136610264-6-25-2019-20-CC-YBAZ-BDGMKE-20190625094038

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610264
Report Date: 06/24/2019
Date Signed: 06/25/2019 09:40:44 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:	LADRON DE GUEVARA, ALBA FAMILY CHILD CARE		FACILITY NUMBER:	136610264
ADMINISTRATOR:	ALBA LADRON DE GUEVARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 768-5986
CITY:	CALEXICO	STATE: CA	ZIP CODE:	92231
CAPACITY:	14	CENSUS: 0	DATE:	06/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Alba Ladron De Guevara		TIME COMPLETED:	01:45 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) Yolanda Baez arrived at the facility to conduct an annual inspection. LPA Baez met with Licensee, Alba Ladron De Guevara. There was 1 child present at the time of the inspection (Licensee’s own minor child). LPA Baez toured the home. This is a two story, 4 bedrooms, and 3 bathrooms home. The following areas are accessible to the children in care: the kitchen, living room, the hallway bathroom, the “play room” (per facility sketch), the second living room, and the dining area. The following areas have been made inaccessible through the use of door knobs or safety gates: the entire upstairs (includes 3 bedrooms, 2 bathrooms, and an “open space), one downstairs bedroom, the attached garage, 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 stated that she takes children to a nearby park for outdoor activities, 100% supervision was advised. The fire extinguisher is full, of regulation size, and located in the kitchen. There is a fireplace on the property and it is properly kept inaccessible to the day care children. The smoke alarm and carbon monoxide monitor are operational. LPA Baez verified a working telephone, 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 and 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 care roster and emergency drill log. The last emergency drill was conducted on 05/2019. Licensee's pediatric CPR/FA certification expires on 07/2020. LPA Baez reviewed physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, and new Safe Sleep regulations and Licensee stated that she understands. 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 at the day care. LPA Baez discussed Unusual incident reporting.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

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: LADRON DE GUEVARA, ALBA FAMILY CHILD CARE	FACILITY NUMBER: 136610264
	VISIT DATE: 06/24/2019

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IMS was discussed. Licensee is not currently providing IMS, Licensee understands that a written plan of operation needs to be submitted prior to enrolling any child that 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 was given 30 days to provide proof of SB792, deficiency not issued due to technical computer malfunction. LPA Baez discussed the new Mandated Reporter training (AB1207). LPA Baez reminded Licensee that herself and all helpers are to take the training and have the printed certificates present at the facility and available for review. Training can be located at www.mandatedreporterca.com.

LPA and Licensee discussed California Megan’s Law and LPA provided: www.meganslaw.ca.gov.

LPA Baez obtained updates on the following forms:

LIC 279: Application (to reflect the current adults residing in the home)
LIC 999: Facility Sketch (to confirm and update the areas that are accessible to the day care children)
LIC 610A: Emergency Disaster Plan (to update and confirm temporary relocation sites and phone numbers)

There were not any deficiencies issued throughout today's inspection. NOTICE OF SITE VISIT (NOV) IS TO BE POSTED FOR 30 DAYS. NOV will be sent along with formal report. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov. Duty Line: (619) 767-2248, Open Monday thru Friday from 8AM to 5PM

This is a typed report due to technical computer malfunction.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

LIC809 (FAS) - (06/04)

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