376611369-9-13-2019-20-CC-ERIA-BFYRM9-20190913130821

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376611369
Report Date: 09/13/2019
Date Signed: 09/13/2019 01:08:30 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:	SHAVER, ROCIO FAMILY CHILD CARE		FACILITY NUMBER:	376611369
ADMINISTRATOR:	SHAVER, ROCIO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 423-3488
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92154
CAPACITY:	14	CENSUS: 7	DATE:	09/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:08 AM
MET WITH:	Rocio Shaver, Licensee		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 Analysts (LPAsss) Elizabeth Rivera and Michelle Hood, made an unannounced annual/random inspection. Upon arrival LPAsss met with Rocio Shaver and proceeded to tour the facility. During this inspection there were 7 children in care 2 of them are infants. The facility is within licensed capacity/ratio limitations. Licensee stated there are no new adults living in the home over the age of 18 years. A review of staff records on 9/13/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. Licensee has CPR/first aid certifications valid through 2/1/21. The last fire and disaster drills was conducted and documented on 5/15/19. The following areas are used for day-care: day-care playroom, day-care room, and backyard. Off limits areas are made inaccessible to day care children through the use of safety gates barricading her stair and has a door to off limit areas. No bodies of water were observed during time of inspection. There is a working fire extinguisher rated 2A 10B:C, smoke and carbon monoxide detector are present and operational. LPAss reviewed Children’s Records, licensee maintains the Notification of Parents’ Rights and Immunization Records as required. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children through the use of cabinet latches and/or placed in off limit areas. Adequate heating and ventilation is provided for day-care children. Children’s toys, play equipment and materials are available. Licensee states there are NO firearms or weapons in the home. Licensee maintains a current facility roster of the children which LPAss obtained during time of inspection. LPAss reviewed the following with licensee: SIDS, car seat law, reporting requirements and shaken baby syndrome. Licensee revised and updated facility personnel report to confirm all adult residents/helpers are associated to the facility. LPAss advised licensee that any new/additional adults must be cleared prior to working or residing in home. Any minor upon his/her 18^th birthday must be fingerprinted within 30 days. Licensee was also reminded the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care. Licensee states she does not provide IMS to clients at this time. 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.html

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elizabeth Rivera	TELEPHONE: (619) 767-2200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

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: SHAVER, ROCIO FAMILY CHILD CARE	FACILITY NUMBER: 376611369
	VISIT DATE: 09/13/2019

NARRATIVE

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New immunization law (SB792) was discussed with Licensee. Licensee understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza.

LPAss and Licensee discussed, Safe Sleep, Effects of Lead Exposure and California Megan's Law, LPAss provided: www.meganslaw.ca.gov.

You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website. Just go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly Updates, click on “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and click “subscribe.”

LPAsss reviewed this report with licensee and an exit interview was conducted. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPAss observed Licensee post notice of site visit. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elizabeth Rivera	TELEPHONE: (619) 767-2200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

LIC809 (FAS) - (06/04)

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