376619543-3-24-2022-51-CC-JLOT-CCTVTL-20220324164316

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376619543
Report Date: 03/24/2022
Date Signed: 03/24/2022 04:43:28 PM

Document Has Been Signed on 03/24/2022 04:43 PM - 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:	NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CARE		FACILITY NUMBER:	376619543
ADMINISTRATOR:	LOURDES & EDUARDO N.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 562-0509
CITY:	SANTEE	STATE: CA	ZIP CODE:	92071
CAPACITY:	14	CENSUS: 4	DATE:	03/24/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Licensee, Nevarez		TIME COMPLETED:	02:40 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 Analyst (LPA), Jennifer Lott conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by Licensee, Eduardo Navarez.and granted entry after identifying herself and disclosing the purpose of her visit. The licensee is using the following areas for daycare: Living room, kitchen, dining room, family room, front and backyard, bathroom #1. Off limit areas include: All upstairs and garage. Business Hours are: 5am to 10pm Sunday through Saturday. The facility currently has 4 children in care. Licensee provided a copy of their current roster and is operating within the licensed ratio and capacity. At 10:40am, LPA tested the carbon monoxide detector and smoke detector located in the kitchen area. Both devices were functional. There was a fire extinguisher which meets statutory requirements. At 11:00am, LPA observed the swimming pool located in the backyard. The pool is full of dirt/debris and fencing is locked with a padlock and inaccessible to children. Licensee, Nevarez advised there are no firearms or ammunition stored on the premises. Fireplaces and open face heaters are screened to prevent access by children. Where children less than 5 years old are in care, stairs are fenced and/or barricaded. Storage for poisons, detergents, cleaning solutions, medications were not locked and accessible to children. Outdoor play area is fenced and but yard needs maintenance as it is overgrown. The last disaster/fire drill was conducted on 02/18/22. The home was not kept clean and orderly. 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 expired on 07/2021. Licensees have not completed the mandated Child Abuse Reporting as per AB1207 . Licensee could not produce proof of immunizations. There is a working telephone and email address.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

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 6

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: NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CARE	FACILITY NUMBER: 376619543
	VISIT DATE: 03/24/2022

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
26
27
28
29
30
31
32

Licensee 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.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CARE	FACILITY NUMBER: 376619543
	VISIT DATE: 03/24/2022

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
26
27
28
29
30
31
32

Based on today's visit, deficiencies are being cited per Title 22 regulations and noted on the attached 809D. LPA Lott informed licensee Nevarez that this report dated 03/24/22, includes 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Lott informed the licensee to provide a copy of this licensing report dated 03/24/22 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with Licensee, Navarez. Signature below confirms receipt of these documents. A notice of site visit was given and must be posted for 30 days.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

LIC809 (FAS) - (06/04)

Page: 3 of 6

Document Has Been Signed on 03/24/2022 04:43 PM - It Cannot Be Edited

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: NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CARE	FACILITY NUMBER: 376619543
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/24/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102417(g)(4)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observations, the licensee did not comply with the section cited above in that poisons, detergents, cleaning compounds in the bathroom used by children in care were accessible; under sink not locked and items left in the shower within child's reach. Kitchen sink cupboard with toxins was not locked. This poses an immediate health and safety risk to children in care.
	POC Due Date: 03/25/2022
	Plan of Correction
1 2 3 4	Licensee advises they will remove all items that say keep out of reach of children locked under the bathroom sink and under kitchen sink. Proof will be submitted to licensing via fax, email or text by POC date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

LIC809 (FAS) - (06/04)

Page: 4 of 6

Document Has Been Signed on 03/24/2022 04:43 PM - It Cannot Be Edited

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: NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CARE	FACILITY NUMBER: 376619543
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/24/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(b)

Operation of A Family Child Care Home

(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observations, the home was not clean, floors and counters full of debris. Area in family room piles of clothing and other items need to be removed. Counters to be free of debris and sanitary. Backyard and front yard will be cleaned and not overgrown so that children are able to play. Cords will be made inaccessible to children and outlet covers will be placed over exposed outlets. This poses a potential health and safety risk to persons in care.
	POC Due Date: 04/07/2022
	Plan of Correction
1 2 3 4	Licensee advises they will clean the floors, counters and remove all cluttering debris throughout the child care areas. Will clean up all of the over grown debris in the yard so that child play is accessible. Will make the cords and outlets incaccessible. Proof of completion will be submitted to via fax, email or text by POC date.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observations and record review the licensees did not comply with the section cited above in 2:2 licensees did not complete mandated reporter training, which poses a potential health, safety risk to persons in care.
	POC Due Date: 04/07/2022
	Plan of Correction
1 2 3 4	Licensees state that they both will complete mandated reporter training and submit certificates by POC date via fax, email or text.

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: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

LIC809 (FAS) - (06/04)

Page: 5 of 6

Document Has Been Signed on 03/24/2022 04:43 PM - It Cannot Be Edited

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: NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CARE	FACILITY NUMBER: 376619543
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/24/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observations and record review, the licensees did not comply with the section cited above in that 2:2 licensees could not provide proof of required immunization; TB, MMR, DTP, PER. This poses a potential health and safety risk to persons in care.
	POC Due Date: 04/07/2022
	Plan of Correction
1 2 3 4	Licensees state they will provide proof of required immunization by POC date via fax, email or text.

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observations and record review, the licensee did not comply with the section cited above in 2:2 licensees could not provide proof of preventative health training and both pediatric first aid/CPR cards had expired as of 07/2021. This poses a potential health and safety risk to persons in care.
	POC Due Date: 04/07/2022
	Plan of Correction
1 2 3 4	Licensees state that they will complete both Preventative Health Training and Pediatric First Aid/CPR training by POC date. Proof will be submitted via email, fax or text.

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: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

LIC809 (FAS) - (06/04)

Page: 6 of 6