376627405-2-5-2020-20-CC-MHEZ-BLHVJ6-20200205152812

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376627405
Report Date: 02/05/2020
Date Signed: 02/05/2020 03:28:17 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:	JIMENEZ, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	376627405
ADMINISTRATOR:	MARIA JIMENEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(914) 294-7349
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	14	CENSUS: 10	DATE:	02/05/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Maria Jimenez, Licensee		TIME COMPLETED:	03:30 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	Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced Required inspection. LPA met with the Licensee. During the inspection, there are ten children with the Licensee and the Adult Helper, Magalie Garcia. The facility is within the ratio and capacity. The day care hours are Monday through Friday from 7:00 AM to 5:00 PM. The facility accepts children between the ages 6 months and 13 years old. The Licensee accompanied LPA on the tour of the home. The off limit areas have been made inaccessible through the use of safety gates and child proof door knobs. The garage is off limits and made inaccessible through the use of a child proof lock. The day care areas are the downstairs bedroom #2, living room, the downstairs bathroom #2 and a portion of the backyard (patio area). There are no hazardous substances accessible. There are no weapons and/or bodies of water in the home. The fire extinguisher is full and of adequate size. It is in the kitchen area. The smoke alarm and carbon monoxide detector are operational. The home is clean, orderly and has adequate ventilation and heating. The Licensee has provided sufficient space for the children to eat, nap and play within the home. The children’s toys and play equipment are safe and age appropriate. The home has a working phone. The required forms are posted. The children’s records were reviewed. The last disaster/fire drill was conducted on 01/08/2020. The facility roster is current and complete. The Licensee's pediatric first aid/CPR expires on 12/30/2020, and the Adult Helper, Magalie Garcia's pediatric First Aid/CPR expires on 05/18/2021. The Licensee and the Helper have met the immunization requirements per SB792, and the AB 1207 (Mandated Reporter Training) requirements. The AB 1207 (SB792) must be renewed every two years. LPA discussed California Megan's Law and provided the website as follows: www.meganslaw.ca.gov. Effects of Lead Exposure Handout was discussed and provided to the Licensee.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie Hernandez	TELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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: JIMENEZ, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 376627405
	VISIT DATE: 02/05/2020

NARRATIVE

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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, an updated Plan of Operation that includes 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. Services were in place today. The safe sleep handouts were discussed and provided.

Reviewed the information regarding Sudden Infant Death Syndrome (SIDS) and SUIDS and back to sleep. The handouts "A Child Care Provider's Guide to Safe Sleep and the Safe Sleep Regulation Concepts were discussed and provided to the Licensee. The Licensee is reminded of the following: Due to health & safety, Infants cannot sleep in highchairs, baby swings, beds, sofas and/or car seats. Infants must always sleep in appropriate accommodations that do not pose a safety risk. Baby bouncers, baby rockers, baby jumpers, baby walkers, baby inclines and baby saucers are prohibited in the day care. Reviewed the criminal record transfer requests, mandated reporting requirements (AB 1207), incident reporting, fire/disaster drills and logs, child roster, the crib standards, child passenger safety law, immunization's, child's records, and the forms/records to keep at the facility. Discussed the ratio and capacity. The Licensee is reminded that smoking is prohibited in the day care. The Licensee is reminded that upon moving and/or changing the phone number, the Licensee must contact the Licensing Agency immediately.

The Licensee is advised to regularly visit the Community Care Licensing WEBSITE:www.ccld.ca.gov for quarterly updates and updated regulation information. The Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate information was provided, and the Applicant was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. The Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

No deficiency cited today. An exit interview was conducted and a copy of the report, and the Notice of Site Visit were provided to the Licensee. LPA observed the Licensee post the Notice of Site Visit in a prominent place. Licensee states it is understood that this notice must be posted for 30 days.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie Hernandez	TELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

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