376603049-11-2-2022-20-CC-LGAO-CKS3NF-20221101182350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376603049
Report Date: 11/01/2022
Date Signed: 11/02/2022 03:20:47 PM

Document Has Been Signed on 11/02/2022 03:20 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:	VASQUEZ, ROSA FAMILY CHILD CARE		FACILITY NUMBER:	376603049
ADMINISTRATOR:	ROSA VASQUEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 425-9408
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91911
CAPACITY:	14	CENSUS: 2	DATE:	11/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Rose Villegas		TIME COMPLETED:	02:30 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 November 1, 2022, at 11:00 AM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee's daughter and assistant, Rosie Villegas. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Two (2) children and Mr. Villegas were present in the facility during this inspection. Licensee Vasquez arrived during the visit but left again to conduct children pick-ups. This facility is a one floor, six bedroom, three bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: the kitchen, the dining area, the living room, the family room and the first bathroom. Off limits areas are all the home bedrooms and the second home bathroom. The first three bedrooms are made inaccessible with locking door knobs and/or a highly placed latch while the remaining three bedrooms and the second bathroom are located behind a locking hallway entrance door off the family room. Licensee was recently solely using a detached one room structure and detached bathroom located in the back yard for the day care. However, the areas are potentially not permitted and may not be used for day care until the licensee can provide proof of permitting by the City Of Chula Vista or the proof that the rooms have been brought up to code. Licensee and daughter assistant state they will return to solely using the described for use rooms above until the situation with the detached structures has been addressed. Both structures are now made inaccessible with locking door handles. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced backyard available for outdoor activities. The day children are solely using gated area off to the right of the main yard. The other yard areas are off limits. No bodies of water observed on the premises during the inspection. Licensee stated 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.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022

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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Document Has Been Signed on 11/02/2022 03:20 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: VASQUEZ, ROSA FAMILY CHILD CARE	FACILITY NUMBER: 376603049
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/01/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as while helper Villegas had her shot records on file, the licensee and second assistant Leticia Villegas, did not which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 12/01/2022
	Plan of Correction
1 2 3 4	Ms. Villegas states that her licensee mother and second assistant will obtain copies of the required shot records and submit them to analyst by 12/01/22 to complete the correction.

Type B

Section Cited

CCR

102416.3(a)(2)

Alterations to Existing Building or Grounds

(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (2) Room additions to the family child care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above as licensee moved for use day care area to detached unpermitted structure and restroom which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 11/08/2022
	Plan of Correction
1 2 3 4	Ms. Villegas states she will only use the specified for use home areas for care in this report and submit a new facility sketch to analyst by 11/08/22 to confirm all off limits and for use rooms. Detached structures will continue to remain permanently off limits until licensee is able to provide proof of permitting by the City Of Chula Vista.

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022

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: VASQUEZ, ROSA FAMILY CHILD CARE	FACILITY NUMBER: 376603049
	VISIT DATE: 11/01/2022

NARRATIVE

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Licensee’s First Aid and CPR certifications, as well as her helpers, expire on October of 2024. Licensee does not have copies of her required immunizations. Licensee and all helpers completed Mandated Reporter Training on 09/20/22. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 09/09/22 and 10/20/22. Licensee currently has no infants in care but analyst provided her with a copy of the safe sleep regulations for her to review at a future date.

LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.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.

Two type B violations California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

An exit interview was conducted with licensee assistant Villegas. Ms. Villegas was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

LPA provided notice of site visit and observed it being posted at the facility.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022

LIC809 (FAS) - (06/04)

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