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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376618429
Report Date: 03/06/2020
Date Signed: 03/06/2020 10:58:07 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:SERRANO, SONIA FAMILY CHILD CAREFACILITY NUMBER:
376618429
ADMINISTRATOR:SONIA SERRANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 266-2996
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:14CENSUS: 3DATE:
03/06/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Sonia Serrano, ProviderTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Diana Sanchez conducted an Annual/Required inspection on today's date, at the above referenced facility. LPA was greeted and allowed entry into the facility by provider's daughter Valentina Serrano. Provider Sonia arrived to the facility shortly after. There were three children present during this inspection.
LPA stated purpose of today’s visit, to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. The facility is a single story four bedroom home. LPA toured the facility and noticed that all required notices and forms were properly posted. The house smoke, carbon monoxide detectors are operable and fire extinguisher is fully charged.

The daycare areas include: living room, hallway bathroom, bedroom located at the end of hallway, dining room, kitchen and backyard. The off limit areas include: master bedroom, two bedrooms located on the left of hallway and garage.

The day care bathroom was inspected, LPA observed several shampoo bottles and two shaving razors in bathtub accessible to children. Provider immediately removed all items out of the reach of children.
The kitchen was inspected, sharps and chemicals have been properly secured and not accessible to children. Facility has two wall heaters that needs to be properly barricaded.

Facility's backyard is fully fenced, there are plenty of toys and equipment for outside activities. Provider stated that she will be adding a house in the backyard and will be under construction. She would like to take children out to the front yard area for outside activities. LPA inspected the front yard and noted that is fully fenced. LPA approved front yard for children's use. Provider was advised that direct visual supervision will be required at all times while children are playing out in the front yard. Backyard will be now closed and off limits for daycare purposes. Provider is to notify the department when construction is completed and wait until inspection is conducted and obtain approval in order to use the backyard for daycare purposes.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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 5
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: SERRANO, SONIA FAMILY CHILD CARE
FACILITY NUMBER: 376618429
VISIT DATE: 03/06/2020
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A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Provider's adult son is living in the house and does not have fingerprint clearance.
Provider's First Aid and CPR is up to date. Provider stated that they do not have hand gun or ammunition in this house.

Senate Bill 792 pertaining to immunizations 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: measles, pertussis, and influenza. Immunization records per SB792 was reviewed and is in compliance for licensee and staff.

Assembly Bill 1207 Mandated Child Abuse Reporting. Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years.

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

LPA provided licensee with a copy of the SIDS Safe Sleep printout information, Safe Sleep Regulation Concepts and Lead Exposure brochure. LPA advised provider of the importance of child abuse reporting, children’s records, immunization, shaken baby syndrome and the YMCA Resource Center. LPA explained clearance requirements for persons over 18 residing or working in the facility. Provider understood that physical discipline/corporal punishment and smoking shall never be permitted in the child care program. Provider was also advised that exersaucers, bouncy, rockers, walkers shall never be permitted in the child care program.

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
Community Care Licensing WEB SITE: http://www.ccld.ca.gov
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: SERRANO, SONIA FAMILY CHILD CARE
FACILITY NUMBER: 376618429
VISIT DATE: 03/06/2020
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An exit interview was conducted with Sonia Serrano and a copy of this report and LIC-809D left at the facility as well as appeal rights. During the course of this evaluation, LPA advised Sonia that all request for extensions of any citations/Proof of Corrections (POCs) must be made within 10 days to the issuing LPA on or before the date the POC is due. Appeals to citations must be made within 15 days in writing to the issuing LPA's supervisor on or before the date the POC is due.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: SERRANO, SONIA FAMILY CHILD CARE
FACILITY NUMBER: 376618429
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/09/2020
Section Cited

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102416 Personnel Requirement(d) Prior to... initial presence in the child care home, all employees... subject to a criminal record... (1) Obtain a California clearance... This requirement was not met as evidenced by: LPA observed David Serrano present living in the facility without fingerprint clearance.
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This poses an immediate risk to the health and safety of children in care.
A civil penalty in the amount of $500 is being assessed for having an adult son living in the facility without fingerprint clearance.
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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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: SERRANO, SONIA FAMILY CHILD CARE
FACILITY NUMBER: 376618429
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/09/2020
Section Cited

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102417 Operation of a Family Child Care Home
(4) Poisons, detergents...which could pose a danger if readily available to children...where they are inaccessible to children.
This requirement was not met as evidenced by:
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Based on LPA observation, there were shampoo bottles and razors accessible to children.
This poses a potential risk to the health and safety of children 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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 5 of 5