<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627212
Report Date: 11/04/2019
Date Signed: 11/05/2019 07:05:57 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:INFANTE, BLANDINA FAMILY CHILD CAREFACILITY NUMBER:
376627212
ADMINISTRATOR:BLANDINA INFANTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 513-4116
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:14CENSUS: 7DATE:
11/04/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Blandina InfanteTIME COMPLETED:
04:15 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
Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced POC inspection with the Licensee. LPA advised Staff Laura Infante of the meeting’s purpose and was granted facility entry. Present in the home were two (2) helpers and three (3) daycare children. The Licensee returned to the daycare with four (4) daycare children.

On 10/21/2019, the Licensee was cited on CCR 102416.5(f) – Staffing and Capacity. On 10/21/2019, the Licensee was provided with the hard copy of CCR 102416 and the ratio/capacity worksheet. The Licensee received consultation on this code section and ratio/capacity work sheet from LPA. The Licensee agreed to provide LPA with a written statement acknowledging their legal capacity limit and the steps to be taken to ensure legal capacity is ensured.

At this visit, the Licensee provided LPA with the written statement acknowledging an understanding of their legal capacity and how legal capacity will be ensured. This deficiency has been cleared.

The Licensee has been advised that they will be invited to the licensing office for an office meeting on the issue of capacity with licensing management.

A Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. LPA observed the Licensee post this notice.

An exit interview was conducted with the Licensee. Appeal/Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to Licensee and their signature on this form confirms receipt of these rights.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
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 1