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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628484
Report Date: 11/04/2019
Date Signed: 11/04/2019 05:11:09 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:VIVANCO, ELSA & BEILSON, OSCAR FAMILY CHILD CAREFACILITY NUMBER:
376628484
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
11/04/2019
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Elsa VivancoTIME COMPLETED:
05:30 PM
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LPA Armando Locano completed an announced pre-licensing change of location 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. LPA met with applicant Elsa Vivanco, discussed SIDS, shaken baby information and record keeping requirements. Applicant understands that physical discipline/corporal punishment shall never be permitted in the child care operation. There is an appropriate Type II 10ABC fire extinguisher and working smoke and carbon monoxide alarms maintained in the home. Applicant has up to date 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,2 ½ bath two story detached home. Areas which may be used for childcare are; kitchen, 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 bahtrooms, garage and storage areas, which are to remain inaccessible during daycare 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. LPA discussed new LEAD information regarding effects of lead exposure during visit and provided Lead Handout and proposed new Regulations pertaining to infant care.

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, licensee has current verification of required immunizations and is in full compliance.

No corrections are needed, the home is ready for daycare operation, however, licensee will commence operation at this address on November 6, 2019. Small license will be issued effective November 6, 2019.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
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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