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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628315
Report Date: 10/29/2019
Date Signed: 10/29/2019 12:45:50 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:CONTRERAS, ALMA & BARRERA, SOLEDAD FCCFACILITY NUMBER:
376628315
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
10/29/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Alma Contreras & Soledad BarreraTIME COMPLETED:
01:00 PM
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LPA Armando Locano completed an announced pre-licensing site inspection today. The purpose of the visit is to ensure the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Met with applicants Alma Contreras & Soledad Barrera, we discussed the pre-licensing packet of materials. Information discussed included: resource programs, child care general health and safety standards, capacity, child abuse reporting responsibilities, SIDS and shaken baby information, required forms and record keeping requirements. SIDS and Shaken Baby hand outs were provided during the visit. Applicant understands that physical discipline/corporal punishment shall never be permitted in the child care operation. There is an appropriate Type II 10 ABC fire extinguisher and working smoke and carbon monoxide alarms maintained in the home. The home was toured and there are sufficient age appropriate toys and equipment available in the home for children’s use. Toxic items and cleaning supplies have been made inaccessible to children. Applicant has completed the required pediatric CPR, First Aid, 8-hour preventive health courses and mandated reporter training. There are no weapons or bodies of water on the premises. This is a 4 bedroom, 3 bath two story detached home. Areas which may be used for childcare are: kitchen, breakfast nook, dining room, living room, family room, downstairs hall bathroom, and large fully fenced back yard for outdoor activities. Off-limit areas are; four upstairs bedrooms, two upstairs bathroom, garage and storage areas, which are to remain inaccessible during childcare hours.
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 and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. website to licensee. LPA discussed new LEAD information regarding effects of lead exposure and new Provider Information Notice (PIN) Regarding new proposed SIDS Regulations and provided copies of Lead hand out and PIN.

Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu, applicants have provided current verification of required immunizations and facility is in full compliance.

No corrections are needed, small license is issued effective today October 29, 2019.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019
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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