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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376614787
Report Date: 07/05/2022
Date Signed: 07/06/2022 12:34:58 PM


Document Has Been Signed on 07/06/2022 12:34 PM - 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:REJANE, MINNIE FAMILY CHILD CAREFACILITY NUMBER:
376614787
ADMINISTRATOR:MINNIE REJANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 219-7287
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:14CENSUS: 11DATE:
07/05/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Daniela Carvalho & Maria Arrieta Pena TIME COMPLETED:
12:20 PM
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On 07/05/22 at 10:31am, Licensing Program Analyst (LPA) Samantha Clenista conducted an unannounced inspection for the purpose of an annual inspection. Upon arrival, LPA met with Licensee's helpers, Daniela Carvalho & Maria Arrieta Pena and proceeded to tour the facility. Licensee is currently out of town and will return 07/07/2022. During this inspection there were 11 children in care, 4 who are infants. Appropriate ratio and capacity were observed along with supervision. The primary child care areas include: two bedrooms, one day care bathroom located inside one of the bedrooms, kitchen, dining room, and living room. LPA observed several day care items in the garage that include cribs and toys. Ms. Carvalho stated that this area is used for storage with occasional play when it rains. LPA reminded Staff that an un-permitted garage is not to be used for day care play, eating or sleeping. It may be used for occasional crafts or activities during inclement weather. Off limit areas include: computer room and hallway bathroom. Outside play area consists of front yard, side yard, and two sections of the backyard. Facility has one above ground jacuzzi located in the backyard (in an off limit area of the child care) and is appropriately covered and latched per regulation during inspection. There is a working fire extinguisher, smoke detector and carbon monoxide detector. Fireplace is inaccessible to children via screen. Cleaning compounds, medications and other hazardous items are inaccessible to children. Adequate heating and ventilation is provided. There is a working telephone. Licensee states there are no firearms and weapons in the home. There are no stairs in the home.

Fire drills are conducted and documented with the last one being on 01/22/2022. Licensee maintains a current roster of the children which LPA obtained during time of inspection. Both helpers are current in Pediatric CPR/First Aid with an expiration date of 06/2023. LPA verified that all adults living or working in the home have been fingerprint cleared and associated. Licensee maintains and updates all required records for children in care. Ms. Carvalho and Licensee both have updated Mandated Reporter AB1207 training certifications. Ms. Arrieta Pena is exempt due to having limited English proficiency, her primary language is Spanish.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 07/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/05/2022
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: REJANE, MINNIE FAMILY CHILD CARE
FACILITY NUMBER: 376614787
VISIT DATE: 07/05/2022
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Ms. Carvalho is aware that interference with a child’s daily functions, physical and mental abuse is not allowed. Ms. Carvalho is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children.

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

The following items were discussed with Ms. Carvalho: Ms. Carvalho was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, Safe Sleep for Infants, Best Practice On Supervision and Effects of Lead Exposure and reporting responsibilities were discussed. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2022
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: REJANE, MINNIE FAMILY CHILD CARE
FACILITY NUMBER: 376614787
VISIT DATE: 07/05/2022
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Ms. Carvalho was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

No deficiencies observed in the areas inspected during today's inspection. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. An exit interview was conducted with Ms. Carvalho along with Licensee (via telephone). Duty Officer: (619) 767- 2248, Monday thru Friday 8am-5pm.

Due to printer malfunctions, LPA will email a copy of this report, appeal rights, a Notice of Site Visit to Licensee, Ms. Rejane. Notice of Site Visit is to be posted and remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2022
LIC809 (FAS) - (06/04)
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