376608782-8-1-2023-20-CC-LGAO-CUASS9-20230801140734

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376608782
Report Date: 08/01/2023
Date Signed: 08/01/2023 02:07:47 PM

Document Has Been Signed on 08/01/2023 02:07 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:	RIVAS, ROSA & FAUSTO FAMILY CHILD CARE		FACILITY NUMBER:	376608782
ADMINISTRATOR:	ROSA RIVAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 475-4686
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92139
CAPACITY:	14	CENSUS: 7	DATE:	08/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Rosa & Fausto Rivas		TIME COMPLETED:	01:45 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 August 1, 2023, at 10:00 AM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensees, Rosa and Fausto Rivas. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensees. Seven (7) children and the co-licensees were present in the facility during this inspection.This facility is a two floor, four bedroom, three bathroom house. Licensees accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: bedroom #2 in the upper level of the home and the two day care rooms and bathroom #3 located in the lower portion of the home. Off limits areas are the kitchen, dining area, the living room, laundry room and bedrooms #1, #3 and #4 and the two other home bathrooms located in two of the off limits bedrooms located in the upper level of the home. The kitchen, dining area, living room and laundry room are made off limits with a child safety gate that is in use at the hallway/living room entry way whenever children are using the upper floor bedroom. The off limits bedrooms are made inaccessible with the use of door knob covers installed on their respective door knobs. The licensees have safety gates for the top and bottom of the home staircase. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensees have toys, play equipment and materials available. The home has a fenced backyard available for outdoor activities. No bodies of water observed on the premises during the inspection. Licensees 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. Since the last inspection, the licensees have added an ADU (Additional Dwelling Unit) that is located in the back yard of their home. The home is separately addressed as 5505 Blueridge Street and during today's visit the licensees showed analyst the final inspection approval for the ADU by the City of San Diego. The licensees' cleared and associated adult daughter, Anna Cota, lives in the home. The ADU is not a part of the day care and is locked and off limits to it. Licensees state they will send in an updated facility sketch within 30 days that reflects the on property ADU and all off limits and for use rooms in the facility.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023

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: RIVAS, ROSA & FAUSTO FAMILY CHILD CARE	FACILITY NUMBER: 376608782
	VISIT DATE: 08/01/2023

NARRATIVE

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Licensees' First Aid and CPR certifications both expire in November of 2024. Licensees have their required immunizations. Licensees completed Mandated Reporter Training on 06/24/22. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented in June and July of this year, respectively. There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are free from all loose articles and objects. The provider physically checks on sleeping infants every 15 minutes. An Individual Infant Sleeping Plan [LIC 9227 (3/20)] is maintained for each infant up to 12 months of age. The provider places infants up to 12 months of age on their backs for sleeping.

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 Licensees 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.

No deficiencies cited during today's visit.

An exit interview was conducted with the licensees. The licensees were 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: 08/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023

LIC809 (FAS) - (06/04)

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