376624050-12-13-2019-20-CC-MHEZ-BJU2A2-20191213161251

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376624050
Report Date: 12/13/2019
Date Signed: 12/13/2019 04:13:00 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:	WONG, LUCILYN FAMILY CHILD CARE		FACILITY NUMBER:	376624050
ADMINISTRATOR:	LUCILYN WONG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 368-4854
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	14	CENSUS: 11	DATE:	12/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Lucilyn Wong, Licensee		TIME COMPLETED:	04:15 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), Marie Hernandez conducted an unannounced Annual/Random inspection. LPA met with the Licensee. During the inspection, there are eleven children with the Licensee and the Adult Helper, Autumn Morales. The facility is within the ratio and capacity. The day care hours are Monday through Friday from 6:30 AM to 5:00 PM. The facility accepts children between the ages 18 months and 12 years old. The Licensee accompanied LPA on the tour of the home. The areas used for day care, are the day-care room, kitchen, living room, bathroom # 1 and a portion of the backyard for outdoor activities. The off limit areas include bedrooms # 1-3, bathroom # 2 and the garage. The garage is made inaccessible by lock and door knob cover. The off limit areas have been made inaccessible with the use of safety gates. There are no hazardous substances accessible. There are no weapons and/or bodies of water in the home. The fire extinguisher is full and of adequate size. It is in the day care room near the kitchen. The smoke alarm and carbon monoxide detector are operational. The home is clean, orderly and has adequate ventilation and heating. The Licensee has provided sufficient space for the children to eat, nap and play within the home. The children’s toys and play equipment are safe and age appropriate. The home has a working phone. The required forms are posted. The children’s records were reviewed. The last disaster/fire drill was conducted on 10/12/2019. The facility roster is current and complete. The Licensee's pediatric first aid/CPR expires on 03/2021, and the Adult Helper, Autumn's pediatric First Aid/CPR expires on 09/18/2021. The Licensee and the Helper have met the immunization requirements per SB792. The AB 1207 (Mandated Reporter Training) requirements were discussed and the information was provided to the Licensee. The Licensee and the Adult Helpers need to complete the AB1207, and it must be renewed every two years from date of certification. LPA discussed California Megan's Law and provided the website as follows: www.meganslaw.ca.gov. Effects of Lead Exposure Handout was discussed and provided to the Licensee.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie Hernandez	TELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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: WONG, LUCILYN FAMILY CHILD CARE	FACILITY NUMBER: 376624050
	VISIT DATE: 12/13/2019

NARRATIVE

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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, an updated Plan of Operation that includes 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. Services were in place today. The safe sleep handouts were discussed and provided. The prohibited items were discussed.

The Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

The following deficiency has been cited today. An exit interview was conducted and a copy of the report, Notice of Site Visit and the Appeal Rights were provided to the Licensee. LPA observed the 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: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie Hernandez	TELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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: WONG, LUCILYN FAMILY CHILD CARE	FACILITY NUMBER: 376624050
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/13/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/13/2020 Section Cited	1 2 3 4 5 6 7	AB1207 Mandated Child Abuse Reporter Training. On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training and shall renew the mandated reporter training every two years following the date on which he/she completed the initial training.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by records review and LPA's observation. The Licensee and the Adult Helpers do not have the required mandated reporting training per AB1207. This poses a potential Health & Safety risk to children.	8 9 10 11 12 13 14	The Appeal Rights were discussed and provided.
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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: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie Hernandez	TELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

LIC809 (FAS) - (06/04)

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