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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376616813
Report Date: 05/01/2019
Date Signed: 05/03/2019 07:44:25 AM

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:MALDONADO, CHRISTINA FAMILY CHILD CAREFACILITY NUMBER:
376616813
ADMINISTRATOR:CHRISTINA MALDONADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 423-1451
CITY:IMPERIAL BEACHSTATE: CAZIP CODE:
91932
CAPACITY:14CENSUS: 8DATE:
05/01/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Christina MaldonadoTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Adrian Castellon, made an unannounced annual/required inspection. Upon arrival LPA met with licensee Christina Maldonado. During this inspection there were 9 children in care (4 of whom were under 24 months of age). Also present was licensee’s cleared assistant/helper. The facility is within licensed capacity/ratio limitations. Licensee stated there are no new adults living in the home over the age of 18 years. A review of staff records on indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. Licensee has CPR/first aid certifications valid through 9/16/19. The last fire and disaster drills were conducted and documented on 03/25/19.

Outdoor play area was inspected and found to be in compliance. The home is kept clean and orderly, adequate heating and ventilation is provided for day-care children. Children’s records and immunization cards were all reviewed, licensee maintains children’s forms updated. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children through the use of door locks, safety gates and/or placed up on high surfaces. Open face Heater is barricaded and inaccessible to children. Licensee maintains the self-assessment guide updated and available for review. Licensee was reminded the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care. Licensee maintains a current facility roster of the children enrolled which LPA obtained during time of inspection.

The following items were reviewed during today's visit and found to be in compliance with the Noncompliance Conference terms:
· LPA observed no smoking on premises, licensee stated she understands she shall refrain from smoking at any time indoors and outdoors during hours of operation.
· Licensee stated she understands she shall operate the facility in full compliance with Family Child Care Home Laws and Regulations.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019
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: MALDONADO, CHRISTINA FAMILY CHILD CARE
FACILITY NUMBER: 376616813
VISIT DATE: 05/01/2019
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· Licensees shall maintain children's records for all enrolled children. LPA reviewed all records for children present and were found to be in compliance.
· Licensee has submitted a written Plan of Operation on ensuring the Health & Safety of children in care.
· Licensees has attended a Family Child Care Home Orientation. Proof of attendance on 5/18/17 submitted to the department by licensee.
· Licensee has completed the following modules: Creating a Safe and Inclusive Family Child Care, Planning Activities for the Family Child Care, Professionalism in Family Child Care, Positive Guidance in Family Child Care and Baby's First Years in Family Child Care. Licensee completed Module 1 BUSINESS OF FAMILY CHILD CARE on 01.24.18
· Licensee has completed all the following courses and submitted proof to the department: Completion of SmartHorizons courses entitled "Assessing Child Care Programs" (two hour), "Environmental Safety" (one hour) and "Outdoor Play Safety" (one hour). Licensee Completed all 3 courses and has submitted proof of attendance to the department.
· Licensee updates the self-assessment guide quarterly and maintains it available for review at the facility.

Licensee does not provide IMS to clients at this time. 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.html

*** New 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. *** Immunization records per SB792 was reviewed and is in compliance for licensee and assistant/helper. No deficiency/ies issued throughout today's inspection. LPA reviewed this report with Cristina Maldonado and an exit interview was conducted. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED 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
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019
LIC809 (FAS) - (06/04)
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