376626048-5-4-2021-20-CC-GGOZ-C2Q2LZ-20210504173023

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626048
Report Date: 05/04/2021
Date Signed: 05/04/2021 05:31:51 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:	MAGANA, BARBARA FAMILY CHILD CARE		FACILITY NUMBER:	376626048
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	05/04/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Barbara Magana		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 May 5, 2021, at 3:30 PM, Licensing Program Analyst (LPA) Gloria Gonzalez conducted a case management inspection for the purpose of an increase in capacity via video conference by Face Time, due to the Covid-19 state of emergency with Licensee Barbara Magana. LPA conducted a live video tour of the inside and outside of the facility. No children and one (1) staff were present in the facility during this inspection. This facility is a one story, 2 bedroom, 1 bathroom house. The following areas used for childcare are: kitchen, daycare room, dining room, bathroom, and living room. Off limits areas are room 1 and 2, front yard, back patio and backyard and are inaccessible through use of door locks. Facility hours of operation are Monday-Friday, 6:00 AM to 6:00 PM. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. The licensee has toys, play equipment and materials available for children’s use. The Licensee will take the children to the nearby park for outdoor recreation. Licensee stated there are no bodies of water on the premises. Licensee stated there is a Firearm and ammunition and are stored and locked separately. 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 has required immunizations. Licensee completed the Mandated Reporter Training AB 1207 on 4/6/21. 2 of 3 children’s records were reviewed. First Aid and CPR certification for Licensee expires on 09/22. The fire clearance for 14 children was granted on 5/4/21. 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.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021

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: MAGANA, BARBARA FAMILY CHILD CARE	FACILITY NUMBER: 376626048
	VISIT DATE: 05/04/2021

NARRATIVE

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

Please visit the Guardian web page and set-up your Guardian account. https://cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian
If you have any questions regarding Guardian, please contact CDSS at email: guardian@dss.ca.gov.

LPA discussed the maximum number of children for whom care shall be provided when there is an assistant provider in the home, including children under age 10 who live in the licensee's home and the assistant provider's children under age 10, shall be either: Twelve (12) children with no more than four of whom may be infants or Fourteen (14) children, with at least two of the children with 1 child enrolled in kindergarten and 1 child at least six years of age and no more than three infants.

Incidental Medical services (IMS) policy was discussed. Licensee stated that Incident Medical Services are not being provided at this time. 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.

No deficiencies cited. A large license will be granted effective 5/4/21.

A copy of the report, appeal rights (LIC 9058), and Notice of Site Visit (LIC9213) will be e-mailed to the licensee and licensee was advised that acknowledgement of the receipts of the report and appeal rights are to be received within twenty-four hours.

An exit interview was conducted.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021

LIC809 (FAS) - (06/04)

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