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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136608024
Report Date: 06/12/2019
Date Signed: 06/12/2019 11:38:01 AM

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:UNITED FAMILIES INC. - CALIPATRIAFACILITY NUMBER:
136608024
ADMINISTRATOR:ARAYANZIS TREJOFACILITY TYPE:
830
ADDRESS:126 CALIFORNIA STREETTELEPHONE:
(760) 348-5409
CITY:CALIPATRIASTATE: CAZIP CODE:
92233
CAPACITY:20CENSUS: 17DATE:
06/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:37 AM
MET WITH:Elia Vizcarra HamTIME COMPLETED:
11:45 AM
NARRATIVE
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LPA Nancy Diaz conducted an unannounced random site inspection today. LPA met and toured the facility with Elia Vizcarra Ham, Site Supervisor. All required notices, forms and license were posted in an area visible to the parents or authorized person. There were 16 toddlers with staff Elia Vizcarra Ham, Beatriz Villalobos and Anaely Rodriguez. There was one infant with staff Leticia Sanchez.

There were no bodies of water or weapons maintained on site. All children are under supervision, including visual observation, of a teacher at all times. The facility is in compliance with the staff-infant ratio. Facility is out of compliance with the staff-toddler ratio. Disinfectants, cleaning solutions, and other items that are dangerous to children are inaccessible via storage in latched or locked cabinets. There were no medications maintained on site. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats; changing tables, and feeding chairs. A baby walker is not allowed on the premises of a child care center in accordance with H & S Code Section 1596.846. The facility has sufficient infant napping equipment that meets the requirements of Section 101439.1(a)-(f). The facility have indoor activity space for infants that is physically separate from space used by toddlers. The Infant/toddler care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The toddler program is conducted in areas physically separate from those used by older or younger children. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Bottles, dishes and containers of food brought by the infant’s authorized representative are labeled with infant’s name and the current date. The infant changing table is within arm’s reach of a sink. All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out. Menus are posted at least one week in advance, where an authorized representative can view them. All infants are never left unattended, and under the direct visual supervision of a staff person at all times.
CONTINUED ON PAGES 2 & 3
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
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: UNITED FAMILIES INC. - CALIPATRIA
FACILITY NUMBER: 136608024
VISIT DATE: 06/12/2019
NARRATIVE
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Outdoor activity space surface is maintained in a safe condition and free of hazards. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. The areas under high climbing equipment, swings, slides have sufficient cushioning material to absorb falls.
Licensee operates the facility within the conditions, limitations and capacity specified on the license. Staff records contain appropriate documentation of education credits. All staff present are CPR and First Aid certified. The person who signs the child in/out uses their full legal signature and records the time of day. Facility maintains a separate, complete, and current records for each child in care. Each child’s record contains a medical assessment; feeding plan and infant needs and services plan.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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: http://www.ada.gov/childqanda.htm

Mrs. Ham provided the analyst the following updated forms: LIC 500, LIC 610, LIC 308 and a copy of Mrs. Ham's Site supervisor Permit.

A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.



TYPE B DEFICIENCY WAS CITED TODAY. Type B violation if not corrected, could become a risk to the health, safety, or personal rights of children in care.
LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
LIC809 (FAS) - (06/04)
Page: 2 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: UNITED FAMILIES INC. - CALIPATRIA
FACILITY NUMBER: 136608024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2019
Section Cited
CCR
101216.3(c)
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TEACHER-CHILD RATIO
Section 18290 of Title 5 of the California Code of Regulations provides:
Contractors shall maintain at least the following minimum ratios in all centers:
Toddlers (18 months to 36 months old) - 1:4 adult-child ratio, 1:16 teacher-child ratio.

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This deficiency was corrected when staff Erika Duran arrived at 11:15AM. Site Director shall submit a plan of action to ensure that staff-ratio is maintained at all times. This plan of action is due to the department no later than June 14, 2019.
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This requirement was not met as evidenced by LPA's observation. There were 16 toddlers with only 3 staff today. Mrs. Ham stated that she contacted her supervisor at 9AM to report that a staff had called in sick 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: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3