376620013-4-4-2024-51-CC-SVEO-D3ZQUD-20240404122834

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376620013
Report Date: 04/04/2024
Date Signed: 04/04/2024 12:28:45 PM

Document Has Been Signed on 04/04/2024 12:28 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	GAYTAN, FELIPA FAMILY CHILD CARE		FACILITY NUMBER:	376620013
ADMINISTRATOR:	FELIPA GAYTAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 295-0412
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	14	CENSUS: 12	DATE:	04/04/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Licensee, Felipa Gaytan		TIME COMPLETED:	12:40 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), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted by licensee, Felipa Gaytan and her two helpers, Miguel Gaytan and Karla Rodriguez Trejo. LPA observed the children playing in the outside play area. LPA was granted entry after identifying herself and disclosing the purpose of the visit. There were 12 children in care. Licensee has adequate space for the children to eat, sleep and play within the home. Licensee is using the following areas for daycare: living room, dining area, hall bathroom (bathroom #2), bedroom #3 and enclosed rear yard. Off-limits areas include: kitchen, bedroom #1, bedroom #2, bathroom #1 (located in bedroom #2) and garage. There are no weapons stored in the home or on the property and there are no bodies of water present. The fire extinguisher meets regulations and is located in the kitchen area. The smoke alarm and carbon monoxide detector combo is functional and located in the beginning of the hallway area. The home is clean, orderly and has adequate ventilation and heating. Storage for poisons, detergents, cleaning solutions, medications are inaccessible by storing out of reach of children. Licensee’s last fire drill was conducted December 2023. Pediatric CPR and First Aid card for provider expires August 2025 Licensee’s Mandated Reporter Training certificate expires November 2024. There is a working telephone and email address. 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 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.

SUPERVISOR'S NAME: Joelle Redding	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: GAYTAN, FELIPA FAMILY CHILD CARE	FACILITY NUMBER: 376620013
	VISIT DATE: 04/04/2024

NARRATIVE

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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.htmyour 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.

No deficiencies were cited today.

Exit interview was conducted and report was reviewed with licensee, Felipa Gaytan. Copy of report and Appeal Rights was given. A notice of site visit was posted and must remain for 30 days.

SUPERVISOR'S NAME: Joelle Redding	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024

LIC809 (FAS) - (06/04)

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