376627090-11-19-2021-51-CC-ALMA-C8WR3Y-20211119114043

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376627090
Report Date: 11/19/2021
Date Signed: 11/19/2021 11:40:59 AM

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:	POLUS, RITA FAMILY CHILD CARE		FACILITY NUMBER:	376627090
ADMINISTRATOR:	RITA POLUS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 715-7898
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	14	CENSUS: 0	DATE:	11/19/2021
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Rita Polus		TIME COMPLETED:	11:50 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 11/19/21 at 10:30 AM, Licensing Program Manager (LPM), Renesha Pack and Licensing Program Analyst (LPA) Adrian Mangina conducted an office meeting with Licensee, Rita Polus. Ms. Polus brought her cousin Jaklin Anyouel to interpret. The Department also had Language Link Arabic interpreter Sumaya #13625 on the phone until 11:00 AM to act as interpreter for the Department. The purpose of this meeting is to discuss a recent substantiated overcapacity complaint as well as provide assistance and clarification to Licensee regarding requirements for an assistant in the daycare. A complaint was received on 9/17/21 alleging Licensee is operating over capacity. The allegation was substantiated and a Type A citation issued as it was determined that Ms. Polus was caring for 9 children without a qualified assistant present. It was also determined that on at least three occasions (8/16/21, 8/27/21 and 8/31/21), between the hours of 3:30 PM and 5:30 PM Licensee was caring for between 15 and 17 children, exceeding the capacity for a Large Family Child Care home. Licensee was previously licensed under facility number 376624793 and received two separate Complaints which resulted in citations under section 102416.5(a) Staffing Ratio and Capacity due to being over her licensed capacity. The following Regulations were reviewed and copy of each listed were provided to Licensee: Ratios and Capacity (Section 102416.5), Personnel Records (Section 102416.1) and Personnel Requirements (Section 102416), and Personal Rights (Section 102423). LPM and LPA also reviewed child files checklist with Licensee. LPA also provided Licensee with the following: Ratio Handouts for small and large family child (continued on LIC809 page 2)

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

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: POLUS, RITA FAMILY CHILD CARE	FACILITY NUMBER: 376627090
	VISIT DATE: 11/19/2021

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care homes and Checklist for Child Care Assistant or Adult residing in home. Licensee was provided with the new Care Tool link: https://www.cdss.ca.gov/Portals/9/CCL/Inspection%20Process/CCP%20810%20FCCH%20FINAL.xlsx?ver=2021-10-07-144408-590.

Licensee was also provided with the CDSS Child Care Licensing (CCL) Family Child Care Providers Resource link with instructional videos: https://ccld.childcarevideos.org/family-child-care-providers/. It is recommended for Licensee to review the videos including, but not limited to: How Many Children Can Attend a Family Child Care Home and Recordkeeping in a Family Child Care. Licensee states she understands that she needs to abide by Health and Safety Code and Title 22 Regulations in the operation of her Family Child Care Home.

Licensee was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulations. Licensee stated she is signed up to receive the PIN's. During meeting licensee was provided the Duty Line: 619-767-2248.

Licensee stated that she did not understand that her capacity was limited when she was cited but she understands now that she is limited to 8 children when she does not have a qualified assistant and 14 children when a qualified assistant is present, including her own children under the age of ten years old. Licensee stated that she also understands ratio limitations of her license.

Licensee was provided a copy of this report (LIC809). Licensee’s signature on this report acknowledges receipt.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021

LIC809 (FAS) - (06/04)

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