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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625037
Report Date: 02/13/2020
Date Signed: 02/13/2020 03:11:43 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:HUERTA, ROSA FAMILY CHILD CAREFACILITY NUMBER:
376625037
ADMINISTRATOR:ROSA HUERTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 474-4219
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY:14CENSUS: 6DATE:
02/13/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Rosa HuertaTIME COMPLETED:
03:25 PM
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Licensing Program Analyst (LPA) Yolanda Baez, made an unannounced visit for the purpose of a annual inspection. LPA met with Licensee, Rosa Huerta. During this visit there were 6 children in care (3 infants and 3 toddlers). Also present at the time of the inspection was Licensee's helper, Livier Pompa.

LPA toured the home, this is a one story, 3 bedrooms and 2 bathroom home. The primary child care areas are the following: the living room area, the kitchen, the dining area, one hallway bathroom, one bedroom, and the back yard. The following areas are kept inaccessible with the use of locks or safety gates: 2 bedrooms, one bathroom, and the attached garage. 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. Licensee is using her back yard for outdoor activities and it is properly fenced. The fire extinguisher is full, of regulation size, and located in the dining area. There is no fireplace on the property. The smoke alarm and carbon monoxide monitor are operational. LPA Baez verified a working telephone, working email address, and all required forms are posted. There are no large bodies of water located on the property. Licensee 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. LPA Baez reviewed the child care roster and children's files and they are in compliance. The last emergency drill was conducted on 12/17/2019. Licensee's pediatric CPR/FA certification expires on 08/2021.

LPA Baez reviewed physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, and new Safe Sleep regulations and Licensee stated that she understands. LPA reminded Licensee that walkers, jumpers, exersaucers, and bouncers are not permitted for use in the day care. Licensee was reminded that corporal punishment and smoking is not permitted at the day care. LPA Baez discussed Unusual incident reporting. New CDPH 286 form for "California Pre-Kindergarten & School Immunization Record" was provided and discussed.

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
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 2
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: HUERTA, ROSA FAMILY CHILD CARE
FACILITY NUMBER: 376625037
VISIT DATE: 02/13/2020
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Incidental Medical Services (IMS) was discussed. Licensee is not currently providing IMS, Licensee understands that a written plan of operation must be submitted to CCL prior to enrolling a 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 Licensee. Licensee 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 is complaint with SB792.

LPA Baez discussed the Mandated Reporter training (AB1207). LPA Baez reminded Licensee that herself and all helpers are to take the training and have the printed certificates present at the facility and available for review. Training can be located at www.mandatedreporterca.com. Licensee is compliant with AB1207.

LPA and Licensee discussed California Megan’s Law and LPA provided: www.meganslaw.ca.gov.

There were not any deficiencies issued throughout today's inspection. Notice of Site Visit is to be posted for 30 days, LPA observed Licensee posting the Notice of Site Visit.

Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov. Duty Line: (619) 767-2248, Open Monday through Friday, 8am - 5pm

LPA's email: yolanda.baez@dss.ca.gov AND working cell phone is (619) 929-5727.

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
LIC809 (FAS) - (06/04)
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