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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372018024
Report Date: 01/10/2020
Date Signed: 01/10/2020 03:36:52 PM

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:GORDON, BOBBIE FAMILY CHILD CAREFACILITY NUMBER:
372018024
ADMINISTRATOR:BOBBIE GORDONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 789-9732
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:14CENSUS: 14DATE:
01/10/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Bobbie GordonTIME COMPLETED:
03:50 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Michael Morales-DeSilvestore and Selina Siao, made an unannounced annual inspection. Upon arrival there were 11 children in care, 1 under the age of two years and 1 school age. Three additional school age children including licensee's son arrived during the inspection. The facility is out of ratio. LPA's toured the day care areas. Primary child care areas are the living room, kitchen, dining room and bathroom 1. There are medicines accessible in the cabinet above the toilet. Licensee stated there are no weapons stored in the home or on the property and there are no bodies of water present. The fire extinguisher is full and of adequate size 3A40BC and mounted in the office. The smoke alarm located in hallway is hard wired to the security company and LPAs observed a flashing green light on the smoke detector. Licensee was advised to purchase a smoke detector for the home. Carbon monoxide detector (in living room) is operational. The home has adequate ventilation and heating. Licensee has provided sufficient space for the children to eat, sleep and play within the home. Children’s toys and play equipment are safe and age appropriate. There is a working telephone. Licensee has the required postings. Children’s files were reviewed. There is no emergency drill log or roster available for review. Licensee has a pediatric CPR/FA certificate with valid through 9/20/20. SB 792 (Staff Immunizations) are not available for review. Licensee does not have mandated reporter training. SIDS/Safe Sleep was discussed and Child Care Providers Guide to Safe Sleep Handout provided. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress. LPA discussed California Megan's Law and provided the website as follows: www.meganslaw.ca.gov. Effects of Lead Exposure Handout provided for dissemination to the parents/guardians of current and future enrollees. Licensee is reminded that walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 6
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: GORDON, BOBBIE FAMILY CHILD CARE
FACILITY NUMBER: 372018024
VISIT DATE: 01/10/2020
NARRATIVE
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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, an updated Plan of Operation that includes 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.

Notice of Site Visit was posted during this visit and must remain posted for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.


Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Appeal rights were provided and discussed. Signature at the bottom of this report confirms this receipt.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: GORDON, BOBBIE FAMILY CHILD CARE
FACILITY NUMBER: 372018024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2020
Section Cited

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Operation of a Family Child Care Home. Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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This requirement was not met as evidenced by licensee had various medicines in an unlocked cabinet located above the toilet in bathroom 1. This determination was based upon LPA's observations. This poses a potential hazard to the health and safety of children in care if not corrected.
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Type B
01/24/2020
Section Cited

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Operation of a Family Child Care Home.
Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
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This requirement was not met as evidenced by licensee did not have a current roster on file. This determination was based upon LPA's file review of facility records. This poses a potential hazard to the health and safety of children in care if not corrected.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2020
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: GORDON, BOBBIE FAMILY CHILD CARE
FACILITY NUMBER: 372018024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2020
Section Cited

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Operation of a Family Child Care Home. Each family child care home shall conduct fire drills and disaster drills...The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home.
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This requirement was not met as evidenced by the Licensee did not have a fire drill log. This determination was based upon LPA's observations and record review. This poses a potential hazard to the health and safety of children in care if not corrected.
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Type B
01/24/2020
Section Cited

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Childs Records. The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).
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This Requirement was not met as evidenced by the Licensee did not have signed notice of parents rights for 6 out of 11 children in care. this determination was based upon LPA's records review. This poses a potential hazard to the health and safety of children in care if not corrected.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2020
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: GORDON, BOBBIE FAMILY CHILD CARE
FACILITY NUMBER: 372018024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2020
Section Cited

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On or before March 30, 2018...a licensed child care provider... shall complete the mandated reporter training...every two years following the date on which he or she completed the initial mandated reporter training.
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This requirement was not met as evidenced by the Licensee did not have mandated reporter training certificate on file. This determination was based upon LPA's record review. This poses a potential hazard to the health and safety of children in care if not corrected.
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Type B
01/24/2020
Section Cited

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Commencing September 1, 2016, a person shall not be employed... at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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This requirement was not met as evidenced by the Licensee did not have proof of immunizations on file. This determination was based upon LPA's record review. This poses a potential hazard to the health and safety of children in care if not corrected.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2020
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: GORDON, BOBBIE FAMILY CHILD CARE
FACILITY NUMBER: 372018024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/13/2020
Section Cited

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Staffing Ratio and Capacity
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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This requirement was not met as evidenced by licensee had 14 children in care without an assistant. This determination was based upon LPA's observations. This poses an immediate hazard to the health and safety of children in care if not corrected.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2020
LIC809 (FAS) - (06/04)
Page: 6 of 6