<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610421
Report Date: 03/05/2020
Date Signed: 03/05/2020 01:55:06 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:HERNANDEZ, ERIKA FAMILY CHILD CAREFACILITY NUMBER:
136610421
ADMINISTRATOR:ERIKA HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 554-6307
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY:14CENSUS: 8DATE:
03/05/2020
TYPE OF VISIT:Required - 1 YearANNOUNCEDTIME BEGAN:
10:19 AM
MET WITH:Erika HernandezTIME COMPLETED:
02:05 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 Analysts (LPAs) Vicky Williamson and Edgar Campana made an unannounced annual required inspection. LPA's met with Licensee, Erika Hernandez. Also present were licensee's assistant / daughter Michelle Ochoa and daughter Angela Ochoa. There were 5 children in care, 3 of whom were under 24 months of age. Appropriate ratios and capacity were observed along with supervision. Licensee left the facility at 10:45 am to pick up 1 additional child from school and returned to the facility at 11:05 am. Licensee stated there are no new adults living in the home over the age of 18 years. A review of staff records on 3/5/20 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee has CPR/First Aid certifications valid through 4/2020 and assistant has certifications valid 3/2021. A review of staff record verified that current TB test clearance for licensee's daughter Angela Ochoa were not available for review during time of inspection. The last fire/earthquake drill was conducted and documented on 1/27/20. Licensee has completed Mandated Reporter AB1207 training certification. An additional day care child was dropped of at the facility at 11:12 am. Licensee left the facility at 11:15 am to pick up 1 additional child from school and returned to the facility at 11:37 am. Licensee states that operating hours Sunday -Friday, 4:30 am - 10:00 pm.

This single level, 4 bedrooms, 4 bathroom home was inspected. The following areas are used for day-care: living room, dining room, family room "playroom", bathroom 1, backyard and front yard (entrance only). Off limits areas include: kitchen, bedroom 1, bedroom 2, bathroom 2, bedroom 3, bathroom 3, studio/bedroom 4, bathroom 4, backside yard (left side), cover patio area (located on right side) and fenced area in the rear of backyard (location of pets). They are made inaccessible to day care children by use of safety gates and doorknob covers. Licensee is reminded to maintain direct visual supervision of the children at all times.

There is an operational fire extinguisher, smoke and carbon monoxide detector in the home. All poisons, cleaning compounds, medications and other hazardous items were not made inaccessible to children due to being placed in inaccessible areas. LPAs observed a bottle of detergent located in bathroom 1 behind a curtain on a lower level table the was positioned between a washer and dryer accessible to children. Adequate heating and ventilation are provided for the children. There is a sufficient amount of age appropriate toys, games, and books available.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 5
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: HERNANDEZ, ERIKA FAMILY CHILD CARE
FACILITY NUMBER: 136610421
VISIT DATE: 03/05/2020
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
26
27
28
29
30
31
32
The home has a working telephone and email. Licensee states there are NO firearms or weapons in the home. Licensee maintains a current roster of children which LPA obtained a copy of doing time of inspection. LPAs reviewed a sample of children’s records. The records for child #1 were incomplete and did not include the Family Child Care Notification of Parents’ Right’s and emergency information forms as required. LPAs advised licensee that any new/additional adults must be cleared prior to working or residing in home. Licensee updated facility roster and verified that all adults have been fingerprinted and associated to the facility. Any minor upon his/her 18th birthday must be fingerprinted within 30 days.

LPAs reviewed the following with licensee: SIDS, Shaken Baby Syndrome, Safe Sleep, Effects of Lead Exposure, car seat law and reporting requirements. Licensee was provided copies of PIN 20-02-CCP and PIN 20-03-CCLD. Licensee was also reminded the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Licensee reminded that Corporal punishment and smoking are not allowed in the day care.

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

License will provide a Plan of Operation to the department, no later than 3/20/20.

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. Immunization records per SB792 was reviewed and is in compliance for licensee and assistant/daughter.



LPAs and Licensee discussed California Megan's Law and LPAs provided: www.meganslaw.ca.gov.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: HERNANDEZ, ERIKA FAMILY CHILD CARE
FACILITY NUMBER: 136610421
VISIT DATE: 03/05/2020
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
26
27
28
29
30
31
32
Southern California Child Care Advocate information was provided, and Licensee was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

LPA Campana interpreted and explained inspection report to licensee in Spanish, licensee stated she understood.

See LIC809D for issued deficiencies. LPA reviewed this report to Licensee and an exit interview was conducted. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Licensee post Notice of Site Visit.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: HERNANDEZ, ERIKA FAMILY CHILD CARE
FACILITY NUMBER: 136610421
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/05/2020
Section Cited

1
2
3
4
5
6
7
The home shall be free from defects or conditions which might endanger a child... Poisons, detergents... which could pose a danger if readily available to children shall be stored where they are inaccessible to children. Requirement was not met as evidenced by: LPAs observed a
8
9
10
11
12
13
14
a bottle of detergent located in bathroom 1 behind a curtain on a lower level table the was positioned between a washer and dryer accessible to children. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Type B
03/13/2020
Section Cited

1
2
3
4
5
6
7
Evidence of a current tuberculosis clearance, not more than one year prior to or seven days after initial presence in the home.... for any adult in the home during the time that children are under care. Requirement was not met as evidenced by: Licensee's adult
8
9
10
11
12
13
14
daughter Angela Ochoa did not have a current TB clearance available for review during time of inspection. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2020
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: HERNANDEZ, ERIKA FAMILY CHILD CARE
FACILITY NUMBER: 136610421
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/09/2020
Section Cited

1
2
3
4
5
6
7
An emergency information card shall be maintained for each child ... the child's physician and the parent's authorization for the licensee to consent to emergency medical care. Requirement was not met as evidenced by:
8
9
10
11
12
13
14
LPAs review of records indicated that records for child #1 were incomplete and did not contain emergency information form LIC700.
8
9
10
11
12
13
14
Type B
03/09/2020
Section Cited

1
2
3
4
5
6
7
The licensee shall provide the child's parent ...with a copy of the notice Family Child Care Home Notification of Parents’ Rights,LIC 995A, the Caregiver Background Check Process... LIC 9212. Requirement was not met as evidenced by:
8
9
10
11
12
13
14
Records for child #1 were incomplete and did not contain a copy of the Caregiver Background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05). This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Licensee states she will provide forms for child #1, no later than 3/9/20.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2020
LIC809 (FAS) - (06/04)
Page: 5 of 5