376626802-12-17-2020-20-CC-DSTS-BWE585-20201217184321

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626802
Report Date: 12/17/2020
Date Signed: 12/17/2020 06:44:00 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:	FLORES, LYDIA FAMILY CHILD CARE		FACILITY NUMBER:	376626802
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	12/17/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Lydia Flores		TIME COMPLETED:	04:30 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	On 12/17/2020, at 3:30PM, Licensing Program Analyst (LPA) Dana Stevens conducted a case management inspection for the purpose of an increase in capacity. The inspection was conducted via video conference (FaceTime), per CDPH recommendations due to the Covid-19 State of Emergency. LPA met with licensee, Lydia Flores. No children were present at the facility during this inspection. Fire clearance for 14 children was granted/received on 10/02/2020. LPA conducted a live video tour of the inside and outside of the facility. This 2 story, 5 bedroom, 4 bathroom house was toured and inspected to ensure compliance with standards established in CCR,Title 22, Division 12, Chapter 3, for Family Child Care Homes. The following areas are used for childcare: entire downstairs with the exception of, living room, laundry room, and kitchen. These areas are made inaccessible with the use of safety gates and door locks. The second floor is off-limits and is made inaccessible through the use of a safety gate at the bottom of the stairs. Additionally, the garage and one detached bedroom located at the front of the house, are off-limits and made inaccessible with door locks. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements.The licensee has toys, play equipment and materials available for children’s use.The home has a fully fenced backyard available for outdoor activities. Licensee stated there are no weapons in the home. Licensee stated there are no bodies of water on the premises. 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 and assistants' First Aid and CPR certifications expire in 08/2022. Licensee and assistants have required immunizations and have completed Mandated Reporter Training. A sample of children’s records were reviewed and found complete.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Dana Stevens	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: FLORES, LYDIA FAMILY CHILD CARE	FACILITY NUMBER: 376626802
	VISIT DATE: 12/17/2020

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
26
27
28
29
30
31
32

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. and the Child Care Advocates email address: childcareadvocatesprogram@dss.ca.gov . Child Care Licensing Duty Line was provided: (619) 767-2248.

LPA discussed the maximum number of children for whom care shall be provided when there is an assistant provider in the home, including children under age 10 who live in the licensee's home and the assistant provider's children under age 10, shall be either: Twelve (12) children with no more than four of whom may be infants or Fourteen (14) children, with at least two of the children with 1 child enrolled in kindergarten and 1 child at least six years of age and no more than three infants, with landlord consent (LIC 9149). It should be noted that Landlord Consent is on file. Incidental Medical services (IMS) policy was discussed.

Licensee stated that Incident Medical Services are not being provided at this time. 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.

No deficiencies cited. No corrections are needed. A large license will be granted effective 12/17/2020

A copy of the report and appeal rights (LIC 9058) will be e-mailed to the licensee and licensee was advised that acknowledgement of the receipts of the report and appeal rights are to be received within twenty-four hours.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Dana Stevens	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2