376626751-7-30-2019-20-CC-NDIZ-BEKS8E-20190730133901

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626751
Report Date: 07/30/2019
Date Signed: 07/30/2019 01:39:12 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:	FAJARDO, TANNIA FAMILY CHILD CARE		FACILITY NUMBER:	376626751
ADMINISTRATOR:	TANNIA FAJARDO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 215-6159
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92104
CAPACITY:	14	CENSUS: 10	DATE:	07/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:18 PM
MET WITH:	Tannia Fajardo		TIME COMPLETED:	01:40 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	An unannounced annual inspection was conducted today by LPA, Nancy Diaz. Upon arrival LPA observed 10 children in care with the licensee and helpers Lucia Jimenez and Karen Sanchez. LPA conducted a tour of the home to ensure the health and safety of children. Licensee is using the following areas for daycare: living room, kitchen, hallway bathroom, Bedroom #1 & #2 and back fenced patio. The following areas are off-limits to children: Bedroom #3 and the back office. These areas are inaccessible to children via locked door. Ms. Fajardo stated that she does not maintain any weapons or bodies of water within the premises. All cleaners, toxics, medications and other hazardous substances are inaccessible to children in care via latched bathroom and kitchen cabinets. Fire extinguisher and smoke detectors are present in the home meet State Fire Marshall standards. There is a carbon monoxide detector located in the kitchen area. The home is kept clean and orderly with sufficient ventilation for safety and comfort. The home provides toys, play equipment and materials. The home maintains a working telephone service (cellphone). Outdoor play area is fenced (back patio area). The licensee maintains a current children’s roster. Facility conducted a fire/emergency disaster drill on November 2018 (once every six months); documentation of the date and time of drill was observed. The licensee and other personnel has completed training on Preventative Health Practices including Pediatric CPR and First aid. Licensee’s CPR & First Aid certificate are valid through February 2021. A handout was provided to the licensee today on “Effects of Lead Exposure”. Licensee shall provide a copy of this handout to all the daycare parents. CONTINUED ON PAGE 2

SUPERVISOR'S NAME: Carolina Ramos	TELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

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: FAJARDO, TANNIA FAMILY CHILD CARE	FACILITY NUMBER: 376626751
	VISIT DATE: 07/30/2019

NARRATIVE

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Facility has not exceeded the capacity specified on the license. Licensee resides in this home with her 17-year old daughter. There are no new adults living or working in the home over the age of 18 years. All individuals subject to criminal record review have obtained criminal record clearance or exemption prior to working, residing or volunteering.

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

SUPERVISOR'S NAME: Carolina Ramos	TELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

LIC809 (FAS) - (06/04)

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