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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136609751
Report Date: 06/06/2019
Date Signed: 06/06/2019 03:27:45 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:GARZA, TERESITA FAMILY CHILD CAREFACILITY NUMBER:
136609751
ADMINISTRATOR:TERESITA GARZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 351-0292
CITY:BRAWLEYSTATE: CAZIP CODE:
92227
CAPACITY:14CENSUS: 3DATE:
06/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Teresita GarzaTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Yolanda Baez, made an unannounced visit for the purpose of an annual inspection. LPA met with Licensee, Teresita Garza. During this visit there were 3 children in care (2 toddlers and 1 school age). Also present at the time of the inspection was helper, Jeffrey Mamer.

LPA toured the home, this is a one story, 3 bedrooms and 2 bathroom home. The primary child care areas are the following: the living room, the dining room area, the day care room (located passed the kitchen), one hallway bathroom, the kitchen, and the gated and fenced front yard. The following areas are kept inaccessible with the use of door locks or safety gates: 3 bedrooms and 1 bathroom and the back yard. There are 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 uses the front yard patio for outdoor activities, it is properly fenced and used for outdoor activities. 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 CO2 monitor are operational. LPA Baez verified a working telephone, a working email address, and all required forms are posted. There are no large bodies of water on the property. Licensee stated that there are not any firearms or ammunition on the property. LPA Baez verified that all adults living or working in the home have been fingerprint cleared and associated. LPA Baez reviewed child's file, child care roster, and emergency drill log. The last emergency drill was conducted on 01/2019. Licensee's pediatric CPR/FA certification expires on 11/2019.

LPA Baez reviewed the following with Licensee: physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, new Safe Sleep Regulations, emergency drills, child care roster, and Unusual Incident Reports. LPA reminded Licensee that walkers, jumpers, exersaucers, and bouncers are not permitted for use in the day care. Licensee was reminded that corporal punishment and smoking is not permitted in the day care.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2019
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: GARZA, TERESITA FAMILY CHILD CARE
FACILITY NUMBER: 136609751
VISIT DATE: 06/06/2019
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Incidental Medical Services (IMS) was discussed. Licensee is currently not providing IMS and understands that a written plan of operation must be submitted 30 days after enrolling any child who requires IMS. 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 Licensee. Licensee understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Licensee is compliant with SB792.

LPA discussed the new Mandated Reporter training (AB1207) with Licensee and Licensee understands that herself and her helpers will need to take the training and keep the certificate present at the facility for review. Licensee is compliant with AB1207. Licensee is compliant with AB1207.

No deficiencies issued throughout today's inspection. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit.


Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov
Duty Line: (619) 767-2248, Open Monday thru Friday 8am - 5pm
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2019
LIC809 (FAS) - (06/04)
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