376625408-5-8-2019-20-CC-DSAZ-BBYVQB-20190508163803

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376625408
Report Date: 05/08/2019
Date Signed: 05/08/2019 04:38:10 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:	RINCON, ADELAIDA FAMILY CHILD CARE		FACILITY NUMBER:	376625408
ADMINISTRATOR:	ADELAIDA RINCON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 475-6506
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92139
CAPACITY:	14	CENSUS: 10	DATE:	05/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Adelaida Rincon, Provider		TIME COMPLETED:	04:45 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) Diana Sanchez conducted an Annual/Random inspection on today's date, at the above referenced facility. LPA was greeted and allowed entry into the facility by provider Adelaida Rincon, who stated she currently has 20 children registered in her daycare. LPA advised provider the purpose of today’s visit, to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. There were ten children present during today's inspection. Also present was provider's adult son and daughter who are also assistants in the daycare. The facility is a three bedroom single story house. LPA toured the facility and noticed that all of the required notices, License and forms were posted. Daycare areas includes: living room, dining room, kitchen and hallway bathroom, the two bedroom located next to the living room and side yard. The room located next to the hallway bathroom and backyard is off limits. The house is divided into three separate living space. The house shares the same address. Provider's son and daughter lives in the other two parts of the home and are fingerprint clear. The house smoke and carbon monoxide detectors are operable. Facility's fire extinguisher is fully charged. The day care bathroom was inspected, it is clean and operable with good ventilation. The kitchen bottom doors under the sink are secured with small child proof plastic straps. The facility side yard has plenty of toys and equipment for outside activities. There is also a wooden playground structure in the front yard that has been properly secured to the ground. A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Provider's First Aid and CPR is current. Provider stated that they do not have hand gun or ammunition in this house.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019

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: RINCON, ADELAIDA FAMILY CHILD CARE	FACILITY NUMBER: 376625408
	VISIT DATE: 05/08/2019

NARRATIVE

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Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu, LPA has verified that licensee has verification of required immunizations and is in compliance.

Assembly Bill 1207 Mandated Child Abuse Reporting. Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years.

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 LPA provided: www.meganslaw.ca.gov.

Community Care Licensing WEB SITE: http://www.ccld.ca.gov

LPA provided licensee with a copy of the SIDS Safe Sleep printout information, Safe Sleep Regulation Concepts and Lead Exposure brochure. LPA advised provider of the importance of child abuse reporting, children’s records, immunization, shaken baby syndrome and the YMCA Resource Center. LPA explained clearance requirements for persons over 18 residing or working in the facility. Provider understood that physical discipline/corporal punishment and smoking shall never be permitted in the child care program. Provider was also advised that exersaucers, bouncy, rockers, walkers shall never be permitted in the child care program.

No Deficiencies cited during today’s inspection. An exit interview was conducted with Adelaida Rincon and a copy of this report left at the facility.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019

LIC809 (FAS) - (06/04)

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