376100416-6-29-2020-51-CC-SSIO-BR2R75-20200629124545

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100416
Report Date: 06/29/2020
Date Signed: 06/29/2020 12:46:36 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:	WRIGHT, NANCY FAMILY CHILD CARE		FACILITY NUMBER:	376100416
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	06/29/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Nancy Wright		TIME COMPLETED:	12:45 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	Licensing Program Analyst (LPA), Selina Siao conducted a pre-licensing tele inspection via zoom due to COVID-19 with applicant. The 5 bedroom, 2.5 bath, 2 stories house was toured and inspected to ensure an environment safe for the care and supervision of children. The home has a fully charged fire extinguisher size 3A40BC, smoke and carbon detector that meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children during the inspection. Applicant stated that the home doesn't have any weapon or bodies or water. Applicant has an EMSA approved pediatric CPR and First Aid card that are current due to expire on 08/31/2020, she completed the 8 hours preventative health practice course on 05/30/2020 and completed the mandated child abuse training on 10/02/2018. Applicant was reminded that the mandated child abuse training needs to be renew every two years. A review of the application and records on this date indicates that applicant, her husband, sister and cousin are the current adult residents at the home and have the require TB clearances, caregiver background checks and child abuse clearances. Applicant has the required immunizations. Applicant and her husband rents the home and has provided a copy of the rental agreement to the Department to show control of the property. Applicant will be using the following areas for childcare: day care room, 1/2 bath, fenced backyard and side yard gardening area. There is a fire place in the day care room and it is blocked off and there are bumpers around the hearth to ensure children's safety. The laundry room and garage areas are also off limit and they are inaccessible by having door knob cover to prevent children's access. There is a gate to prevent children to go into the off limit dining area, kitchen, front living room and another gate is at the bottom of the stairs to prevent children access to the upstairs off limit areas. Supervision is required when children are outside and

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020

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: WRIGHT, NANCY FAMILY CHILD CARE	FACILITY NUMBER: 376100416
	VISIT DATE: 06/29/2020

NARRATIVE

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someone should be next to a child when a child is on the play structure or the hanging swings. Applicant was advised that soft rubber matting should be under and around all high climbing and play equipment to ensure children's safety.

Applicant was reminded of requirements for children’s records, facility roster, child abuse and unusual incident reporting, immunizations, adults living or working in the home and associated civil penalties of $100 per day, car seat law, shaken baby syndrome, and SIDS. Applicant was reminded that corporal punishment, smoking, baby walkers, exersaucers, bouncy seats and baby jumpers are not allowed in day care. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

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

Applicant shall comply with all regulations and laws governing family childcare homes and be financially secure to operate a family childcare home for children.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at www.ccld.ca.gov . LPA discussed California Megan's Law with applicant: www.meganslaw.ca.gov.

Applicant has completed and submitted the family childcare self-certificate checklist. The home appears to be in substantial compliance during the tele-inspection via zoom and a small license will be granted effective today.

Analyst read the report to applicant during the tele-inspection. A copy of the report will be e-mailed to applicant and she was advised that acknowledgement of the receipt of the report is to be received from applicant within twenty-four hours.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020

LIC809 (FAS) - (06/04)

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