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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376623733
Report Date:
09/21/2023
Date Signed:
09/21/2023 12:38:33 PM
Document Has Been Signed on
09/21/2023 12:38 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:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
ADMINISTRATOR:
KIM UYEN FRACE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(858) 829-7462
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92126
CAPACITY:
14
CENSUS:
7
DATE:
09/21/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:26 AM
MET WITH:
Kim Frace
TIME COMPLETED:
12:50 PM
NARRATIVE
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On 9/21/23 @ 10:26AM, Licensing Program Analysts (LPAs) Nancy Diaz and Renita Rodriguez conducted an unannounced inspection. LPA disclosed the purpose of the inspection and was granted facility entry by the Licensee. A tour of the home was conducted with Kim Frace, Licensee. Observed present today were 7 children (3 children were under age 2). The following areas are accessible to children living room, dining, kitchen, family room, downstair bathroom, daycare room and back fenced yard. Facility operates Monday-Friday; 8AM to 5PM. The licensee was present in the home to ensure that all children are supervised at all times. Facility is within capacity and did not exceed the capacity specified on the license.
There were no bodies of water observed within the premises. Licensee stated that they do not maintain any weapons in the home.
Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored appropriately and inaccessible to children.
Fire place is screened to prevent access by children.
Fire extinguisher and smoke detectors meet State Fire Marshall standards. The carbon monoxide detector present in the home meet the standards established in Chapter 8 of Part 2, Division 12. Home is kept clean and orderly with heating and ventilation for safety and comfort. A barricade was observed at the bottom of the stairs. Licensee provide safe toys, play equipment and materials. The home maintains a working telephone service.
There is a play pen for each infant who is unable to climb out. The crib was observed to be free from all loose articles and objects. Bumper pads are not used. There were objects observed hanging above and objects attached to the side of the crib. Infants are not swaddled while in care. Infants are supervised while they sleep. The provider check on sleeping infants every 15 minutes. Documentation were not maintained in the infant’s file. Licensee did not maintain nap logs.
SUPERVISOR'S NAME:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
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
CCLD Regional Office
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
VISIT DATE:
09/21/2023
NARRATIVE
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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.
Car seats are only used for transportation purposes and not used for sleeping. Infants are supervised while they sleep.
The outdoor play area is fenced or supervised by the licensee. An isolation area has been designated for children who became ill during the day.
Children’s records were reviewed. Licensee maintains a copy of the emergency information card that contains all of the information specified by the regulation.
Staff records were reviewed. Staff have completed the mandated reporter training pursuant to Health & Safety Code. Licensee was made aware that the mandated reporter training shall be renewed every 2 years.
Staff a have been immunized against influenza, pertussis and measles (except for Mytu Tran). Licensee’s and helpers' CPR and First aid is valid thru 2/2024.
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.
Incidental Medical Services (IMS) policy was discussed. For IMS information see
PIN 22-02-CCP
. 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:
https://www.ada.gov/resources/child-care-centers/
.
SUPERVISOR'S NAME:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
LIC809
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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:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
VISIT DATE:
09/21/2023
NARRATIVE
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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
.
Exit interview conducted with Mrs. Frace. LPA reviewed the report with licensee and provided a copy of report and appeal rights. Notice of site visit was given and observed posted. This notice must remain posted for 30 days.
TYPE B DEFICIENCIES WERE CITED.
SUPERVISOR'S NAME:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
LIC809
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Page:
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Document Has Been Signed on
09/21/2023 12:38 PM
- It Cannot Be Edited
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:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(b)(3)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. Upon arrival, LPAs observed a child napping in a play pen with mobile hanging above and on the side of play pen. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/21/2023
Plan of Correction
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CORRECTED TODAY. Mrs. Frace removed the mobile from above and on the side of the play pen.
Type B
Section Cited
CCR
102425(j)(5)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. Upon arrival, LPAs observed a child napping in the daycare room with the doors closed. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/21/2023
Plan of Correction
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CORRECTED TODAY. Mrs. Frace opened the door and stated that she will keep the door open when children nap in the day care room.
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:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
LIC809
(FAS) - (06/04)
Page:
4
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Document Has Been Signed on
09/21/2023 12:38 PM
- It Cannot Be Edited
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:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and 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:
Deficient Practice Statement
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2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Mrs. Frace's Mandated Reporter Training has expired. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/28/2023
Plan of Correction
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CORRECTED TODAY. Mrs. Frace was able to access proof of completion online today.
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. Helper Mytu Tran did not have the required immunization on record - Pertussis, Measles and influenza. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/28/2023
Plan of Correction
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Mrs. Frace will obtain a copy of Mrs. Tran's immunization - Pertussis, Measles and Influenza and submit to the department no later than 9/28/23.
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:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
LIC809
(FAS) - (06/04)
Page:
5
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Document Has Been Signed on
09/21/2023 12:38 PM
- It Cannot Be Edited
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:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)(1)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on interview and record review, the licensee did not comply with the section cited. Children in care do not have completed blue immunization card on file. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/28/2023
Plan of Correction
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Mrs. Frace will complete blue cards for all children in care and submit copies to the department no later than 9/28/23.
Type B
Section Cited
CCR
102419(d)
Admission Procedures and Parental and Authorized Representative's Rights
(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Children in care did not have a signed LIC 995A on file. This posesd a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/28/2023
Plan of Correction
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2
3
4
Mrs. Frace will provide parents the form and obtain their signature and submit copies to the department no later than 9/28/23.
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:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
LIC809
(FAS) - (06/04)
Page:
6
of
8
Document Has Been Signed on
09/21/2023 12:38 PM
- It Cannot Be Edited
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:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Child E.A is missing form LIC 700 on file. This posess a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/28/2023
Plan of Correction
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2
3
4
Mrs. Frace will provide form to the parent and submit a copy to the department no later than 9/28/23.
Type B
Section Cited
CCR
102417(m)(3)
Operation of A Family Child Care Home
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Child EA did not have a signed form on file. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/28/2023
Plan of Correction
1
2
3
4
Mrs. Frace shall provide form to parent and obtain signature and submit a copy to the department no later than 9/28/23.
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:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
LIC809
(FAS) - (06/04)
Page:
7
of
8
Document Has Been Signed on
09/21/2023 12:38 PM
- It Cannot Be Edited
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:
FRACE, KIM UYEN FAMILY CHILD CARE
FACILITY NUMBER:
376623733
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Mrs. Frace failed to maintain the 15-minute nap logs for 3 infants in care. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/28/2023
Plan of Correction
1
2
3
4
LPA provided Mrs. Frace a sample copy of the 15-minute log. She will start maintaining records beginning today. She will submit copies of 3 children's nap log (a week's worth) to the department no later than 9/28/23.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:
Tashima Daniel
TELEPHONE:
(619) 767-2242
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
09/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2023
LIC809
(FAS) - (06/04)
Page:
8
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