<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610573
Report Date: 04/20/2022
Date Signed: 04/20/2022 12:35:40 PM

Document Has Been Signed on 04/20/2022 12:35 PM - It Cannot Be Edited

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:BELTRAN, PRISCILLA FAMILY CHILD CAREFACILITY NUMBER:
136610573
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/20/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Priscilla Beltran, ApplicantTIME COMPLETED:
12:45 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
Licensing Program Analyst (LPA) Diana Sanchez, conducted a Prelicensing inspection to the facility today. LPA met with Applicant Priscilla Beltran. The single story four-bedroom home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher, carbon monoxide and smoke detector meet requirements and are operational.

Applicant stated that she will be using the following areas for daycare purposes: living room, dining room, den, family room and hallway bathroom. Off limits areas includes: All bedrooms, laundry room, garage, kitchen and backyard and have been protected by door knobs and baby gate.

All hazardous items were latched/locked and not accessible to children. The hallway bathroom is operable with good ventilation. The backyard is off limits until renovation is completed. Applicant was advised that backyard could not be use for daycare purposes, until approved by the San Diego Child Care Regional Office (SDCCRO). Applicant stated that she will be taking the children to the near by park for outside activities. Applicant was advised that direct supervision is required at all times while the children are playing out in the public areas.

A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aid and CPR are up to date. Applicant stated that they do not hand gun or ammunition in this house.
Applicant stated that she will have the children take naps in the daycare areas. LPA observed a crib that will be used for napping. Applicant also stated that she ordered napping cots.

Assembly Bill 1207 Mandated Child Abuse Reporting. Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. LPA verified that applicant has proof of completed course.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2022
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: BELTRAN, PRISCILLA FAMILY CHILD CARE
FACILITY NUMBER: 136610573
VISIT DATE: 04/20/2022
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
26
27
28
29
30
31
32
Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu were discussed with Applicant. LPA has verified that applicant has verification of required immunizations and is in compliance.
Applicants was advised of the requirement of an Individual Infant Sleeping Plan [LIC 9227 (3/20)] is maintained for each infant up to 12 months of age, to physically checks on sleeping infants every 15 minutes and to place infants up to 12 months of age on their backs for sleeping.

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 discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.
LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov
Community Care Licensing WEB SITE: http://www.ccld.ca.gov

LPA provided applicant a copy of the SIDS Safe Sleep printout information, Safe Sleep Regulation Concepts and Lead Exposure brochure. LPA advised applicant the importance of child abuse reporting, children’s records, immunization, shaken baby syndrome and the YMCA Resource Center. LPA explained clearance requirements for persons over 18 residing or working in the facility. Applicant understood that physical discipline/corporal punishment and smoking shall never be permitted in the child care program. Applicant was also advised that exersaucers, bouncy, rockers, walkers shall never be permitted in the child care program.
The following items needs to be corrected and completed by April 29, 2022:
· Cover ceramic edge along the fire place.
· Post all required documents visible to parents.
An exit interviewed was conducted with applicants Priscilla Beltran and a copy of this report left at the facility.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2