136609683-5-9-2022-20-CC-MMAE-CE9VHL-20220509162719

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136609683
Report Date: 05/09/2022
Date Signed: 05/09/2022 04:27:24 PM

Document Has Been Signed on 05/09/2022 04:27 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:	BANDA, IVONNE FAMILY CHILD CARE		FACILITY NUMBER:	136609683
ADMINISTRATOR:	IVONNE BANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 203-0301
CITY:	CALEXICO	STATE: CA	ZIP CODE:	92231
CAPACITY:	14	CENSUS: 4	DATE:	05/09/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Ivonne Banda		TIME COMPLETED:	02:15 PM

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On 5/9/2022 at 12:15pm, Licensing Program Analyst (LPA) Martha Malane conducted an unannounced annual inspection and met with Licensee, Ivonne Banda. LPA disclosed the purpose of the inspection and was granted entry into the facility. Licensee’s helper and four (4) children were present, two (2) of whom were infants, in the facility during this inspection. This facility is a single story, three (3) bedroom, three (3) bathroom home. Licensee accompanied LPA during this inspection. The following areas are utilized for childcare: day care room, bathroom and side yard. Off limits areas include: the entire house and backyard. Licensee stated day care children do not have access to the back yard and only utilize the side yard for outdoor activities.

The fire extinguisher and smoke/carbon monoxide detector met requirements. Hazardous items were observed inaccessible to children during this inspection. Licensee was reminded that supervision is to be given to children during outdoor activities. Licensee stated there are no bodies of water and LPA did not observe and bodies of water during the inspection. Licensee stated there are no weapons or ammunition in the home. Licensee’s First Aid and CPR certifications expire 9/2023 and mandated reporter certificate expires 4/8/2024. A facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 4/25/2022.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

See LIC809C continuation...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022

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: BANDA, IVONNE FAMILY CHILD CARE	FACILITY NUMBER: 136609683
	VISIT DATE: 05/09/2022

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Licensee was reminded 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 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.

LPA discussed the safe sleep regulations with licensee and discussed 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. LPA also informed 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 they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

No violations cited during today’s inspection.

Exit interview conducted and report was reviewed with Licensee, Ivonne Banda. Licensee’s son, Juan Banda Jr. provided translation. A notice of site visit was given and must remain posted for 30 days.

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/process

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022

LIC809 (FAS) - (06/04)

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