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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376614941
Report Date: 08/06/2019
Date Signed: 08/06/2019 04:25:30 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:MIRANDA, BLANCA FAMILY CHILD CAREFACILITY NUMBER:
376614941
ADMINISTRATOR:BLANCA MIRANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 428-3862
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:14CENSUS: 9DATE:
08/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Blanca MirandaTIME COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA) Yolanda Baez, made an unannounced visit for the purpose of a annual inspection. LPA met with Licensee, Blanca Miranda. Licensee's husband, Alfred Miranda and Helper, Julieta Martinez, was also present at the time of the inspection. During this visit there were 9 children in care (3 Infants, 4 Toddlers, and 2 School Age).

LPA toured the home, this is a two story, 3 bedrooms and 3 bathrooms home. The primary child care areas are the following: dining room area, Bathroom #1, the living room, day care room/ play area (through the sliding doors), the kitchen, infant napping room (adjacent to the living room), and the entire back yard. The following areas are kept inaccessible with the use of locks or safety gates: 3 upstairs bedrooms, 2 upstairs bathrooms, and the attached garage. There are a sufficient amount of age appropriate toys, games, and books available. The home has plenty of space for the children to eat, sleep and play, and was a comfortable temperature during this visit. The back yard is fully fenced and used for outdoor activities. The fire extinguisher is full, of regulation size, and located in the kitchen. There is a fireplace on the property which is properly secured and inaccessible to the children in care. The smoke alarm and carbon monoxide monitor are operational. LPA Baez verified a working telephone, working email address, and all required forms are posted. There are two medium sized fountains located on the property but they are kept in a high up area on top of the brick wall in the back yard, out of the reach of children. Licensee stated that there are no firearms or ammunition on the property. LPA Baez verified that all adults living or working in the home have been fingerprint cleared and associated. LPA Baez reviewed children's files, child care roster, and emergency drill log. Last emergency drill was conducted 07/16/19. Licensee's pediatric CPR/FA certification expires on 11/2020.

LPA Baez reviewed physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, new Safe Sleep Regulation, emergency drills, and child care roster. LPA reminded Licensee that walkers, jumpers, exersaucers, and bouncers are not permitted for use in the day care.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019
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: MIRANDA, BLANCA FAMILY CHILD CARE
FACILITY NUMBER: 376614941
VISIT DATE: 08/06/2019
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IMS was discussed. Licensee is providing IMS, Licensee is not currently providing IMS. Licensee understands that a written plan of operation must be submitted to CCL prior to enrolling a child who requires IMS. 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 http://www.ada.gov/childqanda.htm

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. Facility is compliant with SB792.

LPA Baez discussed the new Mandated Reporter training (AB1207). LPA Baez reminded Licensee that herself and all helpers are to take the training and have the printed certificates present at the facility and available for review. Facility is compliant with AB1207.

There were not any deficiencies issued throughout today's inspection. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov

Duty Line: (619) 767-2248, Open Monday thru Friday 8am - 5pm

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019
LIC809 (FAS) - (06/04)
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