376625748-4-19-2022-20-CC-ECAA-CDN2F3-20220419172048

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376625748
Report Date: 04/19/2022
Date Signed: 04/19/2022 05:22:29 PM

Document Has Been Signed on 04/19/2022 05:22 PM - It Cannot Be Edited

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:	TIZNADO, BLANCA FAMILY CHILD CARE		FACILITY NUMBER:	376625748
ADMINISTRATOR:	BLANCA TIZNADO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 421-7883
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91915
CAPACITY:	14	CENSUS: 3	DATE:	04/19/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	Blanca Tiznado		TIME COMPLETED:	05:30 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	On April 19, 2022 at 01:35 p.m., Licensing Program Analyst (LPA), Edgar Campana and Licensing Program Manager (LPM) Jason Garay conducted an unannounced Annual Inspection and met with the Licensee, Blanca Tiznado. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Three (3) children and Licensee's spouse were present in the facility during this inspection. This facility is a two story, three (3) bedroom, two and a half (2.5) bathroom house. Licensee accompanied LPA inside the facility during this inspection, and stayed inside with the children while LPA and LPM inspected the back play yard. The following areas used for child care are: living room, day care bathroom, kitchen, family room, and dinning room. The off limits areas are the garage and the entire second floor and are inaccessible through use of door knob covers and a safety gate. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were not made inaccessible to children: Cleaning supplies observed in bathroom sink cabinet accessible to children in care; A can of Glade air freshener on top of the toilet tank in the day care bathroom; One can of Raid aerosol bug spray and a can of insect repellent observed accessible to children in back play yard. The licensee has toys, play equipment and materials available.Teeter totter observed in back play yard, on top of concrete, without protective padding underneath. The home has a fenced backyard available for outdoor activities. No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certifications expire on 01/2024. Licensee has required immunizations. Licensee completed Mandated Reporter Training on 09/28/2021.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

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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Document Has Been Signed on 04/19/2022 05:22 PM - It Cannot Be Edited

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: TIZNADO, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 376625748
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102425(b)

Infant Safe Sleep

(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observation and Licensee interview, the licensee did not comply with the section cited above as an infant was sleeping inside a crib that contained blankets and stuffed animals, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 04/19/2022
	Plan of Correction
1 2 3 4	During inspection licensee removed items from the crib. LPA reminded Licensee of Safe Sleep Regulations and provided PIN 20-24 CCP. Licensee stated that she understood.

Type A

Section Cited

CCR

102425(b)(3)

Infant Safe Sleep

(b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observations and Licensee interview, the licensee did not comply with the section cited above as an infant was sleeping inside a crib which had blankets hanging on the side, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 04/19/2022
	Plan of Correction
1 2 3 4	During inspection licensee removed items hanging from the crib. LPA reminded Licensee of Safe Sleep Regulations and provided PIN 20-24 CCP. Licensee stated that she understood.

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/19/2022 05:22 PM - It Cannot Be Edited

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: TIZNADO, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 376625748
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(d)

Operation of A Family Child Care Home

(d) The home shall provide safe toys, play equipment and materials. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA obervations, the licensee did not comply with the section cited above as a teeter totter in the back play yard was situated on top of concrete without protective padding underneath the fall zones, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/26/2022
	Plan of Correction
1 2 3 4	Licensee stated that place protective rubber padding with an artificial grass cover will be placed under fall zones. Licensee will provide LPA with photos of proof of correction via email or text by 04/26/2022.

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observations, the licensee did not comply with the section cited above as cleaning supplies, bug repellent, air freshener and diaper rash cream were not made inaccessible to children in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/19/2022
	Plan of Correction
1 2 3 4	During inspection Licensee made hazardous items inaccessible to children in care.

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/19/2022 05:22 PM - It Cannot Be Edited

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: TIZNADO, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 376625748
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observations, the licensee did not comply with the section cited above as a can of Raid insecticide was not made inaccessible in the back play yard. No children were present in the back play yard during the inspection. This poses a potential health and safety risk to persons in care.
	POC Due Date: 04/19/2022
	Plan of Correction
1 2 3 4	During inspection Licensee secured poison in a locked cabinet located in the garage.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

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: TIZNADO, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 376625748
	VISIT DATE: 04/19/2022

NARRATIVE

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Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 01/2022. There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are not free from all loose articles and objects: Blankets and stuffed animals observed with infant sleeping inside crib; Blankets observed hanging on side of crib with infant sleeping inside. The provider physically checks on sleeping infants every 15 minutes. LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

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.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

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: TIZNADO, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 376625748
	VISIT DATE: 04/19/2022

NARRATIVE

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Edgar Campana informed licensee Blanca Tiznado that this report dated 04/19/2022 documents two Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Edgar Campana informed the licensee to provide a copy of this licensing report dated 04/19/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A copy of this report and appeal rights (LIC 9058) were provided to the licensee. A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted in Spanish and report was reviewed with the licensee, Blanca Tiznado.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

LIC809 (FAS) - (06/04)

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