376622451-3-28-2023-51-CC-SVEO-CQCQTD-20230328122658

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376622451
Report Date: 03/28/2023
Date Signed: 03/28/2023 12:27:17 PM

Document Has Been Signed on 03/28/2023 12:27 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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	MOSS, BRIDGETTE FAMILY CHILD CARE		FACILITY NUMBER:	376622451
ADMINISTRATOR:	BRIDGETTE MOSS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 288-8237
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	14	CENSUS: 7	DATE:	03/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Licensee, Bridgette Moss		TIME COMPLETED:	12:35 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), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by Licensee, Bridgette Moss. LPA was granted entry after identifying herself and disclosing the purpose of her visit. The licensee is using the following areas for daycare: Daycare Room 1, Daycare Room 2, Bathroom 1, and Backyard. Off limit areas are: Bedrooms 1, 2, and 3, Bathrooms 2 and 3, Kitchen, Dining Room, Living Room, Garage, and Front Yard. Off limit areas have been made inaccessible by baby safety gate and locked doors that require a code. Business Hours are Monday- Friday, 8:00am-5:00pm. The facility currently has 7 children in care with two helpers. Licensee is operating within the licensed ratio and capacity. LPA tested the smoke alarm and carbon monoxide detector located in the Daycare Room #1 area. Both devices are functional. Fire extinguisher meets regulations. LPA did not observe any bodies of water on the premises. Licensee stated there are no weapons or ammunition stored on the premises. There is one fireplace that has been screened in the off limits Living Room. Storage for poisons, detergents, cleaning solutions, medications are out of reach in off limit areas and inaccessible to children by safety latches and out of reach of children. Licensee provides outdoor play in the backyard with age appropriate toys and play equipment. Licensee provided a fire/disaster drill log that shows last drill was conducted January 2023. The home is kept clean and orderly with heating and ventilation for safety and comfort. The home provides safe toys, play equipment and materials. Children’s records were complete with emergency information and immunizations. All parents or representatives received a copy of the Family Child Care Home Notification of Parent’s Rights. Pediatric CPR and First Aid cards are current and will expire April 2024. Licensee has a Mandated Reporter Training certificate that expires June 2023. Licensee and her helpers have immunizations and current flu shots or letters declining flu shots. There is a working telephone and email address.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MOSS, BRIDGETTE FAMILY CHILD CARE	FACILITY NUMBER: 376622451
	VISIT DATE: 03/28/2023

NARRATIVE

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Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day / per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee or facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee for facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to: inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Based on today’s visit, there were no deficiencies found. Exit interview was conducted and report was reviewed with the licensee, Bridgette Moss. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

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