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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617805
Report Date: 04/14/2022
Date Signed: 04/14/2022 11:58:27 AM


Document Has Been Signed on 04/14/2022 11:58 AM - It Cannot Be Edited

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:SKINNER, LISA FAMILY CHILD CAREFACILITY NUMBER:
376617805
ADMINISTRATOR:LISA SKINNERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 599-3160
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:14CENSUS: 12DATE:
04/14/2022
TYPE OF VISIT:Required - 1 YearANNOUNCEDTIME BEGAN:
10:23 AM
MET WITH:Licensee, LIsa SkinnerTIME COMPLETED:
12:05 PM
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Licensing Program Analysts (LPAs), Saraliz Velando and Jennifer Lott conducted an unannounced Annual Licensing Inspection. LPAs were greeted at the front door by Licensee, Lisa Skinner and granted entry after identifying themselves and disclosing the purpose of her visit. The licensee is using the following areas for daycare: Dining room, kitchen, Family room, Bathroom, Play room, Play yard, Patio. Off limit areas include: Room 1, Room 2, Garage, Office and Dog Pen. Business Hours are: Monday-Friday, 7am-5pm. The facility currently has 12 children in care. Licensee provided a copy of their current roster and is operating within the licensed ratio and capacity.

LPA tested the carbon monoxide detector and smoke alarm located in the hallway area. Both devices were functional. LPA observed the hot tub located in the back yard. The hot tub is secured and meets Title 22 regulations. Licensee stated there are no firearms or ammunition stored on the premises.

There are no open face heaters/fireplaces. Storage for poisons, detergents, cleaning solutions, medications are locked and inaccessible to children. Outdoor play area is fenced and free of hazards. The last disaster/fire drill was conducted on 4/4/22. The home is kept clean and orderly with heating and ventilation for safety and comfort. The home provides safe toys, play equipment and materials.

Children’s records contained emergency contact information and immunization records. All parents or representatives received a copy of the Family Child Care Home Notification of Parent’s Rights.
Pediatric CPR and First Aid cards are current. All staff have completed the mandated Child Abuse Reporting as per AB1207 and was current. Staff immunizations were reviewed and are in compliance. There is a working telephone and email address.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz VelandoTELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2022
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: SKINNER, LISA FAMILY CHILD CARE
FACILITY NUMBER: 376617805
VISIT DATE: 04/14/2022
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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, no deficiencies were observed at this time. Exit interview conducted and report was reviewed with the licensee, Lisa Skinner. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz VelandoTELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022
LIC809 (FAS) - (06/04)
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