376100003-7-2-2019-51-CC-NDIZ-BDPN6Q-20190702101131

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100003
Report Date: 07/02/2019
Date Signed: 07/02/2019 10:11:39 AM

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:	FELIX, ELISA FAMILY CHILD CARE		FACILITY NUMBER:	376100003
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	07/02/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Elisa Felix		TIME COMPLETED:	10:25 AM

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	A pre-licensing inspection was conducted by Nancy Diaz, LPA. Met with applicant Elisa Felix. Mrs. Felix has completed the Preventative Health training on 9/30/18. Her Pediatric First Aid/CPR certification are valid through September 28, 2020. Mrs. Felix and her spouse, Joel Lopez have received criminal record and TB clearances. This three-bedroom; two- bathroom home was inspected to ensure that it meets the Health & Safety standards as required by regulations governing Family Child Care Homes. The following areas are used for day care: living room, family room, hallway bathroom, kitchen, bedroom #2 and back fenced yard. Off-limit areas include: Master bedroom & bathroom, Bedroom #1 and detached garage. Lower cabinets in the kitchen and bathroom are latched to make toxics, detergent and other items which could pose a danger if readily available to children inaccessible. There is an operational smoke alarm, carbon monoxide detector and fire extinguisher maintained in the home. The home has electrical outlet covers throughout the daycare areas. There are toys, games, books and napping equipment for children's use. Mrs. Felix stated that she does not maintain any weapons in the home. There were no bodies of water observed within the premises. Applicant understands that children must be visually supervised at all times during any outdoor activities. LPA provided handouts/reviewed the following: effects of lead exposure, Health & Nutrition information, SIDS, shaken baby syndrome, regulation highlights, capacity limitations, care & supervision, record keeping requirements (forms to be downloaded from website), required forms to be posted, disaster drills every 6 months (to be documented), unusual incident reporting requirement, safe sleep regulation, mandated reporting and Megan's law. Mrs. Felix is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats are not be permitted during day care hours. Applicant was also advised today that use of garage is not allowed unless it’s legally converted. CONTINUED ON PAGE 2

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

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: FELIX, ELISA FAMILY CHILD CARE	FACILITY NUMBER: 376100003
	VISIT DATE: 07/02/2019

NARRATIVE

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Any minor upon his/her 18^th birthday must be fingerprinted within 30 days. Applicant has met all immunization requirements per SB792 and have completed the AB1207 Mandated Reported Training.

Applicant is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children.

Applicant states that she will comply with all regulations and laws governing family child care homes and that she is financially secure to operate a family child care home for children. LPA reviewed this report with Applicant prior to obtaining her signature.

Applicant will email childcareadvocatesprogram@dss.ca.gov to request to be on the distribution list for child care updates.

Applicant does not plan on providing IMS to clients at this time. 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

Daycare Hours are: Monday-Friday; 7:00AM to 5:00PM.

No corrections are needed. A small license is issued effective today, 7/2/2019.

The maximum capacity for a small family child care home: 4 infants only (infants mean any children under 24 months); or 6 children with no more than 3 infants; or (with landlord consent) 8 children with no more than 2 infants, 1 child in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home.
An exit interview was conducted.

Community Care Licensing WEB SITE: http://ccld.ca.gov

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

LIC809 (FAS) - (06/04)

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