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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376621440
Report Date: 03/10/2020
Date Signed: 03/10/2020 12:40:59 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: 11DATE:
03/10/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Caroline RosemondTIME COMPLETED:
11:45 AM
NARRATIVE
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On 3/10/20 @ 11:25 AM LPA's Tresha Souza and Michelle Hood conducted an unannounced inspection. Present were the Licensee Caroline Rosemond and her assistant Elissa Gonzalez. There were 11 children present at the home at time of inspection. The two story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are all operational. All hazardous items were 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. 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. First Aid and CPR certifications expire on 1/22. Licensee has required immunization's. Children’s records were reviewed and found to be in order.

LPA's discussed the Mandated Reporter training, AB1207. LPA's reminded Licensee that all staff members are to take the training and have the printed certificates present at the facility and available for review. Facility is not compliant with AB1207 for the staff records that were able to be reviewed today, see 809D for cited deficiency.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include family room, downstairs bedroom #1, bathroom #1 and dining room. Off limits areas include garage, kitchen, Bedroom #2 and entire 2nd floor and are inaccessible through use of, safety gates. The licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities.

SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha SouzaTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: 03/10/2020
NARRATIVE
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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 upcoming Safe Sleep Regulations/SIDS and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 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 Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. “And document your 809 - 809D if there are any deficiencies.



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.

An exit interview was conducted and a copy of the report along with the Notice of Site Visit was provided to Licensee. LPA observed 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: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha SouzaTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/14/2020
Section Cited

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§1596.8662(2)(b)(1)Availability of information ... training for mandated reporter... complete the mandated reporter training...shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
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LPA's staff file review. 2 staff files that were reviewed did not have a mandated reporter certificate. This poses a potential risk to the health and safety of the clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha SouzaTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2020
LIC809 (FAS) - (06/04)
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