376628673-8-6-2020-20-CC-JVAE-BS925M-20200806170547

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376628673
Report Date: 08/06/2020
Date Signed: 08/06/2020 05:24:48 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:	MAGANA, MIRIAM FAMILY CHILD CARE		FACILITY NUMBER:	376628673
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	08/06/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Miriam Magna		TIME COMPLETED:	05:00 PM

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	On August 6, 2020 at 3:00 PM, Licensing Program Analyst (LPA's) Julissa Valle and Gloria Gonzalez conducted an announced prelicensing inspection with applicant, Miriam Magna for the purpose of a change of location via video conference by Face Time, due to the Covid-19 outbreak. LPA's were granted a video tour into the facility by the Applicant. 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 one story, three bedroom, two bath home was toured and inspected. The hours of operation are Monday through Friday, 5:30 a.m. to 6:30 p.m. Applicant will use the following areas for child care: living room, daycare bathroom 1, kitchen, dining room, play room and backyard. Off limits areas include: bedroom 1, 2 and 3, bathroom 2, garage, and outdoor plant house in backyard. They are made inaccessible to day care children through the use of door locks, doorknob covers, and gates. Applicant will utilize the backyard for outdoor activities. The fireplace is screened. Applicant stated there are no bodies of water and none were observed during time of inspection. The fire extinguisher is rated 2A 10B:C and is located in the hallway closest to kitchen, smoke and carbon monoxide detectors meet requirements and are operational. Applicant states all poisons, detergents, cleaning compounds, and medicines are inaccessible to children in care and are located in off limit areas with cupboard latches and/or door locks and secured out of reach of children. Children’s toys and play equipment are available. The applicant has a working telephone/cell phone. Applicant indicated there are no firearms or other weapons in the home. Applicant maintains documentation of proof of control of property for review by the Department. Applicant has completed the Mandated Reporter AB1207 training certification on 08/02/2020. Pediatric CPR and First Aid certifications expire on 10/2021. Applicant and adult residents in the home have criminal record clearances on file.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Julissa Valle	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2020

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: MAGANA, MIRIAM FAMILY CHILD CARE	FACILITY NUMBER: 376628673
	VISIT DATE: 08/06/2020

NARRATIVE

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Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. LPA advised that prior to making alterations or additions to the home or grounds, the applicant shall notify the Department of the proposed change. Applicant states she is financially secure to operate a family child care home for children and will comply with all regulations and laws governing family child care homes.

Applicant does not plan on providing Incidental Medical Services (IMS) to clients at this time. 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 within 30 days. 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

Reviewed sample of children’s records, facility roster and disaster drill log.

The New Provider Resource Packet was reviewed with the applicant including information on the following: Safe Sleep, Lead Exposure, SIDS, shaken baby, child abuse reporting, community resources, staff records, required postings, immunizations, unusual incident report, car seat law, visual for ratio/capacity, and discussed California Megan's Law and LPA provided the following: www.meganslaw.ca.gov. Applicant was also informed the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care.

LPA discussed the maximum capacity for a small family child care home: four infants only (infants mean any children under 24 months); or six children with no more than three infants; or, with landlord consent, eight children with no more than two infants, one child in kindergarten or elementary school and one child at least age six, including children under age 10 who live in the home. It should be noted Landlord Consent is on file.

Applicant is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Julissa Valle	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2020

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: MAGANA, MIRIAM FAMILY CHILD CARE	FACILITY NUMBER: 376628673
	VISIT DATE: 08/06/2020

NARRATIVE

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Southern California Child Care Advocate information was provided and applicant was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

A Provisional Small Family Child Care Home license maybe issued after a final file review. This provisional license was issued to applicant due to not having 8-hr preventative health and safety training with lead prevention included. Applicant is registered to take 8 hours of preventative health training on 08/16/2020. Provisional license shall expire 90 days after the date of issuance and shall not be extended. LPA Julissa Valle and Gloria Gonzalez interpreted and explained inspection report to applicant, applicant stated she understood.

A copy of the report and appeal rights (LIC 9058) will be e-mailed to the applicant and applicant was advised that acknowledgement of the receipts of the report and appeal rights are to be received within twenty-four hours.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Julissa Valle	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2020

LIC809 (FAS) - (06/04)

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