376626802-9-30-2022-20-CC-ECAA-CJRPMY-20220930112708

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626802
Report Date: 09/30/2022
Date Signed: 09/30/2022 11:27:19 AM

Document Has Been Signed on 09/30/2022 11:27 AM - It Cannot Be Edited

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:	LYDIA FLORES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 215-3088
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	14	CENSUS: 5	DATE:	09/30/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Lydia Flores		TIME COMPLETED:	11:30 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 September 30, 2022 at 09:25 a.m., Licensing Program Analyst (LPA), Edgar Campana conducted an unannounced Annual Required Inspection and met with the Licensee, Lydia Flores. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Five (5) daycare children and one (1) adult resident were present in the facility during this inspection. This facility is a two story, four bedroom, 3 bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas are to be used for childcare: family room, daycare room (toy room) downstairs bathroom, and back yard. The off limit areas are the entire second floor, the living room, laundry room, garage and kitchen. The living room and the kitchen are made inaccessible through the use of safety gates. The laundry room and garage are made inaccessible through the use of door locks. The fire extinguisher, type 3-A:40-B:C is operational and is located in the hallway. The smoke detector and carbon monoxide detectors met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced back yard available for outdoor activities. Licensee’s First Aid and CPR certifications expire on 08/2024. Licensee has required immunizations. Mandated Reporter Training certificate expires on 07/27/2024. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 08/15/22. The provider physically checks on sleeping infants every 15 minutes. 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.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022

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: FLORES, LYDIA FAMILY CHILD CARE	FACILITY NUMBER: 376626802
	VISIT DATE: 09/30/2022

NARRATIVE

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Licensee was also provided handouts with information regarding 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.

Incidental Medical services (IMS) policy was discussed. 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.

A copy of this report, appeal rights (LIC 9058), and LIC 9213 – Notice of Site Visit was provided to the licensee. Licensee was advised to post the LIC 9213 for 30 days. An exit interview was conducted with licensee in Spanish, Lydia Flores.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar Campana	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022

LIC809 (FAS) - (06/04)

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