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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376621006
Report Date: 08/01/2022
Date Signed: 08/01/2022 02:05:51 PM


Document Has Been Signed on 08/01/2022 02:05 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:QUIROS-LAMADRID, LOURDES FAMILY CHILD CAREFACILITY NUMBER:
376621006
ADMINISTRATOR:LOURDES QUIROSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 756-6420
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 10DATE:
08/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Lourdes Quiros-LamadridTIME COMPLETED:
02:15 PM
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On August 1, 2022, at 10:30 AM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Lourdes Quiros-Lamadrid. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee and her assistants. Ten (10) children and four (4) staff including the licensee were present in the facility during this inspection. Besides the licensee, the other cleared and associated staff were employees Laura Escalante, Giovanna Gonzalez, and Angie Castaneda. This facility is a one floor, three bedroom, one bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: the kitchen, the living room, the two bedrooms (which are equipped and used strictly as day care rooms) and the home bathroom. Off limits area is the licensee's detached living quarters/bedroom which is located in the backyard area of the home and is inaccessible through use of an installed dead bolt lock.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced backyard available for outdoor activities. When analyst arrived, the day care children were involved in water activities in the backyard of the home with a wading pool and sprinkler operated sliding mat. The children were appropriately supervised while using these portable water features and licensee states the portable equipment is emptied whenever the children are done playing with the equipment. Licensee has no other types of bodies of water in the home besides these portable water features. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions.

Licensee’s and Ms. Escalante's First Aid and CPR certifications expire on 07/20/23, while Ms. Gonzalez's and Ms. Castenada's expire on September of 2023 and June of 2024, respectively. Licensee and helpers have their required immunizations. Licensee completed Mandated Reporter Training on 08/11/21 while Ms. Escalante's was completed on 12/04/21, Ms. Gonzalez on 09/12/21 and Ms. Castaneda on 07/08/22. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on April 19, 2022. Licensee currently has no infants in care but analyst provided her with a copy of the safe sleep regulations for her to review at a future date.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2022
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: QUIROS-LAMADRID, LOURDES FAMILY CHILD CARE
FACILITY NUMBER: 376621006
VISIT DATE: 08/01/2022
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LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. 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 general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.ca.gov

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.

No deficiencies cited

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) 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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022
LIC809 (FAS) - (06/04)
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