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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100341
Report Date: 03/09/2022
Date Signed: 03/09/2022 12:41:51 PM

Document Has Been Signed on 03/09/2022 12:41 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:WIMBERLY, AMY FAMILY CHILD CAREFACILITY NUMBER:
376100341
ADMINISTRATOR:AMY WIMBERLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 395-5849
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:08 AM
MET WITH:Licensee, Amy WimberlyTIME COMPLETED:
12:50 PM
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On 3/9/2022, at approximately 10:08am, Licensing Program Analysts (LPAs), Jennifer Lott and Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPAs were greeted at the front door by Licensee, Amy Wimberly and granted entry after identifying themselves, asking the Covid questions, and disclosing the purpose of their visit. The licensee is using the following areas for daycare: Living room, Bedroom 1,Kitchen, backyard and Bathroom 1. Off limit areas include: Bedroom 2, Bedroom 3, Bathroom 2, Front yard, and garage. Business Hours are: Monday- Thursday, 8:30am-1:30pm. The facility currently has 11 children in care. Licensee is operating within the licensed ratio and capacity.

At 11:00am, LPA Velando tested the smoke detector and carbon monoxide detector located in the hallway area. Both devices were functional. Licensee advised there are no bodies of water on the premises and LPAs did not observe any bodies of water on the premises. Licensee advised there are no firearms or ammunition stored on the premises.

There is a fireplace that has been screened. There are no stairs in the home. Storage for poisons, detergents, cleaning solutions, medications are locked and inaccessible to children. There is an outdoor play area that is fenced. Licensee has conducted disaster/fire drill on September 2021. The home is kept clean and orderly with heating and ventilation for safety and comfort. The home provides safe toys, play equipment and materials.
Pediatric CPR and First Aid cards are valid. Mandated Child Abuse Reporting as per AB1207 is valid. Staff immunizations were reviewed and in compliance. There is a working telephone and email address.

Licensee Amy Wimberly was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2022
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: WIMBERLY, AMY FAMILY CHILD CARE
FACILITY NUMBER: 376100341
VISIT DATE: 03/09/2022
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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.

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

No deficiencies were cited. Exit interview conducted and report was reviewed with the licensee, Amy Wimberly. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
LIC809 (FAS) - (06/04)
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