376608559-7-23-2019-51-CC-JREG-BECRPJ-20190723131200

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376608559
Report Date: 07/23/2019
Date Signed: 07/23/2019 01:12:10 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:	BURT, SHARON FAMILY CHILD CARE		FACILITY NUMBER:	376608559
ADMINISTRATOR:	BURT, SHARON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 729-4623
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92010
CAPACITY:	14	CENSUS: 10	DATE:	07/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Susan Burt Mazzocco		TIME COMPLETED:	01:20 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	Licensing Program Analyst, Joelle Redding made an unannounced visit for the purpose of a Random Annual inspection. During this visit, there were 10 children in care with Licensee's daughter Susie Burt Mazzocco and Assistant Malissann "Missy" Whisman. LIcensee was out running errands during this visit and was contacted by telephone. Children were settling down for naptime. The facility is within ratio and capacity. Day care hours are: Monday thru Friday, 7:30 a.m. to 5:15 p.m. LPA toured the home. Primary child care areas are the child care room with satellite kitchen and attached bathroom at the back of the home, and a portion of the fully fenced yard. There is a granny flat with separate entrance and address. Off limits areas have been made inaccessible with the use of locking doors. There are no hazardous substances accessible. There are no weapons stored in the home or on the property. There is a water feature in the backyard, secured with regulation fencing and an operational self closing gate opening outward. The fireplace has been secured and the stairs have been made inaccessible. The fire extinguisher is full and of adequate size and located in the main kitchen The smoke alarm (child care room) and carbon is operational. Carbon monoxide detector was not located today. 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. Licensee's pediatric CPR/FA certificate with Heartsaver expired on 11/18. She will sign up for recertification by the end of the week. Assistant Missy Whisman has current pediatric First Aid/CPR with Save a Heart, valid thru 10/19. SB 792 (Staff Immunizations) and AB 1207 (Mandated Reporter Training) requirements were met at the last annual visit. Licensee is reminded that Mandated Reporter Training is to be taken every two years and can be accessed at the following website: www.mandatedreporterca.com. SIDS/Safe Sleep was discussed and Child Care Providers Guide to Safe Sleep Handout was provided last year. LPA discussed California Megan's Law and the website was provided as follows: www.meganslaw.ca.gov. Effects of Lead Exposure Handout provided for dissemination to the parents/guardians of current and future enrollees.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019

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: BURT, SHARON FAMILY CHILD CARE	FACILITY NUMBER: 376608559
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/23/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/30/2019 Section Cited	1 2 3 4 5 6 7	Immunizations. The licensee shall document each child's immunizations...and shall maintain such documentation for as long as the child is enrolled. This requirement has not been met based upon the absence of immunization documentation for Child #1 and #2 upon LPA's review of files. This is a potential hazard to children in care.
Type B 07/24/2019 Section Cited	1 2 3 4 5 6 7	Health and Safety Code. Every family day care home for children shall have one or more carbon monoxide detectors in the facility...This requirement has not been met. This determination was based upon LPA's inspection of the facility and conversation with Licensee. This is a potential hazard to children in care if not corrected.
	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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019

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: BURT, SHARON FAMILY CHILD CARE	FACILITY NUMBER: 376608559
	VISIT DATE: 07/23/2019

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, an updated Plan of Operation that includes 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 is reminded that walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use. Services were in place today. One child requires an EpiPen. There is no approved Plan on file. Licensee is to submit a plan to Licensing for review and approval within 30 days.

Licensee is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information.

Southern California Child Care Advocate: Jane Cong-Huyen 714-703-2800 or childcareadvocatesprogram@dss.ca.gov. Contact to be placed on an email list for updated regulation information.

See LIC 809D for deficiencies. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019

LIC809 (FAS) - (06/04)

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