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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617351
Report Date: 01/16/2020
Date Signed: 01/16/2020 05:42:02 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:LOYA, NORA FAMILY CHILD CAREFACILITY NUMBER:
376617351
ADMINISTRATOR:NORA LOYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 474-8194
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY:14CENSUS: 2DATE:
01/16/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Nora LoyaTIME COMPLETED:
05:50 PM
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Licensing Program Analyst (LPA) Yolanda Baez, made an unannounced visit for the purpose of an annual inspection. LPA met with Licensee, Nora Loya. During this visit there were 2 children in care (1 toddler and 1 school age child).

LPA toured the home, this is a one story, 3 bedrooms and 3 bathrooms home. The primary child care areas are the following: dining room area, one hallway bathroom, the living room, the day care/play room (located passing master bedroom, near the back yard), and the front yard. Licensee stated that children go through the master bedroom to transition the children in to the day care/play room and stated that children are always supervised and never left unattended in the master bedroom during transition. The following areas are kept inaccessible with the use of locks or safety gates: Three bedrooms and 2 bathrooms, the attached garage, and the back yard. 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 front yard is used for outdoor activities, 100% supervision was advised. The fire extinguisher is full, of regulation size, and located in the garage. There is a fireplace on the property and it is properly kept inaccessible. The smoke alarm and carbon monoxide monitor are operational. LPA Baez verified a working telephone, verified a working email address, and all required forms are posted. There are no large bodies of water on the property. 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 #1 is missing PM286. The last emergency drill was conducted on 11/2019.

LPA Baez reviewed physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, and new Safe Sleep regulations and Licensee stated that she understands. LPA reminded Licensee that walkers, jumpers, exersaucers, and bouncers are not permitted for use in the day care. Licensee was reminded that corporal punishment and smoking is not permitted at the day care. LPA Baez discussed Unusual incident reporting. New CDPH 286 form for "California Pre-Kindergarten & School Immunization Record" was provided and discussed.

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
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 3
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: LOYA, NORA FAMILY CHILD CARE
FACILITY NUMBER: 376617351
VISIT DATE: 01/16/2020
NARRATIVE
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Incidental Medical Services (IMS) was discussed. Licensee is not currently providing IMS, Licensee understands that a written plan of operation must be submitted to CCL prior to enrolling a child that 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 not complaint with SB792, see 809D for cited deficiency.

LPA Baez discussed the 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. Training can be located at www.mandatedreporterca.com, Licensee is currently exempt from AB1207 due to it not being offered in her native language, Spanish.

LPA and Licensee discussed California Megan’s Law and LPA provided: www.meganslaw.ca.gov.

Notice of Site Visit is to be posted for 30 days, LPA observed Licensee posting the Notice of Site Visit.

This report was translated in Spanish and Licensee stated that she understands. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov. Duty Line: (619) 767-2248, Open Monday through Friday, 8am - 5pm

LPA's email: yolanda.baez@dss.ca.gov

Licensee wishes to update her email to: noraloya321@gmail.com

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LOYA, NORA FAMILY CHILD CARE
FACILITY NUMBER: 376617351
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/17/2020
Section Cited

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Employees or volunteers at family day care home; immunization requirements; records; exemptions (a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination
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between August 1 and December 1 of each year. Requirement not met as evidenced by staff file review. Licensee does not have proof of immunization against pertussis, measles, and influenza available for review. This poses a potential risk to the health and safety of the clients in care.
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Type B
02/17/2020
Section Cited

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(h) California Code of Regulations, Title 17, Section 6070, specifies in pertinent part that(1) The family day care home shall record each pupil's immunization on the California School Immunization Record, PM 286 (6/95). Requirement not met as evidenced by children's file review. Child #1 does not have a PM286 form on file. This poses a potential
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risk to the health and safety of the clients in care.
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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: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2020
LIC809 (FAS) - (06/04)
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