376600572-7-15-2019-20-CC-YBAZ-BE4QT3-20190715122627

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600572
Report Date: 07/15/2019
Date Signed: 07/15/2019 12:26:36 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:	PARENT CARE FAMILY RECOVERY CENTER		FACILITY NUMBER:	376600572
ADMINISTRATOR:	ANGELA ROWE		FACILITY TYPE:	850
ADDRESS:	4990 WILLIAMS AVENUE		TELEPHONE:	(619) 668-4210
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	28	CENSUS: 10	DATE:	07/15/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Beth Reynolds		TIME COMPLETED:	11:29 AM

NARRATIVE

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Licensing Program Analysts (LPAs) Yolanda Baez and Gloria Gonzalez arrived at the facility to conduct an annual random inspection. Upon arrival LPAs met with TLC Coordinator/ Director, Beth Reynolds. The following ratios were observed:

Preschool Class (Serves children of 2 through Kindergarten):

There were 10 children present with 3 staff members

Appropriate ratios and capacity were observed.

Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. Center provides breakfast and snacks and menus are posted. Drinking water is readily accessible inside of the classroom through the use of water jugs and disposable cups. Children have access to water outside of the classroom through water jugs and disposable cups. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. Storage area for poisons is locked. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Outdoor play area is fenced with sufficient material for cushioning, there is a waiver on file to allow the Preschool and Infants to share the same playground at separate times. Area has canopies used for shade. There are no bodies of water or weapons at this facility. The last emergency drill was conducted on 05/29/19. There is an operational smoke detector and carbon monoxide detector at the facility. First Aid/CPR was reviewed and is in compliance. Staff records of education, training, and/or experience were reviewed and are in compliance. Children's files were reviewed and are in compliance.

...CONTINUED ON PAGE 2...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2019

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: PARENT CARE FAMILY RECOVERY CENTER	FACILITY NUMBER: 376600572
	VISIT DATE: 07/15/2019

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LPA reviewed the following with Director: IMS, SIDS, Car seat Law, and Shaken Baby Syndrome. This facility does not provide Incidental Medical Services- IMS. Director understands that a written plan of operation will have to be submitted 30 days after enrolling a child who requires IMS. 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 http://www.ada.gov/childqanda.htm

Immunization law (SB792) was discussed with Director and she understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Facility is not compliant with SB792, see 809D for cited deficiency.

LPA Baez discussed the new Mandated Reporter training, AB1207. LPA Baez reminded Director that all staff members are to take the training and have the printed certificates present at the facility and available for review. The mandated reporter training per AB1207 may be located at www.mandatedreporterca.com

NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed the posting the Notice of Site Visit.

To check for fingerprint clearances please contact (619) 767-2254. Duty Line: (619) 767-2248, Monday through Friday from 8am to 5pm. To access our Regulations and Forms please use our WEBSITE: http://ccld.ca.gov.

The following updates were requested for the center:

Director packet for Beth Reynolds
LIC 309: Administrative Organization

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2019

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: PARENT CARE FAMILY RECOVERY CENTER	FACILITY NUMBER: 376600572
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/15/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/15/2019 Section Cited HSC 1596.7995(a)(1)	1 2 3 4 5 6 7	Employees or volunteers at day care center; immunization requirements; records; exemptions. Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between	1 2 3 4 5 6 7	Director will obtain immunization records for Staff #1, Staff #2, and Staff #3 and send LPA Baez a copy of the records as proof of correction by given due date of 08/15/19.
	8 9 10 11 12 13 14	August 1 and December 1 of each year. Requirement not met as evidenced by staff file review. Staff #1, Staff #2, and Staff #3 do not have proof of vaccination for measles and/or pertussis. This poses a potential risk to the health and safety of the clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2019

LIC809 (FAS) - (06/04)

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