136609164-9-7-2022-20-CC-CAMR-CJ2VBZ-20220907161823

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136609164
Report Date: 09/07/2022
Date Signed: 09/07/2022 04:18:32 PM

Document Has Been Signed on 09/07/2022 04:18 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	ALVAREZ, JOSEFINA FAMILY CHILD CARE		FACILITY NUMBER:	136609164
ADMINISTRATOR:	ALVAREZ, JOSEFINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 353-7913
CITY:	EL CENTRO	STATE: CA	ZIP CODE:	92243
CAPACITY:	14	CENSUS: 3	DATE:	09/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Josefina Alvarez		TIME COMPLETED:	04:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 09/07/2022, at 1:25 pm, Licensing Program Analyst (LPA) Claudia Amador conducted an unannounced Annual Inspection. LPA met with Licensee Josefina Alvarez and disclosed the purpose of the inspection. The Licensee and the LPA toured the inside and outside of the facility. This facility is one story, four-bedroom, two-bathroom house; the following areas are used for childcare: living room, dining room, kitchen, bedroom #1, and bathroom. Off-limits areas include the garage, bedroom #2, #3, #4, and master bathroom which are made inaccessible through locks, and doorknob covers. There is no fireplace in the facility. Hours of operation hours are Monday – Friday, 8:30 am to 6:00 pm. There were three (3) children present during the initial inspection, two (2) infants and one (1) preschooler. During the inspection, the LPA and the licensee’s sister stayed in the facility while the licensee left with the children to pick up two school age children. Licensee’s sister, Maria Avitia is cleared and is visiting. The fire extinguisher, smoke detector, and carbon monoxide detector met the requirements. Hazardous items were inaccessible to children in care. LPA informed licensee poisons shall be placed in a storage area and locked. LPA did not observe any poisons during the inspection. The storage area for poisons is locked. LPA observed toys and materials available for children's use. The home has a fenced backyard available for outdoor activities. LPA informed Licensee to ensure children are supervised at all times during outdoor activities. The Licensee stated there are no bodies of water, and LPA did not observe any bodies of water during the inspection. The Licensee said there are firearms and ammunition in the home. The firearms and ammunition are stored in a locked safe. Safe is locked in the off limits master bedroom made inaccessible with door knob cover and heavy duty door chain lock. The LPA did not observe if the firing pins and ammunition is stored separately. The licensee’s husband has the pin code to the safe and he was not present to open. The Licensee will provide images.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia Amador	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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: ALVAREZ, JOSEFINA FAMILY CHILD CARE	FACILITY NUMBER: 136609164
	VISIT DATE: 09/07/2022

NARRATIVE

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

LPA reviewed children's files. The children's files reviewed were complete and met regulations.

LPA reminded the Licensee that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption or transfer their existing clearance or exemption prior to the initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee's Mandated Reporter AB1207 training expires 08/2023. Pediatric CPR and First Aid certifications expire on 03/2024.
Property Owner/Landlord Consent form LIC9149 is not applicable.
The Licensee has required immunizations, per file review. The facility roster is maintained and reviewed. The last fire and disaster drills were conducted and documented on 05/2022. Required documents are posted. There is one crib or play yard for each infant who is unable to climb out of the crib or play yard.

The Incidental Medical Services (IMS) policy was discussed. 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: http://www.ada.gov/childqanda.htm.

LPA discussed safe sleep regulations with Licensee and 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.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia Amador	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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: ALVAREZ, JOSEFINA FAMILY CHILD CARE	FACILITY NUMBER: 136609164
	VISIT DATE: 09/07/2022

NARRATIVE

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LPA also informed the 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 registering all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA and Licensee discussed California Megan's Law, and LPA provided: www.meganslaw.ca.gov. LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov. In addition, for general questions or questions regarding licensing requirements, contact the Child Care Licensing Duty Line at (619) 767-2248.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. LPA reviewed with Licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children's forms/records, facility forms/records, and information to be posted.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email to inspectionprocess@dss.ca.gov. 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/tion-process.
No deficiencies were cited during today's inspection. Technical Violations issued and were discussed with the Licensee. The Licensee will provide images of the corrected issues by 09/15/2022.
Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report reviewed with Licensee Josefina Alvarez. The Licensee was provided a copy of their appeal rights (LIC 9058 12/15), and their signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia Amador	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC809 (FAS) - (06/04)

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