136609364-2-25-2021-20-CC-JARL-BYKSJE-20210225125500

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136609364
Report Date: 02/25/2021
Date Signed: 02/25/2021 12:55:21 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:	BRITSCHGI, STACY FAMILY CHILD CARE		FACILITY NUMBER:	136609364
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	02/25/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Stacy Britschgi		TIME COMPLETED:	12:45 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	Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced capacity increase tele inspection. Licensee Stacy Britschigi was advised of the meeting’s purpose. Due to the COVID 19 outbreak, this inspection was done as a tele visit via the What’s App platform. The inspection’s purpose is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present in the home was the Licensee, two (2) infants, one (1) toddler, and one (1) school aged child. This four (4) bedroom, two (2) bathroom house was toured and inspected. The daycare operational schedule is weekdays 7:30 AM to about 5:30 PM. On 02/01/2021, Licensee submitted an application (LIC 279) requesting a capacity increase. The Fire Safety Inspection Request (STD 850) was approved by the local fire marshal on 02/12/2021 for fourteen (14) children. The off limits areas are the bedrooms, kitchen, and laundry room. The following rooms will be used for care: living room, dining room and one (1) bathroom. Licensee accompanied LPA on a video tour of the home, as shown on the updated facility sketch. Background criminal record clearances were verified and discussed. First Aid and CPR certifications expire in August 2022. Facility has working 2A10BC fire extinguisher, smoke alarms, and the carbon monoxide detector. The last safety drill was on 10/14/2020. The body of water is secured inaccessible to children. Per the Licensee, weapons and ammunition are stored appropriately in the facility. LPA electronically provided the Licensee with Provider Information Notice (PIN) 20-24-CCP and a blank copy of form LIC 9227 Individual Infant Sleeping Plan. The Licensee reported that both PIN 20-24-CCP and the LIC 9227 form are already being utilized.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2021

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: BRITSCHGI, STACY FAMILY CHILD CARE	FACILITY NUMBER: 136609364
	VISIT DATE: 02/25/2021

NARRATIVE

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In the areas that were evaluated, no deficiencies were observed. Licensure for a capacity of fourteen (14) of children is approved. A new license will be generated and mailed to the provider.

LPA provided the Licensee with the Notice of Site Visit – LIC 9213, which is to be posted for thirty (30) days. LPA will electronically provide this form to the Licensee. An exit interview was conducted. A copy of this report and Licensee/Appeal Rights (LIC 9058) will be e-mailed to the Licensee. The Licensee was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2021

LIC809 (FAS) - (06/04)

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