376614646-8-2-2019-20-CC-ACAN-BENK5W-20190802073637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376614646
Report Date: 08/01/2019
Date Signed: 08/02/2019 07:36:41 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:	VAZQUEZ, EUNICE & ISIDORO FAMILY CHILD CARE		FACILITY NUMBER:	376614646
ADMINISTRATOR:	VAZQUEZ, EUNICE & ISIDORO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 267-5264
CITY:	NATIONAL CITY	STATE: CA	ZIP CODE:	91950
CAPACITY:	14	CENSUS: 10	DATE:	08/01/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Eunice Vazquez		TIME COMPLETED:	04:20 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 Analyst Adrian Castellon, made an unannounced visit for the purpose of a Random Annual inspection. During this visit, there were 7 children in care. The facility is within ratio and capacity. Day care hours are: Monday thru Saturday 24 hours. LPA toured the home. Primary child care areas are Primary child care areas are the living room, dining area, bedroom #1, and hallway bathrom. The kitchen, bedroom #2 and #3, office, and laundry room. Off limits areas have been made inaccessible with the use of safety gates. There are no hazardous substances accessible. Per the licensee, there ere 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 on the wall in the kitchen. The smoke alarm (play room) and carbon monoxide detector (hallway) 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 and all required forms are posted. Children’s files were reviewed for emergency information. The last emergency drill was conducted on 7.23.19. The facility roster is current and complete. Licensee's pediatric CPR/FA certificates are valid through 3.2021. SB 792 (Staff Immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. SIDS was discussed and Child Care Providers Guide to Safe Sleep Handout provided. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Effects of Lead Exposure handout was provided for distribution to the parents of currently enrolled children and future enrollees. Incidental Medical Services (IMS) policy was discussed. Facility provides care for a child who uses a device. 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

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

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: VAZQUEZ, EUNICE & ISIDORO FAMILY CHILD CARE	FACILITY NUMBER: 376614646
	VISIT DATE: 08/01/2019

NARRATIVE

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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.

Licensee is reminded that walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs 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: Jane Cong-Huyen 714-703-2800 or childcareadvocatesprogram@dss.ca.gov. Contact to be placed on an email list for updated regulation information.

No deficiencies are cited.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

LIC809 (FAS) - (06/04)

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