376629038-3-1-2021-20-CC-RGOU-BYPNWW-20210301095012

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376629038
Report Date: 03/01/2021
Date Signed: 03/01/2021 09:51:15 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:	SANCHEZ, ALEJANDRA FAMILY CHILD CARE		FACILITY NUMBER:	376629038
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	03/01/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Alejandra Sanchez		TIME COMPLETED:	10:00 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	On 03/01/21 at 9:12 a.m . Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced Case Management - Capacity Increase virtual tele-inspection. Upon visit, LPA met with Licensee, Alejandra Sanchez and proceeded to virtually tour the home to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3. There were five children in care, including licensees' two children and three day care children in care at time of visit. Facility is within ratio\capacity limitations. Facility operates 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. The stairs in the formal living room are securely gated, per observation. 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. In addition, there is a firearm located in the home. The firearm and the ammunition are stored and locked separately, per observation. 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. Licensee has met immunization requirement, per SB792 and has completed the AB1207 Mandated Reporter Training. Licensee has completed the Preventative Health and Lead Prevention training on 01/17/21, certificate is on file. Licensee has one year of experience as a teacher at a licensed child care center; therefore, meets the qualifications for a capacity increase, per verifications on file. 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: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

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: 03/01/2021

NARRATIVE

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The fire clearance was granted on 02/19/21 with the special condition the converted garage shall not be used as additional space for the day care. LPA informed the licensee of the special condition listed on the fire clearance. Licensee acknowledges understanding of the condition.

Licensee will use the following areas for childcare: formal living room, formal dining room, 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: kitchen, laundry room, converted garage, second story of home; including three bedrooms and two bathrooms. Off limit areas of the home are made securely inaccessible, per observation. Drop off and pick up will take place at the front entrance of the home. Licensee indicated the day-care children’s personal belongings will be placed in cubbies located in the converted garage. The licensee indicated she will only access the garage to obtain the children's personal belongings and children will not have access the garage.

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 the following with the licensee: Max capacity when there is an assistant present: 12 children-no more than 4 infants (birth to 24 months). When caring for 14 children no more than 3 infants. 1 child in kindergarten and 1 child at least 6 years old. When there is no qualified assistant the capacity reverts back to the requirements from a small child care. You must notify the parents of the children in care when caring for more than 12 children.

No deficiencies were cited during today's inspection. An exit interview was conducted with the licensee. The following was discussed and will be provided to the licensee via email: LIC809 reports, Notice of Site Visit and appeal rights. A large Family Childcare License shall be granted after final file review. Once licensed , an updated license reflecting capacity increase will be mailed to the licensee. LPA informed the licensee to post the updated license once received. LPA informed licensee the Notice of Site visit shall be posted for 30 days today's date. COVID-19 State of emergency read receipt notification will be used in place of licensees' signature.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

LIC809 (FAS) - (06/04)

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