136610540-9-4-2020-20-CC-GGOZ-BT5T4K-20200904142403

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610540
Report Date: 09/04/2020
Date Signed: 09/04/2020 02:25:54 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:	VIZCARRA MEZA, GUADALUPE FAMILY CHILD CARE		FACILITY NUMBER:	136610540
ADMINISTRATOR:	GUADALUPE VIZCARRA MEZA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 727-1103
CITY:	CALEXICO	STATE: CA	ZIP CODE:	92231
CAPACITY:	14	CENSUS: 0	DATE:	09/04/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Guadalupe Vizcarra Meza		TIME COMPLETED:	01:15 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 September 4, 2020 at 11:30 AM, Licensing Program Analyst (LPA) Gloria Gonzalez conducted an announced prelicensing inspection with applicant, Guadalupe Vizcarra for the purpose of a change of location via video conference by the application Whats app, due to the Covid-19 outbreak. LPA disclosed the purpose of the inspection and was granted a video tour into the facility by the Applicant. Purpose of the inspection is to ensure that the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. The Fire Clearance was received on 8/31/20. This two story, four bedroom, three bath home was toured and inspected. The hours of operation are Monday through Sunday, 1:00a.m. to 11:00p.m. Applicant will use the following areas for child care: living room, daycare bathroom, laundry room, kitchen, dining room, garage and back yard. Off limits areas include: entire upstairs (3 bedrooms, 2 bath). They are made inaccessible to day care children through the use of a safety gate. The upstairs is not used and is gated off at the bottom of the stairway and the applicant understands the gate must be in place when children under five years are present during day care hours. Applicant will utilize the back yard for outdoor activities. The fireplace is blocked by a cabinet with cubbies and will not be used. Their is no heater. Applicant stated there are no bodies of water observed during time of inspection. The fire extinguisher is rated 2A 10B:C and is located in on the side of the kitchen, smoke and carbon monoxide detectors meet requirements and are operational. Applicant states all poisons, detergents, cleaning compounds, and medicines are inaccessible to children in care and are located in off limit areas with cupboard latches and secured out of reach of children. Children’s toys and play equipment are available. The applicant has a working telephone/cell phone. Applicant indicated there are no firearms or other weapons in the home. Applicant maintains documentation of proof of control of property for review by the Department. Applicant has completed the Mandated Reporter AB1207 training certification on 8/10/20. Applicant has completed the 7 hours of preventative health training including the Lead training. Pediatric CPR and First Aid certifications expire on 3/6/21. Applicant and adult residents in the home have criminal record clearances on file.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2020

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: VIZCARRA MEZA, GUADALUPE FAMILY CHILD CARE	FACILITY NUMBER: 136610540
	VISIT DATE: 09/04/2020

NARRATIVE

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Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. LPA advised that prior to making alterations or additions to the home or grounds, the applicant shall notify the Department of the proposed change. Applicant's states they are financially secure to operate a family child care home for children and will comply with all regulations and laws governing family child care homes.

Applicant does not plan on providing Incidental Medical Services (IMS) to clients at this time. 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

The New Provider Resource Packet was reviewed with the applicant including information on the following: Safe Sleep, Lead Exposure, SIDS, shaken baby, child abuse reporting, community resources, children’s records, facility records, required postings, immunizations, unusual incident report, facility roster, car seat law, visual for ratio/capacity, fire/disaster drill log and discussed California Megan's Law and LPA provided the following: www.meganslaw.ca.gov. Applicant was also informed the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care.

LPA discussed the maximum capacity for a large family child care home: MAX. CAP (When there is an assistant present) : 12 no more than 4 infants. CAP 14 - no more than 3 infants. 1 child in kindergarten or elementary school and 1 child at least age 6.

Applicant is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate information was provided and applicant 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.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2020

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: VIZCARRA MEZA, GUADALUPE FAMILY CHILD CARE	FACILITY NUMBER: 136610540
	VISIT DATE: 09/04/2020

NARRATIVE

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A provisional Large Family Child Care Home license maybe issued upon final file review, due to pending 8hr Preventative Health including Lead training. This provisional license shall expire on December 4, 2020 (90 days after the date of issuance) and shall not be extended. LPA Gloria Gonzalez interpreted and explained inspection report to applicants, applicants Guadalupe Vizcarra stated they understood.

A copy of the report and appeal rights (LIC 9058) will be e-mailed to the licensee and licensee was advised that acknowledgement of the receipts of the report and appeal rights are to be received within twenty-four hours.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2020

LIC809 (FAS) - (06/04)

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