376616984-4-19-2023-51-CC-SVEO-CR2TBT-20230419143541

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376616984
Report Date: 04/19/2023
Date Signed: 04/19/2023 02:35:47 PM

Document Has Been Signed on 04/19/2023 02:35 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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	SANDOVAL, IRMA FAMILY CHILD CARE		FACILITY NUMBER:	376616984
ADMINISTRATOR:	IRMA SANDOVAL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 296-7446
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	14	CENSUS: 8	DATE:	04/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:24 PM
MET WITH:	Licensee, Irma Sandoval		TIME COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by Licensee, Irma Sandoval. LPA was granted entry after identifying herself and disclosing the purpose of her visit. The licensee is using the following areas for daycare: Living room, Dining room, Kitchen, Bathroom 1, and Backyard. Off limit areas: Bedroom 1, 2, and 3, Bathroom 2, Garage, and Front Yard. Off limit areas have been made inaccessible by a safety baby gate and locked doors. Business Hours are Monday- Friday, 7:00am-4:00pm. The facility currently has 8 children in care. LPA tested the smoke alarm and the carbon monoxide detector located in the hallway area. Both devices are functional. There is a fire extinguisher that meets regulations in the dining room area. LPA did not observe any bodies of water on the premises. Licensee stated there are no weapons or ammunition stored on the premises. There is no fireplace or open face heaters in the home. Storage for poisons, detergents, cleaning solutions, medications are out of reach in off limit areas and inaccessible to children by safety latches. Licensee provides outdoor play in the backyard with age-appropriate play equipment and toys. Licensee provided a fire/disaster drill log that shows last drill was conducted December 2022. The home is kept clean and orderly with heating and ventilation for safety and comfort. Children’s files are available and complete. LPA observed a file for an infant that contained a Sleep Log. Pediatric CPR and First Aid cards are current and will expire April 2024. Licensee has a Mandated Reporter Training certificate that expires April 2024. Licensee and helper have current letters of declination for flu shot. There is a working telephone and email address.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SANDOVAL, IRMA FAMILY CHILD CARE	FACILITY NUMBER: 376616984
	VISIT DATE: 04/19/2023

NARRATIVE

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Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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.

LPA discussed the safe sleep regulations with licensee or facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee for facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

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/inspection-process.

Based on today’s visit, there were no deficiencies found.

Exit interview was conducted and report was reviewed with the licensee, Irma Sandoval. A notice of site visit was posted and must remain for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC809 (FAS) - (06/04)

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