376621053-7-22-2019-20-CC-ERIA-BEBRH7-20190722130153

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376621053
Report Date: 07/22/2019
Date Signed: 07/22/2019 01:03:28 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:	ROBINSON, GENEVA FAMILY CHILD CARE		FACILITY NUMBER:	376621053
ADMINISTRATOR:	GENEVA ROBINSON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 886-4642
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92114
CAPACITY:	14	CENSUS: 0	DATE:	07/22/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:12 AM
MET WITH:	Geneva Robinson, Licensee		TIME COMPLETED:	01:10 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	LPAs Elizabeth Rivera and Michelle Hood 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 was the Licensee and no day care children. Licensee stated has not taken care of children within the past 2 1/2 years. 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. There are no bodies of water on the property. Licensee states that there are no weapons in the home. First Aid and CPR certifications expire on 2020. Mandated Reporter Training certificate was not available at the time of the inspection. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include Play Area, Bathroom #4. Off limits areas are inaccessible through use of safety gates. The licensee has sufficient toys and equipment available. The will take children to local park for outdoor activities, Licensee understands that direct supervision is required at all times when children are in care while out at the park. Licensee is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. Licensee was also provided with information regarding SIDS and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elizabeth Rivera	TELEPHONE: (619) 767-2200
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2019

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: ROBINSON, GENEVA FAMILY CHILD CARE	FACILITY NUMBER: 376621053
	VISIT DATE: 07/22/2019

NARRATIVE

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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.

LPA provided notice of site visit and observed it being posted at the facility for 30 days.

No Deficiencies are cited.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elizabeth Rivera	TELEPHONE: (619) 767-2200
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2019

LIC809 (FAS) - (06/04)

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