304311912-8-13-2019-06-CC-MMAK-BEZRTR-20190813131848

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304311912
Report Date: 08/13/2019
Date Signed: 08/13/2019 01:18:53 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:	REINA, AMANDA		FACILITY NUMBER:	304311912
ADMINISTRATOR:	REINA, AMANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(949) 206-0960
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	14	CENSUS: 6	DATE:	08/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Licensee		TIME COMPLETED:	01:30 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	Pg 1 An annual inspection was conducted at the facility by Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek. The operation hours are from 7:00 am to 6:00 pm, Monday through Friday. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There is presently one other adult living in the home besides the licensee. During today’s inspection the home and grounds were toured and the licensee was operating within the licensed capacity. Present during today's inspection was the licensee, Amanda Reina and her spouse, Guillermo Reina. There were a total of 6 children present of whom one was under two years old. Three children were napping in one bedroom, and two children were napping in the living room. One child was awake who was playing in the back yard with one adult. The floor plan was verified. Off limits areas are made inaccessible by means of baby gates and locks. The main day care area is the living room, family room, kitchen area, and one bedroom. The kitchen drawers and cabinets were equipped with child proof plastic locks. The licensee pediatric CPR/First Aid certification is current. Items which could pose a danger to children were not accessible to children. Poisonous items were not observed during today's inspection. There is carbon monoxide detector and smoke detector were in the house in working condition. Appropriate fire extinguisher is in the home. The licensee has a current roster of children in care. Emergency Disaster drill log within the past six months was available. The licensee stated there are no firearms and/or other dangerous weapons in the home and none were observed during today's inspection. The backyard is completely fenced. The outdoor play area is free from hazards. There is no high climbing structure/slide equipment observed in the back yard. There is a jacuzzi in the back yard behind a gate which was covered and locked on four sides. There are three small two tiers fountain in the back yard which were filled with rocks. Continue on page 2

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: REINA, AMANDA	FACILITY NUMBER: 304311912
	VISIT DATE: 08/13/2019

NARRATIVE

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Incidental Medical Services (IMS) was discussed with the licensee. 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 .

Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov
A copy of child care provider's guide to safe sleep pamphlet and a copy of Never Ever Shake a Baby pamphlet with the website www.dontshake.org were given to the facility representative on the last inspection.
An updated pamphlet regarding safe sleep regulations in childcare and a pamphlet for lead poisoning facts were given to the director today.

Notice of Site Visit was posted. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal rights provided and explained. 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. First level appeal is to Regional Manager, address is above on the report. Licensee was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov.

Mandated Reporter Training Certificate were available for licensee and her spouse. It was reminded to the licensee that this course expires after two years from the date on the certificate.

No citations were issued today.
This report ends here.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

LIC809 (FAS) - (06/04)

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