376614247-2-20-2020-20-CC-MMAE-BLXPD8-20200219101306

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376614247
Report Date: 02/19/2020
Date Signed: 02/20/2020 08:34:31 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:	CAMARENA, CEFERINA FAMILY CHILD CARE		FACILITY NUMBER:	376614247
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	02/19/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:44 AM
MET WITH:	Ceferina Camarena		TIME COMPLETED:	10:30 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 February 19, 2020, at 08:44am, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced Required 1 Year Inspection and met with the Licensee, Ceferina Camarena. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Four (4) children were present in the facility during this inspection. Also present were licensee's cleared and associated husband, Fernando Camarena and helper, Calipta Molina. This facility is a one story, three bedroom, two bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: living room, bathroom 1, kitchen, playroom, patio and front half of the backyard. Off limits areas are bedrooms 1, 2 & 3, bathroom 2, back half of the backyard and garage and are inaccessible through use of locks, safety gates and door knob covers. The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced backyard available for outdoor activities. No bodies of water observed during today’s inspection. Licensee 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. Licensee’s First Aid and CPR certifications expire 09/2020. Licensee has required immunizations. Licensee completed Mandated Reporter Training on 11/20/2019. Four (4) of nine (9) children’s records were reviewed and contain immunization documentation and Notification of Parent’s Rights form.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

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: CAMARENA, CEFERINA FAMILY CHILD CARE	FACILITY NUMBER: 376614247
	VISIT DATE: 02/19/2020

NARRATIVE

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LPA provided and discussed the following; corporal punishment, smoking, exersaucers, bouncy seats, walkers and jumpers and/or similar equipment are not allowed in a daycare. Licensee was also provided handouts with information regarding upcoming 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.

No deficiencies cited

An exit interview was conducted with the licensee. The licensee was proved with 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: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

LIC809 (FAS) - (06/04)

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