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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376621440
Report Date: 06/25/2019
Date Signed: 06/25/2019 03:58:40 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:ROSEMOND, CAROLINE FAMILY CHILD CAREFACILITY NUMBER:
376621440
ADMINISTRATOR:CAROLINE ROSEMONDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 837-4750
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:14CENSUS: 13DATE:
06/25/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Caroline Rosemond, LicenseeTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst, Marie Hernandez conducted the Annual/Random Inspection. LPA met with the Licensee. The Licensee accompanied LPA on a tour of the facility. Present during the inspection are thirteen children with the Licensee and the Adult Helper Elissa Gonzalez.
The Licensee's pediatric CPR/First Aid certification expires on 10/27/2020. The Licensee has maintained the disaster/fire drills; the last drill was conducted on 05/24/2019. Discussed the annual fees. The Licensee is utilizing the backyard for outdoor activities of children. There are no bodies of water and/or weapons in the home. The storage areas for poisons, detergents, cleaning compounds and medications are inaccessible to children during the visit. The facility has a working fire extinguisher. The home has a working smoke detector and carbon monoxide detector as per regulation. The home has adequate lighting and ventilation for comfort of children. The Licensee shall be present in the home when children are in care to ensure that they are fully supervised at all times. Licensee will ensure that the children are never left in parked vehicles. When Licensee is temporarily absent from the home, the licensee shall arrange for a substitute cleared adult with a pediatric first aid/CPR certification to care for and supervise the children in licensee’s absence. During the visit today, all individuals subject to a criminal record review have obtained a criminal record clearance or exemption prior to working, residing, or volunteering in a licensed facility. The Lead Exposure handout was discussed and provided.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
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: ROSEMOND, CAROLINE FAMILY CHILD CARE
FACILITY NUMBER: 376621440
VISIT DATE: 06/25/2019
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LPA and the Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Reviewed the information regarding Sudden Infant Death Syndrome (SIDS) and SUIDS and back to sleep. The handouts for "A Child Care Provider's Guide to Safe Sleep and the Safe Sleep Regulation Concepts were discussed and provided to the Licensee. The Licensee is reminded of the following: Due to health & safety, Infants cannot sleep in highchairs, baby swings, beds, sofas and/or car seats. Infants must always sleep in appropriate accommodations that do not pose a safety risk. Baby bouncers, baby rockers, baby jumpers, baby walkers and baby saucers are prohibited in the day care. Reviewed the criminal record transfer requests, mandated reporting requirements (AB 1207), incident reporting, fire/disaster drills and logs, child roster, the crib standards, child passenger safety law, immunization's, child's records, and the forms/records to keep at the facility. Discussed the ratio and capacity. The Licensee is reminded that smoking is prohibited in the day care. The Licensee is reminded that upon moving and/or changing the phone number, the Licensee must contact the Licensing Agency immediately. The Licensee has maintained the child roster. The forms and regulations can be obtained online at website: www.ccld.ca.gov. All the required documents are posted. LPA verified the Licensee's, and the Adult Helper's required immunization records and their AB 1207 Mandated Child Abuse Reporting certification. The Licensee is reminded that the AB1207 must be renewed every two years.

Incidental Medical Services were discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Sections 102417. 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 Family Child Care Homes and the ADA, available at: http://www.ada.gov/childqanda.htm.

No deficiency cited today. An exit interview was conducted and a copy of the report, along with the Notice of Site Visit was provided to the Licensee. LPA observed the Licensee post the Notice of Site Visit in a prominent place. Licensee states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
LIC809 (FAS) - (06/04)
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