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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623244
Report Date: 05/15/2019
Date Signed: 05/15/2019 02:29:32 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:CASTRO, MARIA DEL CARMEN FAMILY CHILD CAREFACILITY NUMBER:
376623244
ADMINISTRATOR:MARIA CASTROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 271-8293
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:14CENSUS: 5DATE:
05/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Noemi Torres BeltranTIME COMPLETED:
02:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Yolanda Baez, made an unannounced visit for the purpose of a annual inspection. LPA met with helper, Noemi Torres Beltran. During this visit there were 5 children in care (1 infant and 4 toddlers). Licensee was out picking up children from school due to minimum day schedule at the time of the inspection.

LPA toured the home, this is a one story, 4 bedrooms and 2 bathrooms home. The primary child care areas are the following: the living room near the main entry, dining room area, one bedroom, one hallway bathroom, and the back yard. The following areas are kept inaccessible with the use of locks or safety gates: 3 bedrooms, 1 bathroom, and the kitchen. There are a sufficient amount of age appropriate toys, games, and books available. The home has plenty of space for the children to eat, sleep and play, and was a comfortable temperature during this visit. The back yard is fully fenced and used for outdoor activities. The fire extinguisher is full, of regulation size, and located near the day care bathroom. There is no fireplace on the property. The smoke alarm and carbon monoxide monitor are operational. LPA Baez verified a working telephone and all required forms are posted. There are no large bodies of water on the property. Helper stated that there are no firearms or ammunition on the property. LPA Baez verified that all adults living or working in the home have been fingerprint cleared and associated. Helper's CPR/FA certification expires on 01/2021. Two of the 5 children present have been enrolled at the day care since 04/30/19 and One of the 5 children present has been enrolled for a month and there are not any forms/files available for review for 3 of the 5 children present during today's inspection, see 809D for cited deficiency. There is not an up to date roster available for review and helper does not know the addresses or contact information for the 3 children that are not listed n the roster, see 809D for cited deficiency. LPA Baez reviewed the following with Helper: physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, new Safe Sleep Regulations, emergency drills, child care roster, and Unusual Incident Reports. LPA reminded Licensee that walkers, jumpers, exersaucers, and bouncers are not permitted for use in the day care. Helper was provided with the Winter 2019 Spanish Quarterly Updates and PIN 19-05-CCP..

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
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: CASTRO, MARIA DEL CARMEN FAMILY CHILD CARE
FACILITY NUMBER: 376623244
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2019
Section Cited
CCR
102421
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Child's Records. Requirement not met as evidenced by children's file review. Licensee does not have files for 3 of the 5 children present during today's inspection. This poses a potential risk to the health and safety of the clients in care.
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Helper contacted Licensee via telephone and Licensee stated that she will request the records from the parents and have them available by 05/31/19. POC visit is to be conducted.
Type B
05/31/2019
Section Cited
CCR
102417(g)(8)
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Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. Requirement not met as evidenced by facility record review. Licensee does not have an up to date roster and helper does not know the addresses or contact information for the children that are present during today's
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Helper contacted Licensee via telephone and Licensee stated that she will update her roster and have it available by 05/31/19. POC visit is to be conducted.
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inspection but not listed on the roster.

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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
LIC809 (FAS) - (06/04)
Page: 3 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: CASTRO, MARIA DEL CARMEN FAMILY CHILD CARE
FACILITY NUMBER: 376623244
VISIT DATE: 05/15/2019
NARRATIVE
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IMS was discussed. Helper stated that there are not any children currently enrolled who require IMS, helper understands that a written plan of operation needs to be submitted prior to enrolling any child that requires IMS. 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 http://www.ada.gov/childqanda.htm

Immunization law (SB792) was discussed with Helper. Helper understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Licensee and helper are compliant with SB792.

LPA Baez discussed the new Mandated Reporter training (AB1207) with Helper and Helper understands that herself and her helpers will need to take the training and keep the certificate present at the facility for review. Mandated reporter training may be located at www.mandatedreporterca.com.

LPA and Helper discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.



NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov
Duty Line: (619) 767-2248, Open Monday thru Friday 8am - 5pm
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3