376100634-2-11-2021-51-CC-KLAE-BY62FC-20210211162120

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100634
Report Date: 02/11/2021
Date Signed: 02/11/2021 04:22:00 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:	CASTILLON, VERONICA & TACHIQUIN, JENNIFER FCC		FACILITY NUMBER:	376100634
ADMINISTRATOR:	VERONICA C. & JENNIFER T.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 252-5645
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	14	CENSUS: 0	DATE:	02/11/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Veronica Castillon and Jennifer Tachiquin		TIME COMPLETED:	04:17 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	On 2/11/21 at 3:00 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an announced Pre-Licensing tele-inspection due to COVID-19 for relocation/capacity increase with the applicants. LPA Lane met with applicants Veronica Castillon and Jennifer Tachiquin. Also present in the home at time of inspection was applicant’s minor son. The one-story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher, carbon monoxide detector, and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water in the home. Applicant states that there are no weapons in the home. Applicants own the home. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 1/26/21. CPR and First Aid expire in May of 2022. Preventative Health course was completed on 6/25/2019. Applicants completed Lead Poison prevention training on 2/10/21. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Staff immunization requirements were met. Applicants have completed Mandated Reporter Training. Children’s records were reviewed and found to be in order. Applicants will be using the following rooms for childcare: living room, dining room, kitchen, family room, bathroom #1, bathroom #2, third bathroom accessible from back yard and the quarantine bedroom. Off-limits areas include: Master bedroom/bath, bedroom #1, bedroom #2 and hallway next to garage and are inaccessible through the use of safety gates and door-knob covers. The garage will also be off-limits and is kept inaccessible through the use of safety gates and door-knob cover. The applicants have toys and equipment available. The home has a fully fenced backyard available for outdoor activities and two storage sheds that are locked. Outdoor trash bin area is enclosed and locked. Parents enter through side entry of the house next to family room area. Parents do not enter the facility due to COVID-19. (Continued on LIC809-C...)

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021

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: CASTILLON, VERONICA & TACHIQUIN, JENNIFER FCC	FACILITY NUMBER: 376100634
	VISIT DATE: 02/11/2021

NARRATIVE

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The following information was reviewed with the applicant: information on reporting requirements for suspected child abuse and unusual incidents, children’s records, immunizations, adults living or working in the home and related civil penalties, shaken baby syndrome, Safe Sleep Regulation/SIDS. Applicants were reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and applicants discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA Lane reviewed COVID-19 guidelines with applicants and supplied resources. LPA Lane had conducted a COVID-19 televisit with applicants back in August 2020.

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.

No corrections are needed; a license for 14 children will be issued effective upon final file review.

An exit interview was conducted with applicants. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) will be sent along with the report (LIC809) via e-mail to the applicants. Applicants will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. The Notice of Site Visit (LIC9213) must remain posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021

LIC809 (FAS) - (06/04)

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