376610611-6-26-2019-20-CC-BSYA-BDHN2C-20190626100431

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376610611
Report Date: 06/26/2019
Date Signed: 06/26/2019 10:04:40 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:	ENRIQUEZ, BELEN FAMILY CHILD CARE		FACILITY NUMBER:	376610611
ADMINISTRATOR:	ENRIQUEZ, BELEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 475-8803
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	14	CENSUS: 6	DATE:	06/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Belen Enriquez		TIME COMPLETED:	10:10 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	On 06/26/19 at 9:00 a.m. Licensing Program Analysts (LPAs) Brooke Sykora and Samantha Salunga made an unannounced visit for the purpose of a Random Annual inspection. At the time of the inspection, there were 6 children in care with the Licensee, one of the children was under the age of two. The Licensee's assistant arrived during the inspection. The facility is within ratio and capacity. LPAs 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 5:30 a.m. to 8:00 p.m. The primary child care areas include: living room, family room, kitchen, dining room, hallway bathroom, patio/play room, and fully fenced backyard. Off limit areas include: three bedrooms, the bathroom in bedroom #1, garage. Outside play area is completely fenced. There are no hazardous substances accessible. There are no weapons stored in the home or on the property and there are no bodies of water present. The fire extinguisher is full and of adequate size and located in the family room. The smoke detector, located in the kitchen, and carbon monoxide detector, located in the 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. The last emergency drill was conducted on 12/20/18. The Licensee was advised that emergency drills must be conducted once every six months. LPAs reviewed the facility roster and children's records for emergency information, immunizations, and Notification of Parents’ Rights form. Licensee's pediatric CPR/First Aid certificate is valid through August 2019. SIDS/Safe Sleep was discussed and Safe Sleep handouts were provided. LPAs and Licensee discussed California Megan's Law and LPA provided the following: www.meganslaw.ca.gov. Effect of Lead Exposure handout was provided for dissemination to parents/guardians of current and future enrollees.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Brooke Sykora	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: ENRIQUEZ, BELEN FAMILY CHILD CARE	FACILITY NUMBER: 376610611
	VISIT DATE: 06/26/2019

NARRATIVE

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The facility is not currently providing Incidental Medical Services (IMS). 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 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

Staff immunizations were available at the time of the inspection. All required postings were posted in a visible area. Mandated Reporter Training was not completed. Licensee was advised that the training must be completed for Licensee and assistants. The website was also provided: http://www.mandatedreporterca.com

Licensee is reminded that walkers, exersaucers, jumpers, and bouncy seats are not permitted for use. 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 information was provided and Applicant was encouraged to contact the advocate in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

A technical violation was provided for mandated reporter training. An exit interview was conducted. A copy of this report was provided.

The Notice of Site Visit (LIC 9213) was issued and must remain posted for 30 days.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Brooke Sykora	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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