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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376618725
Report Date: 11/14/2019
Date Signed: 11/14/2019 03:02:46 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:VILLALPANDO, VIRIDIANA FAMILY CHILD CAREFACILITY NUMBER:
376618725
ADMINISTRATOR:VIRIDIANA VILLALPANDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 213-7004
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:14CENSUS: 9DATE:
11/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Viridiana VillapandoTIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Elise Read conducted an unannounced inspection with the Licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present were the Licensee, Ofelia Villalpando, Jacqueline Dominguez and 9 day care children. Jacqueline Dominguez has not been fingerprinted or associated to this facility. Per LPA observation, Jacqueline was assisting with the daycare children. The carbon monoxide detector (located in the hallway) and smoke detector (located in the living room) meet requirements and are operational. The fire extinguisher (located in the kitchen) meets regulation and is operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Licensee states that there are no weapons in the home. During tour of facility, LPA observed baby bouncer in the living room, as well as a baby bounce in the carport area used for child care. Licensee immediately removed both items from child care area.

Licensee did not have First Aid/CPR card available today for review. Licensee states that she has an appointment on 12/1/2019 to renew First Aid and CPR. Licensee meets immunization requirements per SB 792, but helper Ofelia Villalpando does not have immunization records available for review today. Licensee has not completed Mandated Reporter Training AB 1207 (www.mandatedreporterca.com). Children’s records have up to date immunization records, and Notification of Parent’s Rights Receipts. Licensee maintains a current roster and is conducting emergency/disaster drills according to regulation. Last disaster drill was conducted on 06/25/2019.

Licensee has provided adequate space for the children to eat, sleep and play within the home. The licensee has sufficient toys and equipment available. Areas used for child care include living room, dining room, bathroom #1, laundry room, and enclosed car port. Licensee also uses bedrooms #1, #2, and #3 for sleeping in cribs only. Off limits areas include kitchen, which is inaccessible through use of a safety gate.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725
VISIT DATE: 11/14/2019
NARRATIVE
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Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement. Corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. Licensee was also provided handouts with information regarding Safe Sleep and Lead Exposure. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided licensee with the following: Child Care Advocates - email address childcareadvocatesprogram@dss.ca.gov. In addition, for common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.

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.

Please see LIC 809D for cited deficiencies.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2019
Section Cited

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Criminal Record Clearance- All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility…Obtain a California clearance or a criminal record exemption as required by the Department…This requirement was not met as evidenced by:
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Based on LPA observation, licensee did not ensure that staff Jacqueline was fingerprint cleared, which poses an immediate Health, Safety, or Personal Rights risk to children in care.
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Read via text by the POC due date of 11/15/2019. Licensee stated that Jacqueline will not return to the facility until she is fingerprint cleared.

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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:
DATE: 11/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2019
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: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/06/2019
Section Cited

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Personnel Requirements- The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid...
This requirement was not met as evidenced by:
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Based on interview, licensee did not ensure that current First Aid/CPR certification was available for review, which poses a potential Health, Safety, or Personal Rights risk to children in care.
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text by the POC due date of 12/06/2019.
Type B
12/06/2019
Section Cited

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On or before March 30, 2018, a person who...is a licensed child care provider...or employee of a licensed child day care facility shall complete the mandated reporter training ...and shall complete renewal mandated reporter training every two years… This requirement was not met as evidenced by:
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Based on interview with licensee, licensee did not complete the Mandated Reporter Training AB 1207, which poses a potential Health, Safety, or Personal Rights risk to 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:
DATE: 11/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2019
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: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/14/2019
Section Cited

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Personal Rights- Each child receiving services from a family child care home shall have certain rights...these rights include...To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by:
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Based on LPA's observation of a jumper and jumper, licensee did not ensure that safe equipment was used in the facility, which poses a potential Health, Safety, or Personal Rights risk to 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:
DATE: 11/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5