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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376624518
Report Date: 01/31/2020
Date Signed: 01/31/2020 02:28:12 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:LORJA, VALENTINA FAMILY CHILD CAREFACILITY NUMBER:
376624518
ADMINISTRATOR:LORJA VALENTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 713-5084
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:14CENSUS: 6DATE:
01/31/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Valentina Lorja, LicenseeTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA), Marie Hernandez conducted the Random/Annual inspection. LPA met with the Licensee. The Licensee accompanied LPA on the tour of the facility. Present are five children with the Licensee and Adult Helper, Mati Lorja. The Licensee's pediatric CPR/First Aid certification expires 04/2020. Discussed the annual fees. There are no bodies of water and/or weapons in the home. The storage areas for poisons, detergents, cleaning compounds and medications are inaccessible to children during the visit. The facility has a working fire extinguisher during the visit. The home has a working smoke detector and carbon monoxide detector as per regulation during the visit. The home has adequate lighting and ventilation for comfort of children. The Licensee shall be present in the home when children are in care to ensure that they are fully supervised at all times. Licensee will ensure that the children are never left in parked vehicles. When Licensee is temporarily absent from the home, the licensee shall arrange for a substitute cleared adult with a pediatric first aid/CPR certification to care for and supervise the children in licensee’s absence. During the visit today, all individuals subject to a criminal record review have obtained a criminal record clearance or exemption prior to working, residing, or volunteering in a licensed facility. The Licensee has completed the training on preventive health practices.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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: LORJA, VALENTINA FAMILY CHILD CARE
FACILITY NUMBER: 376624518
VISIT DATE: 01/31/2020
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LPA and the Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Discussed and provided the handout for Lead Exposure. Reviewed the information regarding Sudden Infant Death Syndrome (SIDS) and SUIDS and back to sleep. The handouts "A Child Care Provider's Guide to Safe Sleep and the Safe Sleep Regulation Concepts were discussed and provided to the Licensee. The Licensee is reminded of the following: Due to health & safety, Infants cannot sleep in highchairs, baby swings, beds, sofas and/or car seats. Infants must always sleep in appropriate accommodations that do not pose a safety risk. Baby bouncers, baby rockers, baby jumpers, baby walkers and baby saucers are prohibited in the day care. Reviewed the criminal record transfer requests, mandated reporting requirements (AB 1207), incident reporting, fire/disaster drills and logs, child roster, the crib standards, child passenger safety law, immunization's, child's records, and the forms/records to keep at the facility. Discussed the ratio and capacity. The Licensee is reminded that smoking is prohibited in the day care. The Licensee is reminded that upon moving and/or changing the phone number, the Licensee must contact the Licensing Agency immediately. The Licensee has maintained the child roster and the fire/disaster drills. The last drill was conducted on 08/05/2019. All the required documents are posted. LPA verified the Licensee's and the Adult Helper's immunization records. Reviewed and discussed the AB 1207 Mandated Child Abuse Reporting certification. The 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 and the ADA, available at: http://www.ada.gov/childqanda.htm.

The Licensee is advised to regularly visit the Community Care Licensing WEBSITE:www.ccld.ca.gov for quarterly updates and updated regulation information. The Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate information was provided, and the Applicant was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. The Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

No deficiency cited today. An exit interview was conducted and a copy of the report, and the Notice of Site Visit was 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 CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
LIC809 (FAS) - (06/04)
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