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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628108
Report Date: 04/13/2023
Date Signed: 04/13/2023 02:08:05 PM


Document Has Been Signed on 04/13/2023 02:08 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:NORIEGA ORTIZ, RAQUEL FAMILY CHILD CAREFACILITY NUMBER:
376628108
ADMINISTRATOR:RAQUEL NORIEGA ORTIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 863-0729
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 1DATE:
04/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Vanessa ArreolaTIME COMPLETED:
02:10 PM
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On 4/13/2023, at 12:15 p.m., Licensing Program Analyst (LPA), Adrian Castellon conducted an unannounced Annual Required Inspection and met with facility assistant Vanessa Arreola. LPA Castellon disclosed the purpose of the inspection and was granted entry into the facility by facility assistant. One child was present in the facility during this inspection. The assistant accompanied LPA inside and out of the facility during this inspection. The following areas are used for daycare purposes: entire home except for the three bedrooms (1, 2, and 4) A fully fenced backyard is also used for daycare purposes. The off-limits areas are inaccessible through the use of door knob covers, baby gates and door locks. The fire extinguisher, smoke detector, and carbon monoxide detector meet licensing requirements. All hazardous items are inaccessible to children. The storage areas for cleaning supplies and other toxins is secure. Licensee is reminded that criminal record clearance or exemption, or transfer of existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home is required. 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. Licensee’s First Aid and CPR certifications are valid through 8/23. Staff has required immunizations. The facility roster is maintained and was reviewed. The fire and disaster drills requirement is met. Mandated reporter requirement is met. The licensee has toys, play equipment, and materials available for children. The home uses a fully fenced back patio for outdoor activities. Per the licensee, there are no firearms maintained at the facility. Facility files were reviewed on this date. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a date. LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage 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 items. LIC 9227 is to be used as part of the Safe Sleep requirements.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:
DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/13/2023
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: NORIEGA ORTIZ, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 376628108
VISIT DATE: 04/13/2023
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LPAs discussed the following: Report suspected child abuse and neglect, maintaining children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. The licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers, and/or similar equipment are not allowed in daycare. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPAs discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov. In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

Incidental Medical Services (IMS) policy was discussed. Licensee does not provide IMS at this time, 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

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.


No deficiencies cited. An exit interview was conducted with facility assistant.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023
LIC809 (FAS) - (06/04)
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