376628181-3-3-2020-51-CC-ERED-BMCQAN-20200303110014

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376628181
Report Date: 03/03/2020
Date Signed: 03/03/2020 11:00:19 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:	CHAPA, CLAUDIA FAMILY CHILD CARE		FACILITY NUMBER:	376628181
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	03/03/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Claudia Chapa		TIME COMPLETED:	11:15 AM

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) Elise Read and OT (Office Technician) Tiffanie Diep conducted an unannounced inspection with the Licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present were the Licensee, helper Hans Knickmann, licensee's adult son Kevin Chapa and 6 day care children, 2 of whom are infants. The carbon monoxide detector and smoke detector (both located in the hallway) meet requirements and are operational. The fire extinguisher (located in the laundry room) meets regulation and is operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Licensee states that there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aid and CPR certification for licensee expire on 02/2021. Kevin Chapa also has First Aid and CPR, which expires 02/2022. Licensee and helpers meet immunization requirements per SB 792. Licensee has completed Mandated Reporter Training AB 1207. Both Kevin Chapa and Hans Knickmann need to complete Mandated Reporter Training AB 1207 (available at www.mandatedreporterca.com). Licensee understands that this training must be completed every 2 years. Children’s records have up to date immunization records, and Notification of Parent’s Rights Receipts. Licensee maintains a current roster and is conducting emergency/disaster drills according to regulation. Last disaster drill was conducted on 02/12/2020. Licensee has provided adequate space for the children to eat, sleep and play within the home. The licensee has sufficient toys and equipment available. Areas used for child care include living room and hallway bathroom. Off limits areas include all three bedrooms and kitchen, which are inaccessible through use of safety gates. The home has a backyard available for outdoor activities.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise Read	TELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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: CHAPA, CLAUDIA FAMILY CHILD CARE	FACILITY NUMBER: 376628181
	VISIT DATE: 03/03/2020

NARRATIVE

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Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement. Corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. Licensee was also provided handouts with information regarding Safe Sleep and Lead Exposure. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided licensee with the following: Child Care Advocates - email address childcareadvocatesprogram@dss.ca.gov. In addition, for common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.

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.

No deficiencies are cited.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise Read	TELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

LIC809 (FAS) - (06/04)

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