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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372011106
Report Date: 02/10/2022
Date Signed: 02/10/2022 04:44:00 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:GARRETT, GERALDINE FAMILY DAY CAREFACILITY NUMBER:
372011106
ADMINISTRATOR:GARRETT, GERALDINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 500-8030
CITY:VISTASTATE: CAZIP CODE:
92081
CAPACITY:12CENSUS: 6DATE:
02/10/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:53 AM
MET WITH:Gabriela OrozcoTIME COMPLETED:
12:41 PM
NARRATIVE
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On February 10, 2022 at 09:53 AM, Licensing Program Analysts (LPA’s) Anastasia Flores and Joanne Domingo arrived at the facility to conduct an annual inspection as part of a compliance review. At 10:10 AM, LPA’s toured the facility, inside and out, records were reviewed, and the following was observed and discussed:

· Normal days and hours of operation are: Monday through Friday 8:00 AM to 5:00 PM

· OFF-LIMIT AREAS INCLUDE: Garage, laundry room, and entire second floor

It was discussed with Ms Orozco to have the laundry room made inaccessible to the children as there was dangerous chemicals on the floor.

· The facility is operating within the licensed capacity and appropriate ratios


· Appropriate supervision was provided during this inspection

· A working telephone is present and the current number is on file

· Appropriate fire extinguisher, smoke detector and carbon monoxide detector present and were tested by the Licensee during this inspection.

· Fireplace is properly screened to prevent access by children

· All hazardous items are stored inaccessible to children

LPA's observed there to be gardening soil accessible to children. LPA's asked licensee to remove the soil and place it behind the locked gate inaccessible to the children.

(continued on page 2)

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 3 of 11
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: GARRETT, GERALDINE FAMILY DAY CARE
FACILITY NUMBER: 372011106
VISIT DATE: 02/10/2022
NARRATIVE
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·Toxins are locked

· Ms. Orozco stated there are no Weapons or guns in the facility

· Stairs are barricaded

· Clean, safe and age appropriate toys were observed-Ms. Orozco was asked to remove the two trikes without the rubber safety handles on them

· Current roster on file

· Facility Sketch, Emergency Disaster Plan and Notification of Parent’s Rights poster are posted

Licensee was asked to have the current Licensing agency of Riverside on all forms.

· Documentation of fire and disaster drills on file – Last drill conducted on 01/12/2022

· 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.

· Verification of control of property on file

· Children’s records are complete

· Employee’s records are complete

· Mandated Reporter Training completed/expired on 03/24/2022

· Pediatric CPR and First Aid Card expire on 03/29/2022

· Health & Safety Certificate - completed on 03/29/2020


· Resident and/or staff records reviewed on 02/10/22 indicate that all adults who require caregiver background checks have received all required clearances or exemptions.

-The LICENSEE's day care assistant, Gabriela Orozco, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.
(continued on page 3)
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
LIC809 (FAS) - (06/04)
Page: 11 of 11
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: GARRETT, GERALDINE FAMILY DAY CARE
FACILITY NUMBER: 372011106
VISIT DATE: 02/10/2022
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This facility provides Incidental Medical Services – IMS. LPA's reviewed storage of medication for child #1 has expired medication and there were no IMS records reviewed in child's file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

-The Licensee was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO10@dss.ca.gov



-The Licensee can submit transfer forms to associate new individuals or to disassociate someone from the facility at: Associations_Disassociations858@dss.ca.gov
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
LIC809 (FAS) - (06/04)
Page: 10 of 11