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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310092
Report Date: 09/12/2019
Date Signed: 09/12/2019 01:38:26 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:ORTIZ DE CASTILLO. SILVIAFACILITY NUMBER:
304310092
ADMINISTRATOR:CASTILLO, SILVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 554-4532
CITY:SANTA ANASTATE: CAZIP CODE:
92703
CAPACITY:14CENSUS: 9DATE:
09/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Silvia Ortiz De Castillo, Licensee TIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Villa conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes are met. Upon arrival LPA Villa was greeted by Licensee Silvia Ortiz De Castillo. Also present during this inspection were assistants Cinthya Navarro and Mariela Infante. All adults present during this inspection have obtained a criminal record clearance prior to working or residing in the home. Census was obtained during today’s inspection there was 9 children present with two assistants plus the licensee. The facility was observed to be within ratio. Licensee states her hours of operation are 5:00am-6:00pm, Monday thru Friday.

Licensee states there are 10 children enrolled in the day care. An updated children roster was available during this inspection. A tour of the home was conducted inside and outdoors. Per Licensee there are 3 adults residing in the home. Per licensee the home is a 3 bedroom and 2 bathroom residence. The children use the living room, the first bedroom to the left, dinning room and restroom located near the kitchen.

The off-limit areas are the, kitchen, three bedrooms and the other restroom located inside one of the bedrooms. The garage is an attached garage towards the back of the home. Per Licensee the door is maintained closed during day care hours. The children use the back yard for outdoor play time. The backyard was observed to be fenced, free of hazards, with age appropriate toys. There are no bodies of water located on the premises. Per Licensee there are no weapons on the premises. Licensee has the parents rights poster and other appropriate forms posted. Pediatric First Aid/CPR certificates are valid thru 02/17/2020 for licensee. Staff files were reviewed for Immunizations, MMR, TDAP and Influenza and Mandated Reporter certificate for Licensee and assistants. All files were observed to be complete. Children records were reviewed for LIC700 and Immunization cards. All records were observed to be complete. Licensee was reminded that the Mandated reporter training expires every two years. She is exempt as Spanish is her primary language. Licensee had the fire disaster drill log up to date 09/14/2019. Licensee has a working telephone via cell phone and home phone.

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ORTIZ DE CASTILLO. SILVIA
FACILITY NUMBER: 304310092
VISIT DATE: 09/12/2019
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Detergents and cleaning supplies were inaccessible to the children in care. Fire extinguisher was inspected and met state regulations. There is an operational smoke detector and carbon monoxide in the facility. The licensee maintains a first aid kit in the home. There are adequate age appropriate toys, books, and games.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category is to be in the home. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.
LPAs reviewed SIDs, safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep guidelines flyer was provided during today’s visit.

Incidental Medical Services (IMS) policy was discussed. Licensee states there are no children requiring medication in her care. 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 advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov, Licensee was advised where to access the quarterly updates.

There were no violations of Title 22 regulations, No citations issued during this inspection.

An exit interview was conducted with Licensee Silvia Ortiz De Castillo. The Notice of Site Visit (LIC 9213) – must remain posted for 30 consecutive days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Licensee and Appeal rights were provided and explained. Licensee was informed that appeals must be submitted in writing within 15 days of a citation.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
LIC809 (FAS) - (06/04)
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