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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376608559
Report Date: 07/19/2021
Date Signed: 07/19/2021 11:48:35 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:BURT, SHARON FAMILY CHILD CAREFACILITY NUMBER:
376608559
ADMINISTRATOR:BURT, SHARONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 729-4623
CITY:CARLSBADSTATE: CAZIP CODE:
92010
CAPACITY:14CENSUS: 8DATE:
07/19/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Licensee Sharon BurtTIME COMPLETED:
11:55 AM
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On 7/19/21 at 11:00 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of an Annual inspection. During this visit, there were 8 children and one infant in care with Licensee and her assistant Kiana. The facility is within ratio and capacity.

LPA toured the home. Primary child care areas are child care room with attached bathroom and kitchen and fully fenced backyard. Off limits areas have been made inaccessible with the use of locking doors. There are no weapons stored in the home or on the property. There is a water feature in the yard, fully fenced with an operational self-latching gate per regulation.. The fireplace has been secured. The fire extinguisher is full and of adequate size and located by the sliding door to the child care room . The smoke alarm (ceiling of the child care room) and carbon monoxide detector (living room) 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. Outdoor play space is fully fenced and supervision is provided at all times. No hazards were noted. Children’s files were reviewed for emergency information. Licensee's pediatric CPR/FA certificate with Heartsaver is valid through 8/21. SB 792 (Staff Immunizations - Measles, Pertussis, Influenza) and current TB tests are required for all staff. Requirements have been met. Current AB 1207 - Mandated Reporter Training certificates are on file for all staff.

Licensee is to be present in the home to ensure children are supervised and reminded that no children are to be left in parked vehicles and car seats are not to use used for sleeping. Children will be observed upon entry and throughout the day for signs of illness and an appropriate isolation area is established for sick children. Capacity limitations, social distancing and current facial covering recommendations were discussed.
Safe Sleep was discussed to include requirements for cribs/play yards, proper infant placement, supervision and documentation while sleeping. The Individual Sleeping Plan (LIC 9227) and safe sleep log were reviewed. Both were in place for the infant in care.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021
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
VISIT DATE: 07/19/2021
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Megan's Law and the website was provided as follows: www.meganslaw.ca.gov. Licensee is reminded that infants may not be swaddled while in care and walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use.

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. Services are not in place.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov.

No deficiencies are cited.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021
LIC809 (FAS) - (06/04)
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