376611150-10-3-2022-20-CC-ECAA-CJUKPG-20221003080443

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376611150
Report Date: 09/30/2022
Date Signed: 10/03/2022 08:04:58 AM

Document Has Been Signed on 10/03/2022 08:04 AM - 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:	BECERRA, JULIA FAMILY CHILD CARE		FACILITY NUMBER:	376611150
ADMINISTRATOR:	JULIA BECERRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 216-4906
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	14	CENSUS: 5	DATE:	09/30/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Julia Becerra		TIME COMPLETED:	03:30 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 September 30, 2022 at 01:00 PM., Licensing Program Analyst (LPA), Edgar Campana conducted an unannounced Annual Required Inspection and met with the Licensee, Julia Becerra. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Five (5) daycare children were present in the facility during this inspection. This facility is a two story, four bedroom, 3 bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas are to be used for childcare: the entire first floor, with the exception of the laundry room and garage. The following areas will be off limits: the garage, the laundry room and the entire upstairs. These areas are made inaccessible with door locks, door knob covers and a safety gate. The fire extinguisher, type 3-A:40-B:C is operational and is located in the kitchen. The smoke detector and carbon monoxide detectors met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced back patio available for outdoor activities. Licensee’s First Aid and CPR certifications expire on 03/2023. Licensee has required immunizations. Mandated Reporter Training certificate expired on August 2022. Licensee stated that she will provide proof of completion to LPA by early October 2022. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 09/02/22. 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.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022

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: BECERRA, JULIA FAMILY CHILD CARE	FACILITY NUMBER: 376611150
	VISIT DATE: 09/30/2022

NARRATIVE

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Licensee was also provided handouts with information regarding Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee 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.

Incidental Medical services (IMS) policy was discussed. 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.

A copy of this report, appeal rights (LIC 9058), and LIC 9213 – Notice of Site Visit was provided to the licensee. Licensee was advised to post the LIC 9213 for 30 days. An exit interview was conducted with licensee, Julia Becerra.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022

LIC809 (FAS) - (06/04)

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