376100798-7-16-2021-51-CC-ASUD-C4YM88-20210716092242

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100798
Report Date: 07/16/2021
Date Signed: 07/16/2021 09:22:55 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:	WARNER-HARDEN, LISA MARIE FAMILY CHILD CARE		FACILITY NUMBER:	376100798
ADMINISTRATOR:	LISA MARIE WARNER-HARDEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 701-4194
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92126
CAPACITY:	14	CENSUS: 0	DATE:	07/16/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Lisa Marie		TIME COMPLETED:	09:30 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 7/16/21 at 8:30 am Licensing Program Analyst Annette Sutherland conducted an announced Pre-Licensing inspection for a relocation and capacity increase with the applicant Lisa Marie. The one-story house 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 on the property. Licensee states that there are no weapons in the home. 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. Applicant has obtained landlord consent to care for 14 children. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 7/09/21. First Aid and CPR certifications expire on 7/2022. Preventative Health Practices completed on 6/5/16 and is enrolled in Lead Prevention training. Licensee has required immunizations and has completed Mandated Reporter Training. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include daycare room, living room, kitchen, bathroom #1. Off limits areas include Master bedroom, Bedroom #2, Bedroom #3, bathroom #2 and are inaccessible through use of door knob covers . The licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. (Continued ...

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette Sutherland	TELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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: WARNER-HARDEN, LISA MARIE FAMILY CHILD CARE	FACILITY NUMBER: 376100798
	VISIT DATE: 07/16/2021

NARRATIVE

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All equipment that is used should be used only as intended by the manufacturer. Licensee was also provided with information regarding Safe Sleep Regulations/SIDS and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Applicant was provided Covid- 19 resources and directed to website: www.ccld.ca.gov to receive important updates and information.

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 provisional license for 14 children will be issued effective today. Once licensee completes Lead Training a regular license for 14 children will be granted.

The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette Sutherland	TELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

LIC809 (FAS) - (06/04)

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