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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628500
Report Date: 02/16/2022
Date Signed: 02/16/2022 11:30:01 AM


Document Has Been Signed on 02/16/2022 11:30 AM - 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:LOPEZ, ILIANA IXCEL FAMILY CHILD CAREFACILITY NUMBER:
376628500
ADMINISTRATOR:ILIANA IXCEL LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 504-8156
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:14CENSUS: 6DATE:
02/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Iliana LopezTIME COMPLETED:
11:30 AM
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On February 16, 2022 at 9:15 a.m, Licensing Program Analysts (LPAs), Edgar Campana and Casey Gulley conducted an unannounced Annual Required Inspection and met with the Licensee, Iliana Lopez.  LPAs disclosed the purpose of the inspection and were granted entry into the facility by the Licensee.  Six (6) children and one (1) staff were present in the facility during this inspection.  This facility is a two story, 5 bedroom, 4 1/2 bathroom house. Licensee accompanied LPAs inside and out of the facility during this inspection. The following areas are to be used for child care are: living room, dining room, downstairs bedroom and bathroom, half bathroom, kitchen, family room and back patio. Off limits areas include: garage and entire upstairs, which includes four bedrooms, three bathrooms and laundry room. They are made inaccessible through the use of door locks and safety gates.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements.  All hazardous items were inaccessible to children.  The licensee has toys, play equipment and materials available.  The home has a fenced backyard available for outdoor activities.  No bodies of water observed on the premises during the inspection. Licensee stated 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.  Licensee’s First Aid and CPR certifications expire on 01/2024.  Licensee has required immunizations.  Licensee completed Mandated Reporter Training on 07/30/2020. Facility roster is maintained and was reviewed.  The last fire and disaster drills were conducted and documented on 01/10/2022.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2022
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: LOPEZ, ILIANA IXCEL FAMILY CHILD CARE
FACILITY NUMBER: 376628500
VISIT DATE: 02/16/2022
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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 equipment.

LPA 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.

LPA provided and discussed the following: Reporting Covid positive, suspected child abuse & neglect, maintain children’s records according to regulation, and post required forms. The licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers, and/or similar equipment are not allowed in daycare.

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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Licensee informed LPAs that she plans on possibly modifying her garage for daycare use. LPAs informed Licensee that the Department must be notified prior to any modifications and discussed and provided a copy of California Code of Regulations (CCR) section 102416.3(a) - Alterations to Existing Buildings or Grounds.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LOPEZ, ILIANA IXCEL FAMILY CHILD CARE
FACILITY NUMBER: 376628500
VISIT DATE: 02/16/2022
NARRATIVE
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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. LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov.

An exit interview was conducted and the report was reviewed with the licensee Iliana Lopez. Licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiencies cited.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3