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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100434
Report Date: 08/05/2020
Date Signed: 08/05/2020 01:10:25 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:BARBOSA DE ARAUJO, GABRIELA FAMILY CHILD CAREFACILITY NUMBER:
376100434
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
08/05/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Gabriela Barbosa De AraujoTIME COMPLETED:
12:15 PM
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At 09:50 am on 08/05/2020, Licensing Program Analyst (LPA), Nancy Diaz conducted a pre licensing tele inspection via Face Time with applicant due to COVID-19. The 3-bedroom, 2-bath, one-story home 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 2A10BC. All hazardous items were secured out of reach of children. There is a pond located in the backyard. Applicant maintains weapons in the home. Ammunitions are stored separately. Applicant was strongly advised to lock the bedroom that stored the weapons and ammunition. Applicant's EMSA approved pediatric CPR and First Aid cards that are current and due to expire on May 16, 2022. Applicant completed the Mandated Reporter Training as required by AB 1207 on 7/19/2020. She completed her 8-hour Health Preventative course on 7/18/2020 that included "Lead Poisoning Prevention".
A review of the application and records on this date, indicates that the applicant and her boyfriend Nicholas Thatcher are the current adult the residents at the home with the required TB clearances, caregiver background checks and child abuse clearances. Applicant has required immunization. Applicant is renting and has provided a copy of her lease agreement to show that she has control of the property.
Applicant will be using the following areas for childcare: master bedroom converted to child care area, covered patio, children's yard and bathroom next to the kitchen. Off-limit areas will be: kitchen, laundry room, backyard, supply container, garage, applicant's bedroom and guest room. There is a barricade to make the kitchen and the bedrooms inaccessible to children.
Visual supervision of the children is required during outside activities as the fencing does not meet requirements (fence is 3 ft. 6" high).
CONTINUED
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2020
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: BARBOSA DE ARAUJO, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 376100434
VISIT DATE: 08/05/2020
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LPA reviewed the following with the applicant today: 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 and LPA provided: www.meganslaw.ca.gov.
Applicant has completed and submitted the family childcare self-certificate checklist. COVID-19 information were observed posted in the child care area - proper handwashing, cough etiquette and social distancing.
CORRECTIONS NEEDED PRIOR TO LICENSURE:
- latch drawer in the children's room to make paint & adult scissors inaccessible to children.
- install barricade in the back room to make stairs inaccessible to children.
- Make pond inaccessible to children. Applicant stated that she will empty the pond out and fill it with sand.
- Smoke Detector present in the home did not indicate if it included Carbon Monoxide. Applicant will obtain the device packaging that described device.
- Submit an updated floor plan that shows all the rooms in the house.
CONTINUED
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BARBOSA DE ARAUJO, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 376100434
VISIT DATE: 08/05/2020
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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.

Applicant will contact this analyst to schedule a follow-up inspection to observe corrections. Applicant was unable to access the safe that stored the guns. Analyst will have to observe the weapon storage on a follow-up inspection.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2020
LIC809 (FAS) - (06/04)
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