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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 130805120
Report Date: 05/29/2019
Date Signed: 05/29/2019 01:05:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ICOE-ECEP CALEXICO EARLY HEAD STARTFACILITY NUMBER:
130805120
ADMINISTRATOR:NOHEMI SALDANAFACILITY TYPE:
850
ADDRESS:1000 ROCKWOODTELEPHONE:
(760) 768-3837
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY:30CENSUS: 11DATE:
05/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Samantha GonzalezTIME COMPLETED:
01:10 PM
NARRATIVE
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Licensing Program Analyst (LPA) Yolanda Baez arrived at the facility to conduct an annual random inspection. Upon arrival LPA Baez met with Lead teacher in charge, Samantha Gonzalez. The following ratios were observed:

Room A (Serves children of 18 to 36 months of age):

  • There were 5 children present with 2 staff members
Room B (Serves children of 18 to 36 months of age):
  • There were 6 children present with 3 staff members

There is only one modular building and both Room A and Room B are located in the only modular building on the premises. There is no separate Preschool classroom or play yard located on site. Appropriate ratios and capacity were observed.

Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. Snacks and lunches are prepared on site and menus are posted. Drinking water is readily accessible inside of the classroom through the use of water filter/jug and disposable cups. Children have access to water outside of the classroom through Igloo water containers and disposable cups. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. Storage area for poisons is locked. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Outdoor play area is fenced with sufficient material for cushioning. Area has canopies used for shade. There are no bodies of water or weapons at this facility. Emergency drills are being conducted every month, last emergency drill was conducted on 05/23/19. There is an operational smoke detector and carbon monoxide detector at the facility. First Aid/CPR was reviewed and is in compliance. Staff records that were able to be reviewed on site show compliance of staff's education, training, and/or experience. CONTINUED ON 809C...

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ICOE-ECEP CALEXICO EARLY HEAD START
FACILITY NUMBER: 130805120
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/19/2019
Section Cited
CCR
101216.1(g)
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A photocopy of the teacher's Child Development Permit as specified in (c)(3) above, or a photocopy of the teacher's transcript(s) documenting successful completion of required course work, shall be maintained at the center. Requirement not met as evidence by staff records review.
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Ms. Gonzalez stated that she will inform Director of citation upon returning to work and will have her provide a written declaration of her understanding of the importance of having teacher's files with qualifiaction present on site and available for review. Declaration will be submitted by due date of 06/19/19. POC inspection will be conducted at a later date.
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Two of 5 staff files are missing and cannot be located. Center does not have proof of qualifications for 2 of the 5 staff present today.

This poses a potential risk to the health and safety of the clients in care.
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Type B
06/19/2019
Section Cited
HSC
1597.7995(a)(1)
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Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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Ms. Gonzalez stated that she would inform Director of citation and have immunization records for the 3 staff members available for review by due date of 06/19/19. Ms. Gonzalez also stated that a hand written declaration of the importance of having immunization records here and available for review will be submitted by 06/19/19.
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Requirement not met as evidenced by staff file review. Three of the 5 staff present today do not have immunizations at the facility and available for review.

This poses a potential risk to the health and safety of the clients in care.
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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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ICOE-ECEP CALEXICO EARLY HEAD START
FACILITY NUMBER: 130805120
VISIT DATE: 05/29/2019
NARRATIVE
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Two of the 5 staff records were not able to be located, and 1 of the 5 staff records did not have proof of immunization per SB792. Please see 809D for cited deficiency for 3 of 5 staff not having proof of SB792 available on site and a separate citation is given because transcripts/proof of qualifications are not on site and available for review for 2 staff members. Immunization law (SB792) was discussed with Ms. Gonzalez and she understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility and available for review for: pertussis, measles, and influenza. Facility is not compliant with SB792.

LPA reviewed the following with Ms. Gonzalez: IMS, SIDS, Car seat Law, and Shaken Baby Syndrome. This facility does provide Incidental Medical Services- IMS. A written plan of operation has already been submitted to CCL and is on file. 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 http://www.ada.gov/childqanda.htm

LPA Baez discussed the Mandated Reporter training, AB1207. LPA Baez reminded Ms. Gonzalez that all staff members are to take the training and have the printed certificates present at the facility and available for review. Facility is compliant with AB1207 for the staff records that were able to be reviewed today.

NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed the posting the Notice of Site Visit.

Duty Line: (619) 767-2248, Monday through Friday from 8am to 5pm. To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov

Ms. Gonzalez provided LPA with and updated Roster of the children currently enrolled at the center.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3