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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376615515
Report Date: 03/06/2020
Date Signed: 03/06/2020 02:53:29 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:ESTRADA, ROSA FAMILY CHILD CAREFACILITY NUMBER:
376615515
ADMINISTRATOR:ROSA ESTRADAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 234-9042
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:14CENSUS: 4DATE:
03/06/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Rosa Estrada, ProviderTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Diana Sanchez conducted an Annual/Required inspection on today's date, at the above referenced facility. LPA was greeted and allowed entry into the facility by provider Rosa Estrada, who stated she currently has 14 children registered in her daycare. LPA advised provider the purpose of today’s visit, to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. There were four children present during today's inspection.

The facility is a three bedroom two story house and the stairs were properly barricaded. LPA toured the facility and noticed that all of the required notices, License and forms were properly posted. Daycare areas includes: living room, kitchen and hallway bathroom and half of the backyard. The garage was converted into a daycare room. Garage does not has the city permits to be a living space. Therefore, provider was advised that it can only be use for a maximum of two hours a day for activities purposes only. Provider was advised not to place children to nap in the converted garage area.
Off limits areas includes: all areas in the second floor and the last half of the backyard that leads to the alley.
The house smoke and carbon monoxide detectors are operable. Facility's fire extinguisher is fully charged.
The day care bathroom was inspected, it is clean and operable with good ventilation. The kitchen bottom cabinets have been properly secured with child proof safety latches. The facility backyard is fully fenced and there are plenty of toys and equipment for outside activities.

A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Provider's First Aid and CPR is current. Provider stated that they do not have hand gun or ammunition in this house.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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: ESTRADA, ROSA FAMILY CHILD CARE
FACILITY NUMBER: 376615515
VISIT DATE: 03/06/2020
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Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu, LPA has verified that licensee has verification of required immunizations and is in compliance.
Assembly Bill 1207 Mandated Child Abuse Reporting. Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years.

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

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
Community Care Licensing WEB SITE: http://www.ccld.ca.gov

LPA provided licensee with a copy of the SIDS Safe Sleep printout information, Safe Sleep Regulation Concepts and Lead Exposure brochure. LPA advised provider of the importance of child abuse reporting, children’s records, immunization, shaken baby syndrome and the YMCA Resource Center. LPA explained clearance requirements for persons over 18 residing or working in the facility. Provider understood that physical discipline/corporal punishment and smoking shall never be permitted in the child care program. Provider was also advised that exersaucers, bouncy, rockers, walkers shall never be permitted in the child care program.

No Deficiencies cited during today’s inspection. An exit interview was conducted with Rosa Estrada and a copy of this report left at the facility.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
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