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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376608098
Report Date: 10/18/2019
Date Signed: 10/18/2019 10:11:42 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:HAUSER, TAMARA FAMILY DAY CAREFACILITY NUMBER:
376608098
ADMINISTRATOR:HAUSER, TAMARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 593-1269
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:14CENSUS: 4DATE:
10/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Tamara HauserTIME COMPLETED:
10:20 AM
NARRATIVE
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On 10/18/19 at 9:08 a.m. Licensing Program Analyst (LPA) Brooke Sykora made an unannounced visit for the purpose of an Annual/Random inspection. At the time of the inspection, there were four children in care with the Licensee, none of which were under the age of two. The facility is within ratio and capacity. The Licensee's husband and mother were also present at the time of the inspection.

LPA conducted a tour of the home to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3. Hours of operation are Monday through Friday 6:00 a.m. to 6:00 p.m. Primary child care areas are bedroom #2, daycare room, bathroom, and the fully fenced backyard. Off limits areas have been made inaccessible with the use of safety gates. There are no hazardous substances accessible. There are weapons stored in the home which are located in an off limits area and locked. The ammunition is stored separately in the garage which is inaccessible to children in care. There are no bodies of water present. The fire extinguisher is full and of adequate size and located in the den. The smoke detector and carbon monoxide detector, located outside the bathroom, are operational. The home is clean, orderly and has adequate ventilation and heating. Licensee has provided sufficient space for the children to eat, sleep, and play within the home. Children’s toys and play equipment are safe and age appropriate. There is a working telephone and all required forms are posted. Children’s files were reviewed for emergency information. The last emergency drill was conducted on 10/07/19. The facility roster is current and complete. Pediatric CPR/First Aid certificates for the Licensee and present helpers is valid through August 2020. Staff immunization requirements have been met; however, verification of measles vaccine for the Licensee and present helpers was unavailable at the time of the inspection. Mandated Reporter Training requirements have been met.

SIDS/Safe Sleep was discussed and Safe Sleep handouts were provided. LPA and Licensee discussed California Megan's Law and LPA provided the following: www.meganslaw.ca.gov.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Brooke SykoraTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019
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: HAUSER, TAMARA FAMILY DAY CARE
FACILITY NUMBER: 376608098
VISIT DATE: 10/18/2019
NARRATIVE
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Effect of Lead Exposure handout was provided and Licensee was advised to provide handout to parents/guardians of current and future enrollees.

The facility does not currently provide Incidental Medical Services. 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

Licensee was reminded that walkers, exersaucers, jumpers, and bouncy seats are not permitted for use. Licensee was advised to regularly visit the Community Care Licensing website: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information.

Southern California Child Care Advocate information was provided and Licensee was encouraged to subscribe to the email list on the CCLD website for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

An exit interview was conducted. A copy of this report along with LIC809-D and appeal rights (LIC 9058) were provided. Licensee’s signature on this form acknowledges receipt of these rights. 

NOTICE OF SITE VISIT WAS POSTED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Brooke SykoraTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: HAUSER, TAMARA FAMILY DAY CARE
FACILITY NUMBER: 376608098
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/18/2019
Section Cited

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Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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This requirement was not met as evidenced by:
Based on interview and record review, measles verification for the Licensee and present assistants were unavailable which poses a potential risk to the health and safety of 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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Brooke SykoraTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 10/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3