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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100864
Report Date: 05/09/2022
Date Signed: 05/09/2022 03:51:00 PM


Document Has Been Signed on 05/09/2022 03:51 PM - It Cannot Be Edited

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:BUENROSTRO, JANET FAMILY CHILD CAREFACILITY NUMBER:
376100864
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 8DATE:
05/09/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Janet BuenrostroTIME COMPLETED:
04:00 PM
NARRATIVE
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On May 9, 2022 at 1:25 p.m. Licensing Program Analyst (LPA), Leilani Curtis conducted an unannounced inspection in reference to the licensee’s request for an increase in capacity. Upon arrival LPA met with Licensee and toured the facility inside and outside per facility sketch. This 4 bedroom, 2 bathroom home was inspected to ensure an environment safe for the care and supervision of children. Present during the time of inspection were 8 day care children, none of whom were infants. Also present was the licensee’s helper Angelica Padilla Velazquez. The director and helper state that she has been working at the facility since 4/4/2022. Ms. Padilla Velazquez has a criminal record and child abuse clearance but she is not associated to the facility. The facility was observed operating within ratio and capacity. Licensee is using the following areas for daycare: dining room (class #1), bedroom #3 (class #2), living room (class #3), bathroom #1 (hall bathroom) and enclosed rear yard. Off-limits areas include: bedroom #1, bedroom #2, bedroom#4, bathroom #2 (located within bedroom #1), kitchen and garage.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Home is clean, orderly and has adequate ventilation. Children’s toys and play equipment are available and observed free of hazards. There are no stairs in the home. There is a working telephone/email address. All cleaning compounds, detergents, medications, and poisons are made inaccessible through latches, locks, and/or placed up on high surfaces. Fireplace is screened. The fire extinguisher, carbon monoxide detector, and smoke detector meet requirements and are operational. The fire clearance was granted on 4/27/2022. Licensee states there are NO firearms or other weapons in the home. The outdoor play area is fenced and free of hazardous items. There are no existing bodies of water present. Pediatric CPR and First-Aid certificates are valid through August 11, 2022 for Licensee and March 19, 2023 for Helper. Licensee and Helper meet immunization requirements and have Mandated Reporter Training AB 1207 certification. The licensee's mandated reporter certification expires on 9/2/2022. Helper Angelica Padilla Velazquez's mandated reporter certification expires on 7/27/22. The last documented fire/disaster drill occurred on 12/7/21.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022
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: BUENROSTRO, JANET FAMILY CHILD CARE
FACILITY NUMBER: 376100864
VISIT DATE: 05/09/2022
NARRATIVE
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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.

LPA reviewed the following with Licensee: Recently Approved Safe Sleep Regulations PIN 20-24-CCP, Updated Guidance for Child Care Providers Regarding Coronavirus Disease PIN 22-10-CCP (dated 3/9/22) and California Department of Public Health Guidance for Child Care Providers and Programs dated 3/12/22. Licensee is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Licensee is aware that interference with a child’s daily functions, corporal punishment, physical and mental abuse is not allowed. Licensee is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children.



See LIC809D for cited deficiency. A civil penalty has been assessed.

Prior to licensure the following will be corrected:
Licensee will have helper Angelica Padilla Velazquez associated to the facility by 5/10/22. Once the correction has been completed a large license of a capacity of 14 children may be issued.

LPA reviewed this report with Licensee and provided a copy of her Appeal Rights (LIC 9058 01/16). Her signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit.

Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov.
Duty Officer: (619) 767- 2248, Monday thru Friday 8am-5pm.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly Updates, click on “Receive Important Updates” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/09/2022 03:51 PM - It Cannot Be Edited

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: BUENROSTRO, JANET FAMILY CHILD CARE
FACILITY NUMBER: 376100864

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2022
Section Cited

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102370(d)(2) Criminal Record Clearance: (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 102370(j)... This requirement was not met as evidenced by:
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Based on record review and licensee's statement helper Angelica Padilla Velazquez has been an employee at the facility since April 4, 2022. She is fingerprint cleared but not associated to the facility. This poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022
LIC809 (FAS) - (06/04)
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