376626115-3-9-2020-20-CC-JARL-BMJMG5-20200309093521

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626115
Report Date: 03/09/2020
Date Signed: 03/09/2020 09:35:28 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:	DELUCCHI, SANDRA FAMILY CHILD CARE		FACILITY NUMBER:	376626115
ADMINISTRATOR:	SANDRA DELUCCHI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 656-8441
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91915
CAPACITY:	14	CENSUS: 9	DATE:	03/09/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Sandra Delucchi		TIME COMPLETED:	09:40 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	On March 9, 2020, at 8:30 AM, Licensing Program Analyst (LPA), Jo Ann Legaspi conducted an unannounced Required - 1 Year Inspection and met with the Licensee Sandra Delucchi. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Nine (9) children, two (2) staff and the Licensee were present in the facility during this inspection. Four (4) of the children were infants. The daycare operational schedule is weekdays 6 AM to 5 PM. This facility is a two story, four bedroom, three bathroom house. Licensee accompanied LPA on a tour of the facility’s interior and exterior. The following areas area used for childcare: the family room, one bedroom and one bathroom. The off limit areas are the second floor, laundry room, garage, dining room and living room. The doors to the garage and laundry rooms are made inaccessible through door safety knobs. The stairs, living room and dining room are made inaccessible through the use of child safety gates. The fireplace is screened and located within the off limit living room. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. The last safety drill was 02/28/2020. Hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. Outdoor activities are conducted in the fenced and shaded backyard. The Licensee acknowledged continuous, visual supervision is to be given to children whenever engaged in outdoor activities. The Licensee provides transportation for children. The Licensee acknowledged that whenever children are inside the provider’s vehicle, they shall be properly and safely restrained. Furthermore, the provider acknowledged that while children are inside the Licensee’s vehicle, they shall never be left unattended by Licensee or staff. Lastly, the Licensee confirmed they will uphold their vehicle’s regular maintenance to ensure its running safety. The spa is made inaccessible to children by covering as required by regulation. The Licensee also has barricaded the spa via the use of fence and child safety gates. 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. First Aid and CPR certifications for the Licensee and staff expire on 10/2020 and

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020

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: DELUCCHI, SANDRA FAMILY CHILD CARE	FACILITY NUMBER: 376626115
	VISIT DATE: 03/09/2020

NARRATIVE

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04/2021. Six of nine children’s records were reviewed and observed to contain immunization documentation and Notification of Parent’s Rights forms.

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 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.

No deficiencies observed in the evaluated areas.

LPA provided staff with the Notice of Site Visit – LIC 9213, which is to be posted for thirty (30) days. An exit interview was conducted with the licensee. The licensee was provided a copy of their Licensee rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020

LIC809 (FAS) - (06/04)

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