376626049-7-9-2019-20-CC-LGAO-BDWQ55-20190709115121

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626049
Report Date: 07/09/2019
Date Signed: 07/09/2019 11:51:26 AM

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:	SHIRE, HAWEYA FAMILY CHILD CARE		FACILITY NUMBER:	376626049
ADMINISTRATOR:	HAWEYA SHIRE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 581-4118
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY:	14	CENSUS: 0	DATE:	07/09/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Haweya Shire		TIME COMPLETED:	11:50 AM

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 at the facility today. 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 mother and no day care children. Ms. Shire states her care is usually conducted during afternoon and evening hours. 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 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 February 22, 2020 for the licensee. Children’s records were reviewed and found to be in order. Licensee uses the following rooms for childcare: the kitchen, the dining area, the living room, the first bedroom (primarily as a walk through room for children to access the front patio play area when needed but the room was reviewed today and found to be safely child proofed) and the day care bathroom. The following areas are off limits: the second main floor bedroom, the second floor, the lower floor level which contains the home garage and the patio off the living room. The second bedroom is made off limits with a locking door knob. The upper and lower floors are made off limits with installed child safety gates at the staircase entrances. The patio is made off limits with a latching sliding patio door. The licensee has sufficient day care equipment available. The complex has a gated community pool area that is maintained by the complex management and is only accessible with a facility gate key. The licensee also has a patio off the first bedroom that is a supplemental outdoor play area for day care children. The patio has a wooden enclosure but as the enclosure does not completely go to the ground licensee understands that any time day care children are using the area, direct supervision must always be provided to ensure their safety and that they remain in the patio. Licensee also takes children to a local park for outdoor activity. The licensee has sufficient toys and equipment available.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019

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: SHIRE, HAWEYA FAMILY CHILD CARE	FACILITY NUMBER: 376626049
	VISIT DATE: 07/09/2019

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

The home appeared to be in substantial compliance today and no violations were cited during today's visit. Analyst printed a copy of the Notice Of Site Visit today and had licensee place it in her facility notice area before he left the home.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019

LIC809 (FAS) - (06/04)

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