136610515-5-20-2021-20-CC-LGAO-C38978-20210520230642

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610515
Report Date: 05/20/2021
Date Signed: 05/20/2021 11:08:04 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:	VARGAS, TERESA FAMILY CHILD CARE		FACILITY NUMBER:	136610515
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	05/20/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Teresa Vargas		TIME COMPLETED:	05:45 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	On 05/20/21 at 3:30PM, LPAs, Luigi Gargaro and Claudia Amador, conducted an unannounced capacity increase visit with the applicant. The visit was conducted as a tele-inspection via the Zoom video application due to the ongoing COVID-19 pandemic. Applicant is solely Spanish speaking but translation for Ms. Vargas was provided by analyst Amador. Present were the applicant, her adult daughter helper, Theresa Vargas, and four day care children including the applicant's own daughter. The one story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher and smoke and carbon monoxide detectors meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Analyst inquired of the applicant about whether there were any bodies of water or weapons in the home and she replied no. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 04/05/21 from the City Of Brawley Fire Department. First Aid and CPR certifications expire on June of 2021 for the applicant. Applicant will be using the following rooms for childcare: the living room, the dining room, and the day care bathroom. The applicant also is using her home garage, which has been converted and permit approved, as a primary day care area. Applicant allowed analysts to review the permit paperwork and all was found to be in order. The following areas will be off limits: the home kitchen and all three home bedrooms and the inclusive master bath. The kitchen is made off limits with a safety gate that is installed in the entryway between the kitchen and the dining room. The bedrooms are all made off limits with door knob guards that are installed on their respective door handles. The applicant has sufficient toys and equipment available.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021

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: VARGAS, TERESA FAMILY CHILD CARE	FACILITY NUMBER: 136610515
	VISIT DATE: 05/20/2021

NARRATIVE

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The home has a fenced back yard available for outdoor activities. The back yard contains a trampoline the applicant states is solely for family use. The trampoline does not have an access ladder and is further made off limits with a zippered entry door. Applicant states she will also add a small padlock to the zipper to make it additionally off limits to day care children. The yard also contains a shed that is off limits that contains the applicant's personal items. The shed is made inaccessible with a padlock that is installed on the entry doors.

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. LPA and licensee discussed California Megan's Law and he provided licensee with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

The home appears to be in sufficient compliance and as no corrections are needed, a license for 14 will be issued effective today.

A copy of the report will be e-mailed to applicant and she was advised that acknowledgement of the receipt of the report is to be received by analyst within twenty-four hours.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021

LIC809 (FAS) - (06/04)

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