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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626957
Report Date: 02/03/2023
Date Signed: 02/03/2023 04:37:35 PM


Document Has Been Signed on 02/03/2023 04:37 PM - 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:WATRAL, ELISANGELA FAMILY CHILD CAREFACILITY NUMBER:
376626957
ADMINISTRATOR:ELISANGELA WATRALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 473-9947
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:14CENSUS: 8DATE:
02/03/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Licensee Elisangela WatralTIME COMPLETED:
04:00 PM
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On 2/3/2023 at 1:10 p.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of an Annual Inspection. During this visit, there were 8 children sleeping in the two day care rooms with the doors shut, one in a swing, with Licensee's mother lying on the couch on the patio. Licensee's mother is non-English speaking. Licensee was reached by phone to return to the facility and arrived approximately 15 minutes later. LPA asked Licensee's mother to remain in the front day care room with the rear day care room door open until the Licensee arrived. There were five children under the age of 2 years, two 2 year olds and a 3 year old present. The facility was out of ratio and capacity.

LPA toured the home. Primary child care areas are the two day care rooms on the bottom floor of the home, attached bathroom and fully fenced back yard and the facility sketch on file is accurate. Off limits areas have been made inaccessible with the use of safety gates. There are no weapons stored in the home or on the property. There is a pool, fully fenced per regulation. Self-latching gate in place and in working order. The fire extinguisher is full and of adequate size and located in the bathroom. The dual smoke alarms (located in each day care room) are operational. Emergency drills are being conducted and logged at least every six months and there is a written Disaster Plan on file. Last drill is logged as 1/9/23.

The home is clean, orderly with adequate ventilation and heating. Licensee has provided enough space for the children to eat, sleep and play within the home. Licensee provides all meals. The furniture, to include napping materials and children’s toys, books and activities are safe and age appropriate and in good repair. There is a working telephone and all required forms are posted. Outdoor play space is fully fenced with age appropriate play equipment and activities in good repair. No hazards were noted. Licensee understands there is no smoking in or around day care areas. Children’s files were reviewed and found to be complete. The facility roster was current and complete and is being stored for 3 years. Licensee's pediatric CPR/FA certificate with A-B-Cpr is valid through 9/11/23.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2023
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: WATRAL, ELISANGELA FAMILY CHILD CARE
FACILITY NUMBER: 376626957
VISIT DATE: 02/03/2023
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Licensee's mother has a fingerprint clearance and required immunizations. She does not have current FA/CPR and cannot be left alone with the children. Licensee is reminded that Mandated Reporter Training certificates are to be renewed every two years at the following website: www.mandatedreporterca.com.

LPA discussed the safe sleep regulations with the Licensee and provided a copy of the regulation. Child Care Licensing Safe Sleep webpage can be accessed at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Licensee is reminded that infants may not be swaddled while in care and walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use. Children are to be moved to a crib or pack in place as soon as possible upon falling asleep.

Children will be observed upon entry and throughout the day for signs of illness. An appropriate isolation area has been established for sick children. Reporting requirements for positive Covid-19 results in children or staff were discussed to include contact with County Department of Public Health for guidance (619-692-8499) and Licensing (619-767-2248) to report the unusual incident for two or more cases.

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

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
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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: WATRAL, ELISANGELA FAMILY CHILD CARE
FACILITY NUMBER: 376626957
VISIT DATE: 02/03/2023
NARRATIVE
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Licensee is to be present in the home to ensure children are supervised and reminded that no children are to be left in parked vehicles and car seats are not to use used for sleeping. Capacity limitations were reviewed. LPA discussed California Megan's Law and the website was provided as follows: www.meganslaw.ca.gov

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

LPA conducted child care quality management interview with Licensee. Exit interview conducted and report was reviewed with the Licensee Elisangela Watral. See LIC 809D for Type A and B deficiencies.

LPA, Joelle Redding, informed Licensee, Elisangela Watral, that this report dated, February 3, 2023,documents two Type A citations and shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care. LPA, Joelle Redding, also informed the Licensee to provide a copy of this licensing report dated February 3, 2023, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/03/2023 04:37 PM - It Cannot Be Edited

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: WATRAL, ELISANGELA FAMILY CHILD CARE
FACILITY NUMBER: 376626957

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102425(j)(5)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that both day care room doors were closed and the provider's mother was outside on the patio, which poses an immediate health, safety or personal rights risk to children in care.
POC Due Date: 02/04/2023
Plan of Correction
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Licensee states that she will ensure that the doors to both day care rooms will be open and that she is in one of the rooms while the children are sleeping for direct observation.
Type A
Section Cited
CCR
102416.5(a)
Staffing Ratio and Capacity
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that she had 5 children under the age of two years and three children between 2 and 3 years old present, exceeding the large family capacity and they were alone with her mother while she was away on an errand exceeding the small family capacity which poses an immediate health, safety or personal rights risk to children in care.
POC Due Date: 02/04/2023
Plan of Correction
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Licensee states that she will ensure that she does not have more than 4 infants present with other children while she is here with an assistant and will not have more than four infants if she does not have an assistant present. LIcensee will email an attendance schedule to Licensee to verify the correction by 2/10/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/03/2023 04:37 PM - It Cannot Be Edited

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: WATRAL, ELISANGELA FAMILY CHILD CARE
FACILITY NUMBER: 376626957

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(i)
Infant Safe Sleep
If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above in that Child #8 was sleeping in a swing during naptime which posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 02/10/2023
Plan of Correction
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Licensee states that she will ensure that the swing isn't used for sleeping and will move any child that falls asleep there to a crib or pack and play. Licensee also states that she will be removing the swing soon as the children are getting older.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above in that her mother was along with children and did not have FA/CPR certification which posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 02/10/2023
Plan of Correction
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Licensee states that she will not leave her mother alone with children without current first aid/CPR certification and the same with any assistant that she might hire in the future.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/03/2023 04:37 PM - It Cannot Be Edited

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: WATRAL, ELISANGELA FAMILY CHILD CARE
FACILITY NUMBER: 376626957

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above in that she did not have form LIC 9227 on file for Child #8 who is under 12 months old which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 02/10/2023
Plan of Correction
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Licensee will have Child #8's parent complete the form and provide a copy to Licensing as verification of correction by 2/10.
Type B
Section Cited
CCR
102425(j)(2)(D)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above in that she did not have documentation of sleep checks which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 02/10/2023
Plan of Correction
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Licensee states that she checks on the infants while sleeping and has a monitoring app on her phone. She was not aware of the requirement to log 15 minute sleep checks. Licensee will start doing so right away and send two days worth to Licensing for verification of correction by 2/10/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2023
LIC809 (FAS) - (06/04)
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