334844038-9-1-2022-10-CC-SBRR-CHURTE-20220901131809

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334844038
Report Date: 09/01/2022
Date Signed: 09/01/2022 01:18:17 PM

Document Has Been Signed on 09/01/2022 01:18 PM - It Cannot Be Edited

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	VALDES FAMILY CHILD CARE		FACILITY NUMBER:	334844038
ADMINISTRATOR:	VALDES, DALIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 676-5126
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92563
CAPACITY:	14	CENSUS: 7	DATE:	09/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Licensee Dalia Valdes		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	On 09/01/2022 at 9:00 AM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct an annual inspection. LPA was greeted by Licensee Dalia Valdes and granted entry to tour the facility, inside and out. LPA conducted a COVID19 prescreening, reviewed records, and observed and/or discussed the following: Present were the licensee and 1 staff. Updated forms were the LIC999A and LIC279 for ages of the children cared for. Normal days and hours of operation: Monday thru Friday; 6:00 am to 5:30 pm OFF-LIMIT AREAS INCLUDE: 1^st Floor Bedroom, Kitchen, Family Room, Entire 2nd Floor Garage and North Side Yard/Dog Run The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. · The facility is operating within the licensed capacity and appropriate ratios. LPA took a census of 7 children present. · The Licensee is present in the home and has ensured that children in care are supervised with a hired staff on 09/01/2022. · When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children. · A working telephone is present on 09/01/2022. · Appropriate fire extinguisher in the green, smoke detector and carbon monoxide combination device are present and were tested by the Licensee Dalia Valdes on 09/01/2022. · All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children on 09/01/2022. · Storage of poisons is inaccessible to children and locked in the Garage.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: VALDES FAMILY CHILD CARE	FACILITY NUMBER: 334844038
	VISIT DATE: 09/01/2022

NARRATIVE

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· There is a properly barricaded fireplace on 09/01/2022.
· Guns or weapons ARE present as stated by the Licensee Dalia Valdes. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations. LPA verified the identified items to be key locked separately on 09/01/2022.
· Stairs are barricaded on 09/01/2022.
· Home is clean and orderly, with heating and ventilation for safety and comfort on 09/01/2022.
· Safe and appropriate toys and equipment are present for both indoor and outdoor activities.
· Outdoor play areas are fenced and/ or appropriate supervision is present on 09/01/2022.
· Verification of control of property on file by tax bill dated 03/01/2016.
· Pediatric CPR and First Aid Card expire on 07/2024.
· Health & Safety Certificate - completed on 09/25/2016.
· Mandated reporter: General: NOT ON FILE; AB1207 Child Care Expires: NOT ON FILE.
· Fire clearance: 01/23/2019
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 08/22/2022 at 10:30 AM,
· There are no bodies of water on 09/01/2022. 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.
· Children’s files are NOT complete: Children identified on Confidential Names List as Child #1, #5, #6 and #7 were missing the LIC627 Medical Consent Forms.
· Staff’s files are complete on 09/01/2022.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: VALDES FAMILY CHILD CARE	FACILITY NUMBER: 334844038
	VISIT DATE: 09/01/2022

NARRATIVE

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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
Licensee Dalia Valdes, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations with licensee Dalia Valdes and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Deficiencies cited this visit, see LIC809D, ,2 Type B Citations issued on 09/01/2022.

No Civil Penalties issued on 09/01/2022.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Dalia Valdes.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/01/2022 01:18 PM - It Cannot Be Edited

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: VALDES FAMILY CHILD CARE	FACILITY NUMBER: 334844038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/01/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA S.Brewer's record review, the licensee Dalia Valdes, did not comply with the section cited above and failed to provide proof of Mandated Reporter Certificates for General and Child Care Provider Training, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/06/2022
	Plan of Correction
1 2 3 4	The licensee Dalia Valdes, agrees to complete the Mandated Child Abuse General and Child Care Provider Training and submit proof of Training certificates to the department on or before 09/06/02022.

Type B

Section Cited

CCR

102417(g)(7)

Operation of A Family Child Care Home

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA S.Brewer record review on 09/01/2022, the licensee Dalia Valdes, did not comply with the section cited above in 4 children out of 7 children present, identified as Children #1, #5, #6 and #7 did not have the LIC627 Medical Consent forms on file, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/02/2022
	Plan of Correction
1 2 3 4	The licensee Dalia Valdes, agrees to obtain the missing LIC627 Medical Consent form for all current enrolled children and ensure the the forms are completed for future enrolled children. The licensee also agrees to submit proof of the consent forms for current enrolled children to the department on or before 09/02/2022.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

LIC809 (FAS) - (06/04)

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