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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700573
Report Date: 05/10/2019
Date Signed: 05/10/2019 12:37:08 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:LISA'S LIL TIKESFACILITY NUMBER:
376700573
ADMINISTRATOR:DANIELS, LISAFACILITY TYPE:
850
ADDRESS:4351 PARKS AVENUETELEPHONE:
(619) 460-6432
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:50CENSUS: 43DATE:
05/10/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Lisa DanielsTIME COMPLETED:
12:55 PM
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Licensing Program Analysts (LPA) Samantha Salunga and Leilani Curtis visited the facility to conduct a case management (non-compliance) inspection. Upon arrival LPA's met with Gini Andrade, Co-Director, and proceeded to tour the facility. Lisa Daniels, Owner/Co-Director, arrived shortly after to conclude inspection. During inspection, there were a total of 43 children with a total of five staff members.

Appropriate ratios and capacity were observed. Furniture and equipment inside and outside of facility is in good condition; free of sharp, loose, or pointed parts. Drinking water is readily accessible at all times. Disinfectants, cleaning solutions, and other hazardous items are inaccessible to children via latches, locks and/or placed up on high surfaces. No body of water was observed during time of inspection. No firearms or weapons are present at the facility. All toilets and hand washing facilities are in good repair and sanitary. Kitchen/food preparation area is observed clean and free of litter, mold, rodents and other vermin. All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair. Outdoor play area is fully fenced and contains sufficient amount of cushioning with wooden chips to absorb a fall. Sign in/sign out sheets are well maintained. Last fire drill was conducted and documented on 03/07/2019. All required documents are posted. Children’s files were reviewed for medical assessment. Present staff (during inspection) records were reviewed and contained documentation of educational background, training, and/or experience. There is at least one staff member on site at all times that is current in CPR/First Aid. Immunization records per SB792 and Mandated Reporter Training Certificate per AB1207 was reviewed and in compliance.

This facility does not currently provide Incidental Medical Services (IMS). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. See 809-C for continuation...
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
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: LISA'S LIL TIKES
FACILITY NUMBER: 376700573
VISIT DATE: 05/10/2019
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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

Southern California Child Care Advocate information was provided and Director was encouraged to contact the advocate in order to be placed on an email list for updated regulation information. Advocate information was provided: Jane Cong-Huyen at 714-703-2800 or childcareadvocatesprogram@dss.ca.gov.

Duty Line was provided: (619) 767-2248. LPA's discussed California Megan's Law and LPA's provided: www.meganslaw.ca.gov

To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov
No deficiencies observed in the areas inspected during today's visit.
NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Ms. Daniels post notice of site visit.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
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