376621033-11-12-2019-20-CC-ERIA-BHV33G-20191112165333

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376621033
Report Date: 11/12/2019
Date Signed: 11/12/2019 04:53:42 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:	DALEY, CHRISTINA FAMILY CHILD CARE		FACILITY NUMBER:	376621033
ADMINISTRATOR:	CHRISTINA DALEY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 254-5678
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	14	CENSUS: 4	DATE:	11/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:10 PM
MET WITH:	Christina Daley, Licensee		TIME COMPLETED:	05:10 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) Elizabeth Rivera conducted an unannounced inspection with the Licensee. The single story home was toured and inspected to ensure an environment safe for the care and supervision of children. Present were the Licensee and 4 day care children, including 1 infant. The fire extinguisher, carbon monoxide detector, and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Licensee states that there are no weapons in the home. First Aid and CPR certifications expire on 4/2020. Licensee meets immunization requirements and have completed Mandated Reporter Training. 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 emergency drill was conducted on 10/11/19. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include Day care room, dining room, kitchen, living room, hallway bathroom and side yard. Off limits areas include the garage, all bedrooms, entire backyard and are inaccessible through use of doorknob covers. Backyard is currently under construction and has been made inaccessible to day care children. Sliding glass door has been shut with screw to prevent access to backyard and side gates have been locked. LPA provided pool regulation to Licensee. The home has a fenced side yard available for outdoor activities. The licensee has sufficient toys and equipment available.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Elizabeth Rivera	TELEPHONE: (619) 767-2232
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

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: DALEY, CHRISTINA FAMILY CHILD CARE	FACILITY NUMBER: 376621033
	VISIT DATE: 11/12/2019

NARRATIVE

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You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website. Just go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly Updates, click on “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and click “subscribe.”

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 are cited.

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. It must be posted for 30 days.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Elizabeth Rivera	TELEPHONE: (619) 767-2232
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

LIC809 (FAS) - (06/04)

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