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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376615314
Report Date: 06/24/2019
Date Signed: 06/24/2019 04:57:58 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:VIRAMONTES, IMELDA FAMILY CHILD CAREFACILITY NUMBER:
376615314
ADMINISTRATOR:VIRAMONTES, IMELDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 501-5046
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY:14CENSUS: 2DATE:
06/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:43 PM
MET WITH:Imelda ViramontesTIME COMPLETED:
05:15 PM
NARRATIVE
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An unannounced random inspection was conducted today by LPAs Nancy Diaz & Leilani Curtis. Upon arrival LPA observed two children in care with the licensee. Her daughter, Saray Martinez was also present today. LPA conducted a tour of the home to ensure the health and safety of children. Licensee is using the following areas for daycare: living room, kitchen, hallway bathroom and back fenced yard. The following areas are off-limits to children: three bedrooms and additional bathroom in the master bedroom. These areas are inaccessible to children via door knob covers on the door.
Mrs. Viramontes stated that she does not maintain any weapons or bodies of water within the premises. Fire extinguisher and smoke detectors present in the home meet State Fire Marshall standards. The home is kept clean and orderly with sufficient ventilation for safety and comfort. The home provides sufficient toys, play equipment and materials. The home maintains a working telephone service. Mrs. Viramontes stated that her telephone number has changed to (619) 781-5582.
Outdoor play areas are fenced. The licensee and other personnel has completed training on Preventative Health Practices including Pediatric CPR and First aid. Licensee’s CPR & First Aid certificate are valid through November 2020. A handout was provided to the licensee today on “Effects of Lead Exposure”. Licensee shall provide a copy of this handout to all the daycare parents.

Facility has not exceeded the capacity specified on the license. Licensee resides in this home with her daughter Saray and her 11 year old son. There are no new adults living or working in the home over the age of 18 years. All individuals subject to criminal record review have obtained criminal record clearance or exemption prior to working, residing or volunteering.

CONTINUED ON PAGES 2-4
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
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 4
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: VIRAMONTES, IMELDA FAMILY CHILD CARE
FACILITY NUMBER: 376615314
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/08/2019
Section Cited
HSC
1596.8662
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Health & Safety Code Section 1596.8662 create requirements for mandated child abuse reporter training. Applicants, licensees, and facility employee may meet this requirement free of cost by accessing the online training module provided on the Department of Social Services, Mandated Reporter Training Website: www.mandatedreporterca.com (effective 1/1/2018)

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Mrs. Viramontes stated that she will have Saray & Jessica Martinez complete the Mandated Reporter Training and submit a copy of the training certificates no later than July 8, 2019.
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This requirement was not met as evidenced by LPAs review of facility records. Helpers Saray & Jessica Martinez has not completed the Mandated Reporter Training.
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Type B
07/08/2019
Section Cited
HSC
1597.622
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H & S Section 1597.622. Effective September 1, 2016, a person may not be employed or volunteer at a family child care home unless he or she has been immunized against influenza, pertussis, and measles.

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Mrs. Viramontes stated that she will obtain immunization records for Saray & Jessica Martinez and submit copies of the immunization to the department no later than July 8, 2019.
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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: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: VIRAMONTES, IMELDA FAMILY CHILD CARE
FACILITY NUMBER: 376615314
VISIT DATE: 06/24/2019
NARRATIVE
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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

TYPE A AND B DEFICIENCIES WERE CITED TODAY.



Type A violation if not corrected, will have a direct and immediate risk to the health, safety, or personal rights of children in care.

Type B violation if not corrected, could become a risk to the health, safety, or personal rights of children in care.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.

Community Care Licensing WEBSITE: http://www.ccld.ca.gov
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: VIRAMONTES, IMELDA FAMILY CHILD CARE
FACILITY NUMBER: 376615314
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/24/2019
Section Cited
CCR
102417(g)(4)
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OPERATION OF A FAMILY CHILD CARE HOME.
Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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OBSERVED CORRECTED. Mrs. Viramontes stated that she will make sure that the latch is always on to make the detergent, bags and other toxics inaccessible to children.
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This regulation requirement was not met as evidenced by LPAs observation. Observed today was the cabinet under the sink that was unlatched. This cabinet contained a bottle of dish detergent, several plastic bags and other toxic items. Children were observed in the dining area next to the kitchen area and they have access to the unlatched cabinet.
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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: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4