376606217-8-13-2019-20-CC-SSIO-BEZPWT-20190813114117

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376606217
Report Date: 08/13/2019
Date Signed: 08/13/2019 11:41:26 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:	SPRINGFIELD,MARIAN/HOUZE,MARGARET FAMILY CHILD CAR		FACILITY NUMBER:	376606217
ADMINISTRATOR:	SPRINGFIELD, M./HOUZE, M.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 696-3742
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92113
CAPACITY:	14	CENSUS: 7	DATE:	08/13/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Marian Springfield and Margaret Houze		TIME COMPLETED:	11:50 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	(3) Licensing Program Analysts Selina Siao and Tyra Block conducted an unannounced required inspection with the Licensees. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present at the facility were both Licensees and 7 day care children including two infants, three preschool age children and two school age children. The home has a fully charged fire extinguisher, smoke and carbon monoxide detector that meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Licensee stated that the home does not have any no bodies of water or weapons. 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. Both Licensees First Aid and CPR certifications are current due to expire on Oct/2020. Children’s records were reviewed and all records are in ordered. Facility has an updated roster and fire drill log available for review. Licensee last conducted a drill with the children in care on 02/28/2019. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include the two large family room, fenced backyard and day care bathroom. Off limits areas include the front living room, kitchen, three bedrooms. bathroom, storage room, office, education room, bedroom, bathroom located next door and are inaccessible through use of door knob covers or door locks. Facility has ample toys and equipment available. The home has a fenced yard available for outdoor activities. Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunization for; Measles, Pertussis and Influenza, both licensees have current verification of required immunizations.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

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: SPRINGFIELD,MARIAN/HOUZE,MARGARET FAMILY CHILD CAR	FACILITY NUMBER: 376606217
	VISIT DATE: 08/13/2019

NARRATIVE

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The following items were discussed with provider: Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, safe sleep for infants, best practice on supervision, latest car seat poster and effects of lead exposure and reporting responsibilities were discussed.

The following handouts were provided to the licensee today:

PIN 19-10-CCP – U.S. Consumer Product Safety Commission recall
PIN 19-09-CCP – Head Lice Information for Child Care Providers
Health & Human Services Agency Guidance on Head Lice Prevention and Control
PIN 19-08-CCP – CA Department of Public Health New Pre-Kindergarten Immunization requirements
PIN 19-06-CCP – U.S. Consumer Product Safety Commission recall
PIN 19-02-CCP – Safe Sleep Awareness Campaign

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”. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Community Care Licensing website is www.ccld.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

Facility is within substantial compliance during today's inspection.

A Notice of Site Visit was posted today and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

LIC809 (FAS) - (06/04)

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