372016832-10-5-2021-51-CC-ALMA-C7ATWL-20210928150543

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372016832
Report Date: 09/28/2021
Date Signed: 10/05/2021 01:06:55 PM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	PURECO-VELANDIA, JOSEFINA FAMILY CHILD CARE		FACILITY NUMBER:	372016832
ADMINISTRATOR:	PURECO-VELANDIA, JOSEFINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(858) 693-8776
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92131
CAPACITY:	12	CENSUS: 12	DATE:	09/28/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Josefina Pureco-Velandia		TIME COMPLETED:	03:30 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 9/28/2021 at 11:20 AM, Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced Annual inspection with the Licensee. Upon arrival, LPA met with Licensee, Josefina Pureco-Velandia. The tri level four bedroom and three bathroom was toured and inspected to ensure an environment safe for the care and supervision of children. Also present in the home was Assistant Rosalia Infante Pureco and twelve day care children. Proper supervision and ratios were observed. The 3A40BC fire extinguisher, carbon monoxide detector, and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Licensee states that there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certifications expire on September 2022 Helper’s First Aid and CPR certifications expire on May 2023. Licensee and staff meet immunization requirements. Licensee completed Mandated Reporter Training which expired 3/30/2020. Assistant has not completed Mandated Reporter Training and has no certificate. Licensee states that she has six cribs but only has two infants in care. Licensee states that she uses cribs for some children who are not infants. Licensee advised to follow all safe sleep regulations, including Safe Sleep Plans for infants under 12 months old and Sleep logs for all infants under two years old. Licensee maintains emergency records for children. LPA observed that two of twelve children do not have LIC (5A Notification of Children's Rights in file. Licensee advised to ensure that all child files are complete. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include: living room, bedroom #4, bathroom #3 and a portion of the back yard. Off limits areas include: dining room, family room, kitchen, master bedroom, master bathroom, bedroom #2, bedroom #3, bathroom #2, garage and half of the backyard and are made inaccessible through use of gates, door knob covers, locks and latches. The fireplace is located in the off limits family room and is screened. The (continued in LIC809 page 2)

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PURECO-VELANDIA, JOSEFINA FAMILY CHILD CARE	FACILITY NUMBER: 372016832
	VISIT DATE: 09/28/2021

NARRATIVE

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LIC809 page 2)

staircase to the second and third levels is barricaded. There is a working phone at the facility. The licensee has sufficient safe age appropriate, toys and equipment available. The home has a fully fenced backyard available for outdoor activities.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances associated to the facility, corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA Mangina reviewed Covid-19 guidelines with Licensee and provided Covid-19 resources. LPA Mangina directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.

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.

See LIC 809D for Deficiencies cited during visit.

An exit interview was conducted with the Licensee. The Licensee was provided a copy of their appeal rights (LIC 9058) along with a copy of this the report (LIC809) their signature on this form acknowledges receipt of these rights. LPA observed LIC 9213 (Notice of Site visit) was posted during today's visit. Notice of Site Visit must remain posted for 30 days.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PURECO-VELANDIA, JOSEFINA FAMILY CHILD CARE	FACILITY NUMBER: 372016832
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/28/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/27/2021 Section Cited	1 2 3 4 5 6 7	1596.8662(b)(1)...Training for mandated reporter... licensed daycare provider...or employee of a licensed child care facility shall complete the mandated reporter training... This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on file review Licensee's Mandated reporter training expired 3/30/2020 and Assistant Rosalia Ifante Pureco states has never taken mandated reporter training which poses a potential health and safety risk to children in cared.	8 9 10 11 12 13 14
Type B 10/27/2021 Section Cited	1 2 3 4 5 6 7	The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06)... The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified... This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on file review C#1 and C#6 do not have Notification of Parent's Rights LIC995A in child file as required which poses a potential health and safety risk to children in cared.	8 9 10 11 12 13 14

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: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021

LIC809 (FAS) - (06/04)

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