372016672-10-18-2024-51-CC-KLAE-DA6Q88-20241018115619

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372016672
Report Date: 10/18/2024
Date Signed: 10/18/2024 11:56:29 AM

Document Has Been Signed on 10/18/2024 11:56 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	VALENCIA, MICHELE FAMILY CHILD CARE		FACILITY NUMBER:	372016672
ADMINISTRATOR/ DIRECTOR:	MICHELE VALENCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(858) 278-5111
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92123
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	10/18/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:58 AM
MET WITH:	Michele Valencia		TIME VISIT/ INSPECTION COMPLETED:	11:15 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 10/18/24 at 8:58 AM Licensing Program Analysts (LPAs) Keturah Lane and Edleen Montesa conducted an unannounced annual inspection with the Licensee. Upon arrival, LPAs met with Licensee, Michele Valencia and helper Denise Valencia and provided the Inspection Checklist (LIC126). The one-story home was toured and inspected to ensure an environment safe for the care and supervision of children. LPAs observed 2 infants in care upon arrival. At 9:05 AM, 2 more children arrived and at 9:45 AM a 5^thchild arrived. Proper supervision, ratios and capacity were observed. The fire extinguisher, carbon monoxide detector, and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Licensee states that there are no weapons in the home. 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. At 9:10 AM, LPA observed infant C1 sleeping on her stomach. LPA observed the child breathing and Licensee stated she sleeps on her stomach. LPAs also observed a cardboard screen around the play yard obscuring the view. Licensee stated she needs to put it up so the child won’t see her walking in and will sleep. LPAs were concerned it makes it more difficult to check the infant for the sleep checks every 15 minutes. Licensee did not have any LIC9227 Individual infant sleeping plans on file. LPA provided technical assistance and reminded them of the LIC9227 forms for children under 12 months that had been reviewed back on 6/15/22 at the last annual inspection. A second infant C2 went down for sleep around 9:30 AM. LPAs observed helper checking the infants approximately every 15-20 minutes and documenting on the safe sleep log. LPA reminded the checks need to be done consistently every 15 minutes as they are documented so the times are correct. Licensee stated she would provide the forms for the parents of C1 and C2 to fill out and provide LPA a copy via e-mail. LPAs observed infants diapers were changed timely. (continued on LIC809-C...)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VALENCIA, MICHELE FAMILY CHILD CARE	FACILITY NUMBER: 372016672
	VISIT DATE: 10/18/2024

NARRATIVE

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At 10:45 AM, LPAs observed children rinsing their hands in a bowl of sudsy soap and wiping them off with a yellow towel. LPA asked why they did not wash their hands at the sink. Licensee stated that sometimes they do that. LPA advised to not use the soapy bowl as it may spread germs from one child to another. Licensee stated she would have the children wash hands at the faucet using proper handwashing techniques. LPA will provided resources for proper handwashing via e-mail to Licensee.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for childcare include: playroom, kitchen, hall, bathroom, master bedroom, dining room and living room. Off limits areas include: bedroom #2, bedroom #3 and bathroom #2 and are inaccessible through use of door-knob covers. There is a working phone at the facility. The licensee has sufficient age appropriate, safe, toys and equipment available. The home has a fenced backyard available for outdoor activities. Verification of control of property is on file. Property owner/Landlord notification and consent are on file.

Licensee’s and Helper’s First Aid and CPR certifications expire on 3/4/25. Licensee and staff meet immunization requirements. Mandated Reporter training renewals expired on 6/30/24 and need to be renewed. Licensee maintains emergency records for children. Required documents are posted. LPA reviewed documentation of emergency drills and last (earthquake/fire) drill was conducted on 9/13/24. LPA obtained an updated roster.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA Lane directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. (continued on LIC809-C...)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VALENCIA, MICHELE FAMILY CHILD CARE	FACILITY NUMBER: 372016672
	VISIT DATE: 10/18/2024

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

See LIC809D for Type B deficiencies cited.

Exit interview conducted and report was reviewed with the licensee, Michele Valencia. Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

During the exit interview, the Licensee Michele Valencia, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/18/2024 11:56 AM - It Cannot Be Edited

Created By: Keturah Lane On 10/18/2024 at 11:06 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VALENCIA, MICHELE FAMILY CHILD CARE	FACILITY NUMBER: 372016672
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 2 out of 2 staff records which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/28/2024
	Plan of Correction
1 2 3 4	Licensee stated she and her helper Denise Valencia would renew the mandated reporter training and send updated certificates to LPA Lane via e-mail by 10/28/24

Type B

Section Cited

CCR

102425(c)

Infant Safe Sleep

An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in two out of two infant records which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/28/2024
	Plan of Correction
1 2 3 4	Licensee stated she would have the parents of C1 & C2 fill out the LIC9227 forms and e-mail them to LPA Lane by 10/28/24.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Tashima Daniel

LICENSING EVALUATOR NAME:

Keturah Lane

LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024

LIC809 (FAS) - (06/04)

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