376100484-9-8-2020-51-CC-SSAA-BT9U2Z-20200908151246

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100484
Report Date: 09/08/2020
Date Signed: 09/08/2020 03:13:52 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:	WINN, LIBERTY FAMILY CHILD CARE		FACILITY NUMBER:	376100484
ADMINISTRATOR:	LIBERTY WINN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 435-5809
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	14	CENSUS: 0	DATE:	09/08/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Liberty Winn		TIME COMPLETED:	11:45 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	On 09/08/2020 at 10:30am, Licensing Program Analyst (LPA) Samantha Salunga conducted an announced change of location Pre-Licensing on site inspection with Applicant, Liberty Winn. Due to COVID-19 state of emergency, LPA conducted an inspection of only the backyard area an then conducted a televisit of the indoors via video conferencing (FaceTime). Applicant's fire clearance was granted on 09/03/2020. During the on site inspection, LPA observed Applicant's jacuzzi to be covered per regulation (with appropriate latching on all four sides). LPA also observed there to be a lagoon in the backyard. Applicant installed fencing to make the lagoon inaccessible to the day care children. The fencing was see through and had a self-latching gate, however two of the seven vertical metal panels were short of 5 ft. tall. See file for photos. Applicant stated she will have her fenced raised by the end of today to fulfill the 5 ft. fencing requirement, with no more than 2 inches off the ground. Applicant rents the facility and has provided proof by rental agreement. During the televisit, LPA virtually toured Applicant's 4 bedroom and 2 bathroom home to ensure an environment safe for the care and supervision of children. Applicant stated she will use the following areas for childcare: bedroom 3, living room, hallway bathroom, and kitchen. Off limits areas include: office, bedroom 1 & 2, master bathroom and garage. There are no stairs in the home. Applicant states she will utilize backyard for outdoor activities. The fire extinguisher, smoke and carbon monoxide detector meet requirements and are operational. All cleaners and hazardous items in the home are inaccessible to children through latches, locks, and/or placed up on high surfaces. Children’s toys and play equipment are available. Applicant states there are no firearms or other weapons in the home. Applicant has completed the 8 hours of preventative health including lead poison prevention. Pediatric CPR and First Aid certifications expire on 02/2022. Required documents are posted. Applicant states her and her husband, Raymond Riggs, are the only adults residing in the home and have been cleared for criminal record and child abuse index clearances. Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. Any minor upon his/her 18^th birthday must be fingerprinted within 30 days. See 809-C for continuation...

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2020

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 2

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: WINN, LIBERTY FAMILY CHILD CARE	FACILITY NUMBER: 376100484
	VISIT DATE: 09/08/2020

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
26
27
28
29
30
31
32

Applicant has met all immunization requirements per SB792 and has completed the AB1207 Mandated Reported Training. Applicant states that she will comply with all regulations and laws governing family childcare homes and that she is financially secure to operate a family childcare home for children.

The new provider packet was reviewed with the applicant including information on child abuse reporting, children’s records, immunization's, adults living or working in the home, car seat law, shaken baby syndrome, SIDS and safe sleep, effects of lead poisoning, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats are not allowed in day care. Applicant was also reminded to keep all items that read “keep out of reach of children” physically inaccessible to children in care. All equipment that is used should be used only as intended by the manufacturer. Applicant was advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov

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

***Prior to licensure, the fencing to make the backyard lagoon inaccessible to day care children shall be at least 5 ft. tall. Applicant stated she will have the two panels that were short of 5 ft. tall fixed per regulation and will FaceTime LPA once it is completed. Once correction has been observed by LPA, a license for 14 children may be issued upon final file review.

A copy of this report was reviewed and will be e-mailed to Applicant. Applicant was advised that acknowledgement of the receipt of this report is to be received within twenty-four hours.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2