376626640-6-3-2019-51-CC-RGOU-BCSUXG-20190603155818

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626640
Report Date: 06/03/2019
Date Signed: 06/03/2019 03:58:23 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:	BELTRAN, CARMEN FAMILY CHILD CARE		FACILITY NUMBER:	376626640
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	06/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Carmen Beltran		TIME COMPLETED:	04:15 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	Licensing Program Analysts (LPAs) Rajani Goudreau and Elise Read conducted an unannounced annual/random inspection with Licensee Carmen Beltran. Also, present in the facility at time of inspection Licensees husband and two adult sons. There were five children in care at time of inspection. Facility is within ratio and capacity. Business hours are Monday through Friday from 6:00 a.m. to 6:00 p.m. LPA conducted a tour of the home/outdoor play area to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3. Licensee has provided adequate space for the children to eat, sleep and play within the home. The home is kept is kept clean and orderly, with heating and ventilation for safety and comfort. Areas used for child care include: living room, dining room, bathroom, bedroom #1, bedroom #3, in-door patio and back yard. Off limits areas of the home include: kitchen, bedroom #2, garage and side yard. Off limit areas of the home are made inaccessible. The fire extinguisher, smoke and carbon monoxide detector meet requirements and are operational. Children’s toys and play equipment are safe and age appropriate. Primary telephone is a cell which is operational. There are no firearms or other weapons in the home. Licensee has all appropriate forms posted. Wall heater located in the hallway of home is not screened. Licensee indicated heater is only used during the winter. LPA informed Licensee wall heater must be screened when used during day care hours. Licensee understands requirement. Technical violation advisory note provided to Licensee regarding wall heater. There are no bodies of water observed during inspection. Outdoor play area is fenced and free of hazardous items. LPA advised Licensee to provide direct supervision. Children’s records and roster reviewed and complete. Pediatric CPR and First-Aid certificate are valid through 07/2019. There are no new adults living or working in the home. All adult residents and assistants have criminal record clearance/exemptions and child abuse index clearances. Last fire drill conducted on 04/10/19 and last earthquake drill conducted on 04/03/19. Licensee has met immunization requirement per SB792. In addition, Licensee has completed the AB1207 Mandated Reported Training.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019

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: BELTRAN, CARMEN FAMILY CHILD CARE	FACILITY NUMBER: 376626640
	VISIT DATE: 06/03/2019

NARRATIVE

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LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. To access Child Care Licensing Regulations and Forms visit the following website: http://ccld.ca.gov. LPA discussed and provided licensee with the following: Child Care Advocates - (916) 654-1541 and email address: childcareadvocatesprogram@dss.ca.gov. In addition, for common questions or questions regarding licensing requirements to 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

LPA discussed the following with Licensee: reporting suspected child abuse & neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in home have criminal background clearances to avoid civil penalties, emergency drills conducted every 6 months, heat-related illness, child passenger law, unusual incidents and time frames, mandated reporting requirements, information on SIDS, shaken baby syndrome, lead poisoning effects brochure, Heart and Nutrition Months hand out. LPA informed licensee corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during day care operation.

Licensee has requested an increase of capacity. Fire clearance granted on 04/30/19. Increase of capacity will be granted after final file review.

No deficiencies cited during today’s inspection. The NOTICE OF SITE VISIT (NOS) MUST BE POSTED FOR 30 DAYS. LPA observed the NOS posted.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019

LIC809 (FAS) - (06/04)

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