<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628485
Report Date: 11/07/2019
Date Signed: 11/07/2019 10:06:16 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:ZUNIGA DE FRIAS, NEREIDA FAMILY CHILD CAREFACILITY NUMBER:
376628485
ADMINISTRATOR:NEREIDA ZUNIGA DE FRIASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 737-1185
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:14CENSUS: 0DATE:
11/07/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nereida Zuniga De FriasTIME COMPLETED:
10:15 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) Yolanda Baez conducted an announced pre-licensing site inspection with Applicant, Nereida Zuniga De Frias. Purpose of the inspection is to ensure that the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. This 5 bedroom and 3 bathroom home was toured and inspected to ensure environment is safe for the care and supervision of children.

Applicant owns the home and has provided proof of occupancy by showing LPA a copy of her bill. Applicant will use the following areas for child care: the living room, the hallway bathroom, and the back yard. The following areas are made inaccessible by the use of door knobs and safety gates: the entire upstairs which includes 4 bedrooms and 2 full bathrooms, the kitchen, the living area near the main entry way, one downstairs bedroom, and the garage. The back yard is properly fenced and Applicant stated that it will be used for outdoor activities. There are no bodies of water observed during time of visit. The fire extinguisher is rated 2A 10B:C and is located in the kitchen area. The smoke and carbon monoxide detectors meet requirements and are operational. All poisons, cleaners and hazardous items in the home are inaccessible to children through latches, locks, and are placed up on high surfaces.

Children’s toys and play equipment are available. Applicant stated that there are no firearms or ammunition in the home. Applicant will have to submit proof of completion of 8 hour Preventative Health course. Pediatric CPR and First Aid certifications expire on 03/2020. Required documents are posted. Applicants and all adults residing in the home have been cleared for criminal record and child abuse index clearances. Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. Any minor upon his/her 18th birthday must be fingerprinted within 30 days. Immunization records per SB792 were reviewed and are in compliance. Applicants understands that all personnel who will be providing care and supervision to children must have immunization records present at the facility available for review.

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
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 2
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: ZUNIGA DE FRIAS, NEREIDA FAMILY CHILD CARE
FACILITY NUMBER: 376628485
VISIT DATE: 11/07/2019
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
Per applicant operating hours are 23 hours, Monday through Sunday. LPA Baez advised applicant that no changes should be made to the home and inaccessible areas cannot be used without prior notice and/or approval from Licensing.

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



The New Provider Resource Packet was reviewed with the Applicant including information on the following: SIDS, shaken baby syndrome, insurance, child abuse reporting, community resources, children’s records packet/facility records/required postings, immunization's (per SB792 and child immunizations), unusual incident report, roster, car seat law, visual form for ratio/capacity, prohibited items handout (walkers, exersaucers, jumpers, and bouncy seats), and fire/disaster drill log. Applicant was also reminded that corporal punishment and smoking are not allowed in the day care.

Duty Line: (619) 767-2248, open Monday through Friday from 8AM to 5PM.

LPA Baez, may be reached at (619) 929-5727 and email is yolanda.baez@dss.ca.gov

This report was translated in Spanish and Applicant stated that she understands.

The following requirements are needed prior to issuing a license:
  • Approved STD850 from fire marshal
  • Proof of enrollment or completion of 8 hour preventative health course
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2