376617763-8-9-2019-20-CC-SSIO-BEVV45-20190809160545

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376617763
Report Date: 08/09/2019
Date Signed: 08/09/2019 04:05:58 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:	GONZALEZ, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	376617763
ADMINISTRATOR:	MARIA GONALEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 262-8254
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92102
CAPACITY:	14	CENSUS: 2	DATE:	08/09/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Maria Gonzalez		TIME COMPLETED:	04:10 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	(3) Licensing Program Analysts Selina Siao and Elizabeth Rivera conducted an unannounced random inspection with the Licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present at the facility were the Licensee and two day care children. The children were observed in the bedroom as it is nap time, a day care child was observed inside the playpen and one infant was observed inside the car seat. Licensee stated that she had just returned home from the store with the children, which is the reason that the infant was inside the car seat. During the inspection licensee's husband returned to the facility from work and her son stopped by the facility as well. The home has a fully charged fire extinguisher, smoke and carbon monoxide detector that meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Licensee stated that there are no bodies of water or weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances. Licensee, her husband Juan Cortez Sandoval and her son Juan Gonzalez's First Aid and CPR certifications are current due to expire on Jan/2021. Children’s records were reviewed and are in ordered. Facility has an updated roster and fire drill log available for review. Licensee last conducted a drill with the children in care on 04/18/2019. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care includes living room, kitchen, two bedroom, main bathroom, master bedroom and master bath. Off limits area is the garage and the back house. The residents that resides in the back house with a separate entrance also have the required background clearances. Facility has sufficient toys and equipment available. The home has a fenced frontyard available for outdoor activities. Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis and Influenza. Licensee and her husband has a some immunization records available.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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: GONZALEZ, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 376617763
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/09/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/09/2019 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To receive safe, healthful, and	1 2 3 4 5 6 7	Licensee stated that she had just returned home from the store. Licensee stated that in the future, she will not leave an infant inside the car seat when the infant is in the house.
	8 9 10 11 12 13 14	comfortable accommodations, furnishings, and equipment. This requirement was not met as evidence by: Analysts observed a nine months old awake infant inside the car seat during facility's nap time. This poses a potential health and safety risk to clients in care.	8 9 10 11 12 13 14
Type B 09/30/2019 Section Cited HSC 1597.622(a)(1)	1 2 3 4 5 6 7	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 between August 1 and December 1 of each year.	1 2 3 4 5 6 7	Licensee stated that she will get a copy of her, her husband and her son's required immunuzation records from the doctor's office and she will submit a copy of the records to Analyst no later than 09/30/2019.
	8 9 10 11 12 13 14	This requirement was not met as evidence by: Required Immunization records for licensee, husband and her son are not complete and available for review. This poses a potential health and safety risk to clients in care.	8 9 10 11 12 13 14

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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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: GONZALEZ, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 376617763
	VISIT DATE: 08/09/2019

NARRATIVE

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The following items were discussed with provider: Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, safe sleep for infants, best practice on supervision, latest car seat poster, effects of lead exposure and reporting responsibilities were discussed.

The following handouts were provided to the licensee today:

PIN 19-10-CCP – U.S. Consumer Product Safety Commission recall
PIN 19-09-CCP – Head Lice Information for Child Care Providers
Health & Human Services Agency Guidance on Head Lice Prevention and Control
PIN 19-08-CCP – CA Department of Public Health New Pre-Kindergarten Immunization requirements
PIN 19-06-CCP – U.S. Consumer Product Safety Commission recall
PIN 19-02-CCP – Safe Sleep Awareness Campaign

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly updates, click on “Receive Important Updates” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

See LIC809D for deficiencies:

A Notice of Site Visit was posted today and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.

This report was translated to licensee in Spanish by Spanish Speaking Analyst Elizabeth Rivera.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

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