136609126-7-17-2019-20-CC-YBAZ-BE6NQ9-20190717103934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136609126
Report Date: 07/17/2019
Date Signed: 07/17/2019 10:39:39 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:	LEON, MARISA FAMILY CHILD CARE		FACILITY NUMBER:	136609126
ADMINISTRATOR:	LEON, MARISA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 355-8788
CITY:	IMPERIAL	STATE: CA	ZIP CODE:	92251
CAPACITY:	14	CENSUS: 11	DATE:	07/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Cinthia Martinez		TIME COMPLETED:	11:00 AM

NARRATIVE

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Licensing Program Analysts (LPAs) Yolanda Baez and Elizabeth Rivera arrived at the facility to conduct an unannounced annual random inspection. Upon arrival LPAs met with Licensee's helper, Cinthia Martinez. Also present at the time of the inspection was Licensee’s other helper, Elva Lopez. There were 11 children present at the time of the inspection (2 infants and 9 toddlers).

LPAs toured the home. This is a one story, 3 bedroom and 2.5 bathroom home. The primary child care areas are the following: the living room, the kitchen, the dining area, the "play room" as seen on facility sketch), the bathroom located in the playroom, and the front yard. The following areas have been made inaccessible through the use of locks or safety gates: 2 bedrooms, the master bedroom, one hallway bathroom, and the back yard. There is a sufficient amount of age appropriate toys, games and books available. The home has plenty of space for the children to eat, sleep and play, and was a comfortable temperature during this visit. Licensee is using her front yard for outdoor activities, it is properly fenced and 100% supervision was advised. The fire extinguisher is full, of regulation size, and located in the kitchen area. There is no fireplace on the property. The smoke alarm and carbon monoxide monitors are operational. LPA Baez verified a working telephone, working cell phone number, and all required forms are posted. There are no large bodies of water on the property. Ms. Martinez stated that she has worked with Licensee for 10 years and there are not any firearms and ammunition in the home. LPA Baez verified that all adults living or working in the home have been fingerprint cleared and associated to the facility. LPA Baez reviewed child care roster and children's files, all are in compliance. Ms. Martinez was reminded that emergency drills are to be conducted once every 6 months. Licensee's and helpers' pediatric CPR/FA certification is valid thru 10/2020.

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SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEON, MARISA FAMILY CHILD CARE	FACILITY NUMBER: 136609126
	VISIT DATE: 07/17/2019

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LPA Baez reviewed physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, new Safe Sleep regulations, and emergency drills. Ms. Martinez was reminded that walkers, jumpers, exersaucers and bouncers are not permitted for use in the day care. Ms. Martinez was reminded that corporal punishment and smoking is not allowed.

Incidental Medical Services (IMS) was discussed. Ms. Martinez stated that facility currently does have a child enrolled who requires IMS and understands that she must submit a written plan of operation in 30 days. 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

Immunization law (SB792) was discussed with Ms. Martinez. Ms. Martinez understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Both helpers and Licensee are compliant with SB792. Mandated reporter training, AB1207, was discussed with Ms. Martinez and she that anyone who provides care and supervision to children have to have certificates present at the facility and available for review. The mandated reporter training may be located at www.mandatedreporterca.com

LPAs and Ms. Martinez discussed California Megan’s Law and LPA provided: www.meganslaw.ca.gov.

LPAs requested updates for the following forms:

LIC 279: Application (to update current adults residing in the facility)
LIC 999: Facility Sketch (to update areas that are accessible and off limits to the day care children)
LIC 610: Emergency Disaster Plan (to update temporary relocation sites and phone numbers)
Forms were left at facility for Licensee to sign with updates and mail or scan to email by 07/31/19.

No deficiencies were issued throughout today's inspection. Notice of Site Visit will have to be posted for 30 days. LPAs observed Licensee posting the Notice of Site Visit.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

LIC809 (FAS) - (06/04)

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