376627894-9-11-2019-20-CC-DSAZ-BFWQ6V-20190911115410

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376627894
Report Date: 09/11/2019
Date Signed: 09/11/2019 11:54:19 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:	ROBLES, MARGARITA FAMILY CHILD CARE		FACILITY NUMBER:	376627894
ADMINISTRATOR:	MARGARITA ROBELS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 726-3208
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92154
CAPACITY:	14	CENSUS: 10	DATE:	09/11/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Margarita Robles, Provider		TIME COMPLETED:	12:00 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) Diana Sanchez conducted an Annual/Random inspection on today's date, at the above referenced facility. LPA was greeted and allowed entry into the facility by provider Margarita Robles, who stated that she currently has 16 children enrolled in the daycare. There were 4 infants and 6 toddlers present during this inspection. LPA stated purpose of today’s inspection, to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. The facility is a two story five bedroom home. LPA toured the facility and noticed that all required notices and forms were properly posted. The house smoke, carbon monoxide detectors are operable and fire extinguisher is fully charged. The daycare areas include: living room, family room, hallway bathroom, dining room, kitchen, and backyard. The off limit areas include: 2nd floor, bedroom located on the first floor and garage. The day care bathroom was inspected, it is clean and operable with good ventilation. The kitchen was inspected, all bottom drawers are secured and chemicals are not accessible to children. Facility's backyard is fully fenced, there are plenty of toys and equipment for outside activities. A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. One of the adult assistant does not have fingerprint clearance and has been helping the provider with the care and supervision of the children for two weeks. Provider's First Aid and CPR is up to date. Provider stated that they do not have hand gun or ammunition in this house. Senate Bill 792 pertaining to immunizations was discussed with Licensee. Licensee understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: measles, pertussis, and influenza. Assembly Bill 1207 Mandated Child Abuse Reporting. Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

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 3

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: ROBLES, MARGARITA FAMILY CHILD CARE	FACILITY NUMBER: 376627894
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/11/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/12/2019 Section Cited	1 2 3 4 5 6 7	Prior to employment...in the child care home...criminal record review shall Obtain...clearance... as required by law or Department regulations... This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on unfingerprinted person working at the facility without fingerprint clearance. This poses an immediate risk to the health and safety of the children in care. Facility was assessed with civil penalty in the amount of $500.00	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3

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: ROBLES, MARGARITA FAMILY CHILD CARE	FACILITY NUMBER: 376627894
	VISIT DATE: 09/11/2019

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
26
27
28
29
30
31
32

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

LPA provided licensee with a copy of the SIDS Safe Sleep printout information, Safe Sleep Regulation Concepts and Lead Exposure brochure. LPA advised provider of the importance of child abuse reporting, children’s records, immunization, shaken baby syndrome and the YMCA Resource Center. LPA explained clearance requirements for persons over 18 residing or working in the facility. Provider understood that physical discipline/corporal punishment and smoking shall never be permitted in the child care program. Provider was also advised that exersaucers, bouncy, rockers, walkers shall never be permitted in the child care program.

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
Community Care Licensing WEB SITE: http://www.ccld.ca.gov

An exit interview was conducted with Margarita Robles and a copy of this report and LIC-809D left at the facility as well as appeal rights. During the course of this evaluation, LPA advised Margarita that all request for extensions of any citations/Proof of Corrections (POCs) must be made within 10 days to the issuing LPA on or before the date the POC is due. Appeals to citations must be made within 15 days in writing to the issuing LPA's supervisor on or before the date the POC is due.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

LPA observed provider placing the Notice to Cite Visit on the wall visible to parents during today’s inspection.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3