376629038-1-12-2021-20-CC-RGOU-BX83G6-20210112171348

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376629038
Report Date: 01/12/2021
Date Signed: 01/12/2021 05:14:43 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:	SANCHEZ, ALEJANDRA FAMILY CHILD CARE		FACILITY NUMBER:	376629038
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	01/12/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Alejandra Sanchez		TIME COMPLETED:	03:30 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 01/12/21 at 2:00 p.m. Licensing Program Analyst (LPA), Rajani Goudreau conducted an announced pre-licensing virtual tele-inspection. Upon visit, LPA met with applicant, Alejandra Sanchez. LPA conducted a tour of the home and outdoor play area to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3. Facility plans to operate Monday through Friday from 7:30 a.m. to 5:30 p.m. All cleaning compounds, detergents, medications and other items which could pose a danger to children are stored where they are inaccessible to children and poisons are to be locked away. The fire extinguisher, smoke and carbon monoxide detectors meet requirements and are operational. LPA observed required postings, including the COVID-19 postings posted in the home. Children’s toys and play equipment are safe and age appropriate. There are no bodies of water observed by LPA during inspection. Children will utilize the backyard for outdoor play. LPA informed licensee to ensure children are supervised at all times during outdoor activities. There is a gas fire place located in the living room (child care room) that is securely screened and with the gas turned off, per observation. Applicant indicated the fire place is not used. In addition, there is a firearm located in the home. The firearm and the ammunition are stored and locked separately, per observation. LPA discussed firearm and ammunition regulations. Applicant acknowledged understanding of the requirements. Primary telephone is a cell phone which is operational. Pediatric CPR and First-Aid certificate are valid through November 2021. There are no new adults living or working in the home. A review of clearances 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 owns the home and has provided proof of control of property. Applicant has met immunization requirement, per SB792 and has completed the AB1207 Mandated Reporter Training. Applicant is scheduled to conduct the Preventative Health and Lead Prevention training on 01/17/21. Facility self-certification and COVID-19 Facility Self-Assessment checklists are on file. See LIC809 continuation page…

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2021

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: SANCHEZ, ALEJANDRA FAMILY CHILD CARE	FACILITY NUMBER: 376629038
	VISIT DATE: 01/12/2021

NARRATIVE

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Licensee will use the following areas for childcare: Living room (childcare room), Nook- (dining room)-located near the kitchen, bathroom located near living room, and back yard. Off limit areas of the home include: formal living room, formal dining room, kitchen, laundry room, garage, second story of home; including three bedrooms and two bathrooms. Off limit areas of the home are made securely inaccessible, per observation. The stairs leading to second story of home is located in an off-limit area of the home, which is made securely inaccessible by the use of locked doors. Drop off and pick up will take place in the garage. The garage entrance and exit is located near the side of the home, which leads to the front of the house. In addition, there is an entrance inside the garage that leads to the childcare room. Applicant indicated the day-care children’s personal belongings will be placed in cubbies located in the garage. LPA informed licensee the garage is not an licensed area of the home. Licensee acknowledges understanding. Applicant indicated childcare will not be conducted in the garage. Applicant indicated the garage is used as a playroom for the children who reside in the home. LPA informed applicant if she plans to conduct childcare in the garage, verification will have to be submitted to the department reflecting the garage is zoned for human habitation.

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 provided 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 discussed California Megan's Law and provided the following to licensee with the following website: www.meganslaw.ca.gov. LPA informed applicant in order to access CCLD-Childcare regulations, licensing forms, pay the annual fee to visit the following website: http://ccld.ca.gov. LPA discussed the following with licensee: to sign up for Quarterly Updates and PINs for one or more programs through our website. Please go to www.cdss.ca.gov and on the right side of your screen click on “Receive Important Updates”, put your email address in and choose which program(s) you would like to subscribe to and click “subscribe. In addition, for questions contact Child Care Licensing duty line at 619-767-2248. LPA discussed lead poisoning effects brochure and information on SIDS, shaken baby syndrome. See LIC809-C continuation page...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2021

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: SANCHEZ, ALEJANDRA FAMILY CHILD CARE	FACILITY NUMBER: 376629038
	VISIT DATE: 01/12/2021

NARRATIVE

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LPA discussed the following with applicant: maximum capacity for a small family child care home: 4 infants only (infants mean any children under 24 months); or 6 children with no more than 3 infants; or (with landlord consent) 8 children with no more than 2 infants, 1 child in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home.

The following is needed in order to issue a regular family childcare license and shall be submitted to the department by 01/18/21:
· Certificate of completion of the Preventative Health and Lead Training

A provisional license for a small family childcare home shall be issued for 90 days, pending the Preventative Health and Lead Training certificate. Once the pending verification is received a regular family child care home license shall be issued. The following was discussed and will be provided to the applicant via email: LIC809, LIC809-C reports and appeal rights. COVID-19 State of emergency read receipt notification will be used in place of licensee’s signature.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2021

LIC809 (FAS) - (06/04)

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