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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376622786
Report Date: 02/14/2022
Date Signed: 02/14/2022 03:01:22 PM


Document Has Been Signed on 02/14/2022 03:01 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:COELHO, ANDREA FAMILY CHILD CAREFACILITY NUMBER:
376622786
ADMINISTRATOR:ANDREA COELHOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 847-0402
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY:14CENSUS: 5DATE:
02/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Andrea CoelhoTIME COMPLETED:
11:45 AM
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On February 14, 2022 at 9:00am, Licensing Program Analyst (LPA) Martha Malane conducted an unannounced Annual Inspection and met with Licensee, Andrea Coelho. LPA disclosed the purpose of the inspection and was granted entry into the facility. There were five (5) children in care; three (3) of whom were under the age of two (2) years present in the facility during this inspection. Licensee’s husband, Fabiano Silva arrived at the facility during inspection. This facility is a single story, four (4) bedroom, two (2) bathroom home. Licensee accompanied LPA during this inspection. The following areas are utilized for childcare: bedroom 2, bathroom 1, family room and back yard. Off limits areas include: Living room, kitchen, storage room, bedrooms 1, 3 and 4, bathroom 2, laundry room and side yard.

The fire extinguisher and smoke/carbon monoxide detectors met requirements. Hazardous items were observed inaccessible to children. Licensee was reminded that supervision is required during outdoor activities. Licensee stated there are no bodies of water and LPA did not observe and bodies of water during the inspection. Licensee stated there are no weapons in the home. Licensee’s First Aid and CPR certifications expire 1/8/2024. Licensee’s mandated reporter training is not current at this time; technical assistance provided. The facility roster is maintained and was reviewed. The last fire/disaster drills were conducted and documented on 11/29/2021.

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.

See LIC809C continuation...

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2022
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: COELHO, ANDREA FAMILY CHILD CARE
FACILITY NUMBER: 376622786
VISIT DATE: 02/14/2022
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a 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 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 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.



No deficiencies sited during today’s inspection.

Exit interview conducted and report was reviewed with Licensee, Andrea Coelho. Technical Assistance provided, see LIC9102. A notice of site visit was given and must remain posted for 30 days.

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/nspection-process.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2022
LIC809 (FAS) - (06/04)
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