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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629259
Report Date: 02/04/2022
Date Signed: 02/04/2022 01:14:13 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:TACHIQUIN, PATRICIA FAMILY CHILD CAREFACILITY NUMBER:
376629259
ADMINISTRATOR:PATRICIA TACHIQUINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 203-2309
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 0DATE:
02/04/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Patricia TachiquinTIME COMPLETED:
01:15 PM
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LPA, Luigi Gargaro, conducted an announced prelicensing inspection for a relocation with the applicants to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Analyst met with co-applicants Patricia Tachiquin and Cristina Castillo. The two story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher and combination smoke and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. The applicant was asked whether she had any bodies of water or weapons in the home and she replied no. CPR and First Aid expire on June of 2023 for both co-applicants. 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. Applicant owns the home and provided proof of control of property, in the form of home ownership documentation, which she submitted with her original application.

Applicants will be using the following rooms for childcare: the kitchen, the dining/family room area and the master and second bathrooms all located on the main level of the home. The second day care room area and bedroom located in the lower level of the home are also for use areas. Off limits is the master bedroom also located on the main level of the home. The master bedroom is made off limits with a locking bolt on the sliding entrance door. While the lower level bedroom is for use, the staircase accessing is off limits and is made that way with child safety gates that are installed at the top and bottom of the staircase. In order to access the lower level bedroom and back yard applicants will instead take children through the right side alleyway. The home has a wall heating unit it the dining room that applicant attests is non-operational and is inaccessible due to dining room furniture. Applicants understand that if heater is ever made operational, a safety gate or other security device to make it further inaccessible is to be installed. The applicant has sufficient toys and equipment available.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2022
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: TACHIQUIN, PATRICIA FAMILY CHILD CARE
FACILITY NUMBER: 376629259
VISIT DATE: 02/04/2022
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The home has fenced front and back yards. The front yard was inspected and while applicant intends to mainly use it as a pass through area to the home entrance, the yard was inspected and found to be safe as an additional play area and may be used at the applicants' discretion. The home back yard has an off limits lower yard behind it that is made of limits with and installed fence and latching gate. The left hand side alley which contains applicants personal items is made off limits with front and back latching gates. Applicants also have two off limits lower level storage rooms that have entrance doors in the back yard and are made off limits with installed dead bolt locks and door knob covers. Applicants also have a child safety gate installed at their secondary entrance door as they have a five step staircase that leads from it to the side yard.

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. LPA and applicant discussed California Megan's Law and he provided applicant with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

Applicants were reminded of requirements for children’s records, child abuse and unusual incident reporting, immunizations, adults living or working in the home and associated civil penalties, shaken baby syndrome, and SIDS. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not allowed in day care.

No corrections were required during today’s visit. A license for 14 will be issued as applicant requested a transfer of her previous large license to this new location. Fire clearance for the home was received on 01/12/22 from the San Diego Fire Department.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2022
LIC809 (FAS) - (06/04)
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