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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376614770
Report Date: 11/20/2019
Date Signed: 11/20/2019 04:55:07 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:CONTRERAS, SUSANA & BARROSO, R FAMILY CHILD CAREFACILITY NUMBER:
376614770
ADMINISTRATOR:S. CONTRERAS & R. BARROSOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 210-4745
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 4DATE:
11/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Susana ContrerasTIME COMPLETED:
05:15 PM
NARRATIVE
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(1)LPA Armando Locano completed an un-announced annual site inspection today. The purpose of the visit is to ensure the facility is maintaining the health and safety standards as required by CCR, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. Met with licensee Susana Contreras , 4 daycare children were present during the visit. LPA toured the home to ensure the home was properly childproofed, LPA observed age appropriate toys and equipment available for children’s use inside the home and areas used for childcare were observed to be properly childproofed. Outdoor play area was also toured and verified to be properly childproofed with adequate toys and equipment for children’s use. There are no weapons or bodies of water on the premises. Children’s records were reviewed, proper forms were in order, facility roster was up to date and it was verified licensee conducts fire drills at least twice a year, most recent 6/1/19. There was an operational Type II 10ABC fire extinguisher and working smoke and carbon monoxide alarms maintained in the home. CPR & First Aid Certificates were available however, have recently expired, licensee will update by 12/30/19. LPA Reviewed with licensee SIDS and Shaken Baby Syndrome information, clearance requirements for persons over 18 residing or working in the home and car seat regulations. A review of staff records today November 20, 2019, indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
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
Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis and Influenza. Licensee has provided verification of required immunizations and facility is in compliance. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA discussed new LEAD information regarding effects of lead exposure during visit and provided Lead Handout and proposed new Regulations pertaining to infant care.

There is one deficiency cited on this visit, for expired CPR / First Aid cars, all other paperwork was in order, properly posted and the home was properly childproofed.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed licensee posting notice during visit.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: CONTRERAS, SUSANA & BARROSO, R FAMILY CHILD CARE
FACILITY NUMBER: 376614770
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/30/2019
Section Cited

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The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.Violation is noted, as evidenced by LPA, as licensee’s Pediatric CPR and First Aid were not current.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2019
LIC809 (FAS) - (06/04)
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