136610542-12-8-2020-20-CC-GGOZ-BW4R29-20201208113758

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610542
Report Date: 12/08/2020
Date Signed: 12/08/2020 11:38:59 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:	GALLEGOS, LETICIA FAMILY CHILD CARE		FACILITY NUMBER:	136610542
ADMINISTRATOR:	LETICIA GALLEGOS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 679-6511
CITY:	IMPERIAL	STATE: CA	ZIP CODE:	92251
CAPACITY:	14	CENSUS: 0	DATE:	12/08/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Leticia Gallegos		TIME COMPLETED:	11:36 AM

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 December 8, 2020 at 9:30 AM, Licensing Program Analyst (LPA) Gloria Gonzalez conducted an announced prelicensing inspection with applicant, Leticia Gallegos for the purpose of a change of location via video conference by 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. This one story, three bedroom, two bath home was toured and inspected. The hours of operation are Monday through Saturday, 6:00 a.m. to 7:00 p.m. Applicant will use the following areas for child care: living room, bathroom 2, dining room, bedroom 3, den, and backyard. Off limits areas include: master bedroom, bathroom 1, kitchen, bedroom 2, laundry room, and garage. They are made inaccessible to day care children through the use of doorknob covers, and a safety gate. Applicant will utilize the backyard for outdoor activities. The fireplace is made inaccessible to children. 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 the pantry in 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 door locks 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 4/19/20. Applicant has completed the 8 hours of preventative health training. Pediatric CPR and First Aid certifications expire on 7/2021. Applicant and adult residents in the home have criminal record clearances on file. 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 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.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020

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: GALLEGOS, LETICIA FAMILY CHILD CARE	FACILITY NUMBER: 136610542
	VISIT DATE: 12/08/2020

NARRATIVE

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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 number of children for whom care shall be provided when there is an assistant provider in the home, including children under age 10 who live in the licensee's home and the assistant provider's children under age 10, shall be either: Twelve (12) children with no more than four of whom may be infants or Fourteen (14) children, with at least two of the children with 1 child enrolled in kindergarten and 1 child at least six years of age and no more than three infants, with landlord consent (LIC 9149).

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.

A Regular Large Family Child Care Home license maybe issued upon final file review. LPA Gloria Gonzalez interpreted and explained inspection report to applicant, applicant stated she 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: 12/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020

LIC809 (FAS) - (06/04)

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