376619179-8-6-2019-20-CC-GCUS-BESQAV-20190806120035

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376619179
Report Date: 08/06/2019
Date Signed: 08/06/2019 12:00:47 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:	WALKER, CLIFFITEEN FAMILY CHILD CARE		FACILITY NUMBER:	376619179
ADMINISTRATOR:	CLIFFITEEN WALKER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 589-0661
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	14	CENSUS:	DATE:	08/06/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Cliffiteen Walker		TIME COMPLETED:	12:15 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	Licensing Program Analysts (LPAs), Leilani Curtis and Samantha Salunga made an unannounced Annual Random inspection and met with Licensee, Cliffiteen Walker. There were 3 children in care, 1 who was an infant. Facility was observed operating within ratio and capacity. LPAs conducted a tour of the home inside and outside per facility sketch. Licensee is using the following areas for daycare: living room, kitchen, bathroom #2 and rear side yard. Off-limits areas include: bedroom #1, bedroom #2, bedroom #3, bathroom #1, front yard and rear center yard. Business Hours: Sunday-Saturday 12:00 a.m to 11:59 p.m. Licensee has provided adequate space for the children to eat, sleep and play within the home. Home is clean, orderly and has adequate ventilation. Children’s toys and play equipment are available and observed free of hazards. There are no stairs in the home. There is a working telephone/email address. All cleaning compounds, detergents, medications, and poisons are made inaccessible through latches, locks, and/or placed up on high surfaces. There is no fireplace. Fire extinguisher, smoke and carbon monoxide detectors are operational. Licensee states there are NO firearms or other weapons in the home. Outdoor play area is fenced. There are no existing bodies of water present. Children records were reviewed for Emergency Information. There are no new adults living or working in the home over the age of 18 years. All adult residents and helpers have submitted or been cleared for criminal record and child abuse index clearances or exemptions. Pediatric CPR and First-Aid certificates are valid through January 21, 2020. Licensee has completed the Mandated Child Abuse Reporting-per AB1207. LPAs reviewed certification and it is in compliance. Immunization records per SB792 were reviewed and are in compliance

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019

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: WALKER, CLIFFITEEN FAMILY CHILD CARE	FACILITY NUMBER: 376619179
	VISIT DATE: 08/06/2019

NARRATIVE

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This facility provides Incidental Medical Services – IMS. Licensee has 30 days to submit a Plan of Operation for inhaled medication. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPAs reviewed the following with Licensee: Safe Sleep Regulation Concept Handout, Car Seat Law, reporting requirements, regulation highlights, capacity limitations, supervision, clearances, emergency drills, mandated reporting, SIDS, and Shaken Baby Syndrome. Licensee is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Licensee is aware that interference with a child’s daily functions, corporal punishment, physical and mental abuse is not allowed. Licensee is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children.

No deficiencies observed in the areas inspected during today's inspection.
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPAs observed Licensee post notice of site visit. LPAs reviewed this report with Licensee prior to obtaining her signature.

Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov.
Duty Officer: (619) 767- 2248, Monday thru Friday 8am-5pm.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019

LIC809 (FAS) - (06/04)

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