376625205-3-3-2020-20-CC-LGAO-BMCREZ-20200303115822

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376625205
Report Date: 03/03/2020
Date Signed: 03/03/2020 11:58:27 AM

COMPREHENSIVE INSPECTION

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:	VAZQUEZ-ZAMORA, SILVIA FAMILY CHILD CARE		FACILITY NUMBER:	376625205
ADMINISTRATOR:	SILVIA VAZQUEZ-ZAMORA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 513-0148
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	14	CENSUS: 11	DATE:	03/03/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Silvia Vazquez-Zamora		TIME COMPLETED:	12:00 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	LPA, Luigi Gargaro, conducted an unannounced inspection with the licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children per the standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present were the licensee, her cleared and associated assistants Rosalba Sanchez and Ariana Lopez and eleven day care children. The fire extinguisher and smoke and carbon monoxide detectors meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. The licensee was asked whether she had any bodies of water or weapons in the home and she replied no. A review of staff records on this date indicates that all adults or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aid and CPR certifications expire on 01/30/21 for the licensee and 07/19/20 for helper Rosalba Sanchez. Children’s records were reviewed and were found to be in order. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include day care activity area immediately off the kitchen, the adjacent day care/meal area, the family/tv room and the day care bathroom. Off limits areas include the kitchen, the living room, the garage and the second floor of the home. The kitchen is inaccessible through use of an installed, secured child safety gate found at its entrance, the living room is inaccessible with an installed child safety gate at one entrance and a barricade safety gate at the second and the garage entrance door and the upstairs of the home are made inaccessible as they are located behind the home living room and the safety gates found at the living room's entrance. The licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. A side alley way is made off limits with a barricade child safety gate that is installed at its entrance way.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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: VAZQUEZ-ZAMORA, SILVIA FAMILY CHILD CARE	FACILITY NUMBER: 376625205
	VISIT DATE: 03/03/2020

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, 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: http://www.ada.gov/childqanda.htm. LPA and licensee discussed California Megan's Law and he provided licensee with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

The home appeared to be in substantial compliance today and no violations were cited.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

LIC809 (FAS) - (06/04)

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