334841642-9-12-2019-09-CC-NZUA-BFXQRN-20190912122414

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334841642
Report Date: 09/12/2019
Date Signed: 09/12/2019 12:24:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	VASQUEZ FAMILY CHILD CARE		FACILITY NUMBER:	334841642
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	09/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Maria Vasquez		TIME COMPLETED:	12:40 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 date and time listed, Licensing Program Analyst (LPA) Nelson Zuniga and Diana Brasel arrived at the facility to conduct an inspection as part of a compliance review. This annual inspection will also serve as the Pre Licensing inspection for the increase of capacity from 8 children to 14 children. LPA's toured the facility, inside and out, records were reviewed and the following was observed and/or discussed: A fire clearance was issued by local fire department. Licensee will be recommended for a large capacity. Normal days and hours of operation are: Monday - Sunday 5:00 a.m. to 12:00 a.m. OFF-LIMIT AREAS INCLUDE: Bedroom#2, #3 and ( bathroom#3), Garage, Laundry room and backyard. The children will play in the front yard only. Licensee is advised when the children are in the front yard to ensure that the gate is close to the front yard. The facility is operating within the licensed capacity and appropriate ratios · Appropriate supervision provided during visit · A working telephone is present · Appropriate fire extinguisher, smoke detector present and were tested during this visit. ·All hazardous items are stored inaccessible to children. · Toxins are locked · No guns or weapons present as stated by the Licensee. ALL GUNS, WEAPONS AND AMMUNITION MUST BE KEY-LOCKED SEPARATELY AND MADE INACCESSIBLE PER TITLE 22 REGULATIONS. · Verification of control of property on file · Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights poster are posted · Pediatric CPR and First Aid Card expire on 3/2020 · Health & Safety Certificate - on file ·Clean, safe and age appropriate toys · Current roster on file · Documentation of fire drills on file · Children’s records are complete · Employee’s records are complete · No bodies of water at this time. LICENSEE UNDERSTANDS ALL BODIES OF WATER INCLUDING PONDS, ABOVE GROUND POOLS & SPAS, IN-GROUND POOLS & SPAS, AND SOME FOUNTAINS MUST BE PROPERLY COVERED OR FENCED PER TITLE 22 REGULATIONS. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position when not in use. · The licensee was asked to provide information in regard to having an association to any licensed community care facility. (Cont' on LIC809C)

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson Zuniga	TELEPHONE: (951) 782-6634
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)

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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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: VASQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 334841642
	VISIT DATE: 09/12/2019

NARRATIVE

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Access to forms & Regulations for Family Child Care Homes online at www.ccld.ca.gov.
- Responsibility to know the regulations for anyone providing care
- Inaccessibility of hazards must be constantly reassessed depending on the children in care
- Current facility’s phone numbers must be on file at all times.
- Failure to meet the posting requirements shall result in an immediate $100 civil penalty.
- Documentation of fire & earthquake drills to be conducted every six months
- Responsibilities of being a mandated reporter
- Baby walkers, bouncy seats, exersaucers and other similar items are prohibited
- The Licensee is urged to visit the U.S. Consumer Product Safety Commission web
page at www.cpsc.gov to ensure that equipment purchased for the day care has not been recalled
- the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809/LIC9099) must also be posted for 30 days. A civil penalty of $100 per violation will be assessed for noncompliance.
· Criminal record clearances are required prior to all adults living or working in a Family Child Care Home. A civil penalty of $100.00 per day the person has been present, may be assessed. Resident and/or staff records reviewed on 9/12/19 indicate that all adults who require caregiver background checks have received all required clearances or exemptions.
Please subscribe at www.childcareadvocatesprogram@dss.ca.gov to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. - The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766).

No deficiencies cited at this time.

Appeal rights discussed and a copy of this report was provided to the licensee on this date. During the exit interview, the licensee confirmed that there are no Registered Sex offender who reside or use the facility address as their permanent address.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson Zuniga	TELEPHONE: (951) 782-6634
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: VASQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 334841642
	VISIT DATE: 09/12/2019

NARRATIVE

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Facility is not currently providing IMS 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 · For more information on SIDS and Safe Sleep Environments, please visit:California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx

AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html

AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care

And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep
The following was reviewed with the licensee(s):
- AB 1819 – Smoking prohibition on the premises of Family Child Care Homes, effective January 1, 2015 - AB 2621 – Public information posted on the internet, effective January 1, 2015
- AB 2236 – Civil Penalties, effective July 1, 2015
- AB290 – Child Nutrition, effective January 1, 2016

- AB2231 (2016) – Increased Civil Penalties, effective July 1, 2017

- AB 2386 – Carbon Monoxide Detector Regulations, effective January 1, 2015

- SB 277 – Immunizations, Personal Beliefs Exemption, effective January 1, 2016

- SB792 – Immunization requirements for staff, volunteers, effective September 1, 2016

- AB 1207 – Mandated Child Abuse Reporting: Child Day Care Personnel Training, beginning Jan, 1, 2018

- Effective January 1, 2017 – Children under 2 years of age shall ride in a rear-facing car seat unless the child weighs 40 or more pounds OR is 40 or more inches tall. For additional information regarding car seat laws see www.chp.ca.gov Cont' on LIC809C

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson Zuniga	TELEPHONE: (951) 782-6634
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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