376626054-7-17-2019-20-CC-SSIO-BE6NU3-20190717104541

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626054
Report Date: 07/17/2019
Date Signed: 07/17/2019 10:45:54 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:	LIVINGSTON, AMELIA FAMILY CHILD CARE		FACILITY NUMBER:	376626054
ADMINISTRATOR:	AMELIA LIVINGSTON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 399-8167
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92113
CAPACITY:	14	CENSUS: 12	DATE:	07/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Amelia Livingston		TIME COMPLETED:	10:50 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	(3) Licensing Program Analysts (LPAs) Selina Siao and Michelle Palacio conducted an unannounced random inspection. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Upon arrival there were 7 children including licensee's daughter, two infants, three preschool age children and a school age child. Licensee returned from home from the store during the inspection with a watermelon. Five additional day care children including two infants, a preschool age child and two school age children were dropped off during the inspection. Helper Areli Razo Delangel arrived during today's inspection. Appropriate ratio was observed during the inspection. The home has a fully charged fire extinguisher, smoke and carbon monoxide detector that meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. No bodies of water were observed today, and licensee stated that she does not have any weapon 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 cards are current due to expire on March/2020 and her helper Maria Gomez's First Aid and CPR cards are current due to expire on Nov/2019. The children's records were reviewed. Facility has an updated roster and fire drill log available for review. Licensee last conducted an earthquake drill with the children in care on 03/04/2019 and she was advised to conduct a fire drill with the children as well. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include playroom, dining area, kitchen and main bathroom. Off limits areas include the two bedrooms, master bedroom and bathroom and there are door knob covers to prevent children's access. The garage is also off limit to children. Facility has ample toys and equipment available. The home has a fenced backyard available for outdoor activities.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

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: LIVINGSTON, AMELIA FAMILY CHILD CARE	FACILITY NUMBER: 376626054
	VISIT DATE: 07/17/2019

NARRATIVE

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The following items were discussed with provider: Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about Effects of Lead Exposure and Safe Sleep Concept. Reporting requirement was discussed with licensee.

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, licensee has current verification of required immunizations for herself and helpers and is in full compliance.

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

Licensee was advised to email childcareadvocatesprogram@dss.ca.gov to request to be on the distribution list to obtain child care updates. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Community Care Licensing website is www.ccld.ca.gov.

See LIC809D for deficiencies:

A Notice of Site Visit was posted today, and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.

This report was translated to licensee in Spanish by LPA Michelle Palacio

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: LIVINGSTON, AMELIA FAMILY CHILD CARE	FACILITY NUMBER: 376626054
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/17/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/22/2019 Section Cited CCR 102421(b)	1 2 3 4 5 6 7	Child's Records: The licensee shall maintain, in each child's record, a copy of the emergency information card required in Section 102417(g)(7). This requiresment is not met as evidence by: One of the new	1 2 3 4 5 6 7	Licensee stated that she will obtain the child's record from the parent and will submit a copy of the records to Analyst no later than 07/22/2019.
	8 9 10 11 12 13 14	school age child's record is not available for review. This poses a potential health and safety risk to clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

LIC809 (FAS) - (06/04)

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