372016832-10-3-2023-51-CC-ALMA-CW9P2Q-20231003105618

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372016832
Report Date: 10/03/2023
Date Signed: 10/03/2023 10:56:32 AM

Document Has Been Signed on 10/03/2023 10:56 AM - 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, 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: 7	DATE:	10/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:			TIME COMPLETED:	11:15 AM

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On 10/3/23 at 8:15 AM Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced Annual inspection with Assistant Fernanda Lopez. LPA was informed that Licensee was at a doctor’s appointment. Licensee arrived at the facility at 9:00 AM. There were no children in care upon LPA’s arrival but children arrived at 8:20, 8:30, 8:40, 8:45, 8:50, 9:05 and 10:04 for a total of 7 children in care. Proper supervision and ratios were observed. Language link interpreter Facuno #16773 provided translation until approximately 8:45 AM. The tri-level four bedroom and three bathroom home was toured and inspected to ensure an environment safe for the care and supervision of children. homDuring the inspection, LPA observed that Licensee had a bouncy seat placed in a pack and play. Licensee was reminded that bouncy seats are not allowed in daycare. LPA also observed three of three pack and plays do not have mattresses that fit properly and each had an ill-filling sheet. Licnesee owns the home and has provided a deed as proof of control of property.

LPA reviewed staff records and observed that assistant does not have immunization record in file. Licensee was advised that all employees in the daycare must have complete files prior to being employed in the Family child care. LPA reviewed 6 child files which were substantially complete.

A review of staff records on this date indicated facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

continued on LIC809 page 2

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

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: 10/03/2023

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LIC809 page 2
License’s First Aid and CPR certifications expire on 8/2024 and Mandated Reporter Training AB 1207 was completed 10/13/21. Assistant’s First Aid and CPR certifications expire on 7/2025 and Mandated Reporter Training AB 1207 was completed 4/26/23. Last disaster drill was conducted 7/5/23.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Licensee uses the following rooms for childcare: living room, bedroom, and bathroom on first floor. The following areas are off limits: dining room, kitchen, family room and entire third floor which are inaccessible using safety gates. Licensee was reminded to ensure that all hazardous items be made inaccessible to children in care whenever they are present. There is a working fire extinguisher rated 3A40BC, and smoke and carbon monoxide detectors are present and operational. Adequate heating, lighting, and ventilation is provided for day-care children. Children’s toys, play equipment and materials are available. Licensee states there are no firearms or weapons in the home. Entrance Checklist was provided to the Licensee.

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 directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.

LPA discussed the safe sleep regulations with Licensee 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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)

continued on LIC809 page 3

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

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: 10/03/2023

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LIC809 page 3
514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

On this date, 10/3/23, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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.

See LIC809-D for Type B citations and technical violations given.

Exit interview conducted and report was reviewed with the Licensee, Jospehina Pureco-Velandia. A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/03/2023 10:56 AM - 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, 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: 10/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(a)(3)

Infant Safe Sleep

(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation the licensee did not comply with the section cited above in as 3 of 3 PacknPlays have ill-fitting mattresses and ill-fitting sheets which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/04/2023
	Plan of Correction
1 2 3 4	LIcensee states will obtain enough cribs or pack in plays for the number of infants in care with appropriate sized mattresses and will provide proof to LPA no later than close of business 10/4/23. Licensee will also ensure to only use tightly fitting sheets in future,

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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 Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

LIC809 (FAS) - (06/04)

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