334845519-3-11-2022-10-CC-SBRR-CCESLU-20220311125855

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334845519
Report Date: 03/11/2022
Date Signed: 03/11/2022 12:59:08 PM

Document Has Been Signed on 03/11/2022 12:59 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:	OCHOA FAMILY CHILD CARE		FACILITY NUMBER:	334845519
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	03/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Kimberly Ochoa		TIME COMPLETED:	01:10 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 03/11/2022 at 8:55 AM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility unannounced for the purpose of conducting Annual Inspection. As part of the inspection a case Management Inspection was conducted at the request of Licensee Kimberly Ochoa. The licensee has applied to increase her capacity to that of a Large Family Child Care Home and a Fire Clearance was granted by the Temecula Fire Prevention Bureau on 03/07/2022. The LPA was greeted by Licensee Kimberly Ochoa, conducted a COVID-19 Pre-screening and was granted entry into the home. Present during this visit were Licensee and Spouse. LPA toured the facility, inside and out, records were reviewed, and the following was observed: A census was taken of 6 children in care. Normal days and hours of operation are: Monday - Friday, 6:30 AM to 5:30 PM; Notification to parents in advance for extended care on Fridays 6:30 AM to 10:30 PM. OFF-LIMIT AREAS INCLUDE: Entire 2nd Floor, Garage and Side Yard for dog run. · Appropriate fire extinguisher dated 01/02/2022, smoke detector and carbon monoxide detector are present and were tested by the licensee during this inspection on 03/11/2022. · All hazardous items inaccessible to infants and toddler. LPA provided consultation to Licensee Kimberly Ochoa for observed storage of knives in the kitchen and essential oils stored in the medicine cabinet downstairs restroom which is used for daycare children. · Toxins locked on 03/11/2022. · Guns or weapons were present 03/11/2022 and LPA S.Brewer, verified that the Licensee Kimberly Ochoa was in compliance with Title 22 regulations.. Licensee understands all guns, weapons, and ammunition must be key locked separately and made inaccessible per Title 22 Regulations. · Stairs are barricaded on 03/11/2022. · The fireplace is properly screened verified.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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: OCHOA FAMILY CHILD CARE	FACILITY NUMBER: 334845519
	VISIT DATE: 03/11/2022

NARRATIVE

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· Verification of control of property on file. Copy provided during inspection on 03/11/2022.
· Property owner/landlord notification and consent on file provided during inspection 02/11/2022
· Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights forms are posted.
· Pediatric CPR and First Aid training Card - expires on 06/2022
· Health & Safety Certificate - completed on 08/21/2016; Lead training completed on 12/16/2021
· Mandated Reporter General 11/29/2021 Mandated Reporter AB1207 completed on 09/03/2021
· There are no bodies of water as of this 03/11/2022. 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.
· Clean, safe and age appropriate toys verified.
· There are no toxic plants observed at this time.
· Current roster on file 03/11/2022
· Documentation of fire drills on file, conducted 02/23/2022 at 10:00 AM, 5 children present. Per licensee the drill lasted 15 minutes and the children went to the front yard by the tree.
· Children’s records are complete on 03/11/2022
· Employee’s records are complete on file. A letter to decline influenza will be submitted.
· Licensee Kimberly Ochoa, 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. Submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations858@dss.ca.gov
· Licensee was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO10@dss.ca.gov

LPA reviewed the following with the Licensee Kimberly Ochoa:
- Pre-Licensing Visit Packet provided (children’s/staff records & posting requirements included)
- Failure to meet the posting requirements shall result in an immediate $100 civil penalty.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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: OCHOA FAMILY CHILD CARE	FACILITY NUMBER: 334845519
	VISIT DATE: 03/11/2022

NARRATIVE

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- Documentation of fire & earthquake drills to be conducted every six months
- Responsibilities of being a mandated reporter
- Access to forms & Regulations for Family Child Care 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 always be on file with the licensing office
- Baby walkers, bouncy seats, exer-saucers and other similar items are prohibited
- Applicant is urged to visit the U.S. Consumer Product Safety Commission webpage at www.cpsc.gov to ensure that equipment purchased for the day care has not been recalled
- Once licensed, 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.

- LPA discussed the safe sleep regulations with licensee Kimberly Ochoa 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 [facility representative] 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.

Incidental Medical Services (IMS) policy was discussed with Licensee Kimberly Ochoa. 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
- Go to the licensing webpage www.ccld.ca.gov,and click on the “Receive Important Updates” located on the right side of the page, immediately above the Quick Links. One can add their email address and choose which program(s) they wish to receive Provider Information Notices (PIN)
- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:
1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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: OCHOA FAMILY CHILD CARE	FACILITY NUMBER: 334845519
	VISIT DATE: 03/11/2022

NARRATIVE

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The application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification.

No Civil Penalty has been assessed during this inspection.

The LICENSEE Kimberly Ochoa, confirmed there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

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

Exit interview conducted, Appeal rights were reviewed and a copy of the this report was left with the licensee Kimberly Ochoa.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

LIC809 (FAS) - (06/04)

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