the licensee on this date.
A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS. A Confidential Names List was completed and provided to the LICENSEE. A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Lya JohnsonTELEPHONE: (951) 782-4216
LICENSING EVALUATOR NAME: Dawn ParkerTELEPHONE: (951) 782-4949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2016
LIC809 (FAS) - (06/04)
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