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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376101090
Report Date:
09/06/2023
Date Signed:
09/06/2023 04:21:23 PM
Document Has Been Signed on
09/06/2023 04:21 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:
JULES, ODRANISE FAMILY CHILD CARE
FACILITY NUMBER:
376101090
ADMINISTRATOR:
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP CODE:
CAPACITY:
8
TOTAL ENROLLED CHILDREN:
8
CENSUS:
0
DATE:
09/06/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
02:05 PM
MET WITH:
Odranise Jules
TIME COMPLETED:
04:45 PM
NARRATIVE
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On 9/6/23 @ 2:05PM, LPA Nancy Diaz conducted an unannounced inspection. LPA disclosed the purpose of the inspection and was granted facility entry by the Licensee. A tour of the home was conducted with Odranise Jules. There were no children observed present today. The following areas are accessible to children living room, kitchen, daycare room, bathroom and back fenced yard. Facility operates 7 days/7AM to 10PM. The licensee was present in the home to ensure that all children are supervised at all times.
Mrs. Jules recently submitted an application for an increase of capacity. A fire clearance was received on 8/30/23 from the San Diego Fire Prevention Bureau.
There were no bodies of water observed within the premises. Mrs. Jules stated that she does not maintain weapons in the home.
Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored appropriately and inaccessible to children.
Fire extinguisher and smoke detectors meet State Fire Marshall standards. The carbon monoxide detector present in the home meet the standards established in Chapter 8 of Part 2, Division 12. Home is kept clean and orderly with heating and ventilation for safety and comfort. Licensee provide safe toys, play equipment and materials. The home maintains a working telephone service.
There is a crib and a play pen for each infant who is unable to climb out. The crib and play pen were observed to be free from all loose articles and objects. Bumper pads are not used. There are no objects hanging above or attached to the side of the crib. Infants are not swaddled while in care. Infants are supervised while they sleep. Documentation of infant napping log was not available for review.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/06/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/06/2023
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:
JULES, ODRANISE FAMILY CHILD CARE
FACILITY NUMBER:
376101090
VISIT DATE:
09/06/2023
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-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.
Car seats are only used for transportation purposes and not used for sleeping. Infants are supervised while they sleep.
The outdoor play area is fenced or supervised by the licensee. An isolation area has been designated for children who became ill during the day.
Children’s records were reviewed. Documentations maintained for children were incomplete.
Staff have been immunized against influenza, pertussis and measles. Licensee’s CPR and First aid is valid thru May 2024.
Licensee 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.
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/
.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/06/2023
LIC809
(FAS) - (06/04)
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of
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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:
JULES, ODRANISE FAMILY CHILD CARE
FACILITY NUMBER:
376101090
VISIT DATE:
09/06/2023
NARRATIVE
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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.
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
.
Exit interview conducted and report was reviewed with the licensee. A copy of this report and appeal rights were provided. Notice of site visit was provided and observed posted. Notice shall remain posted for 30 days.
TYPE A AND B DEFICIENCIES WERE CITED TODAY.
Licensee shall provide copies of this document to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months.
A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/06/2023
LIC809
(FAS) - (06/04)
Page:
3
of
7
Document Has Been Signed on
09/06/2023 04:21 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
09/06/2023
at
03:49 PM
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:
JULES, ODRANISE FAMILY CHILD CARE
FACILITY NUMBER:
376101090
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/06/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. The drawer in the kitchen (next to refrigerator) was observed accessible to children. The latch broke and did not work. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
09/07/2023
Plan of Correction
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Mrs. Jules removed the sharps and butcher knife and made them inaccessible to children. Mrs. Jules stated that she will fix the latch no later than 9/7/2023. Mrs. Jules will send a photo to show that the latch was fixed no later than 9/7/2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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4
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:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
09/06/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/06/2023
LIC809
(FAS) - (06/04)
Page:
4
of
7
Document Has Been Signed on
09/06/2023 04:21 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
09/06/2023
at
03:49 PM
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:
JULES, ODRANISE FAMILY CHILD CARE
FACILITY NUMBER:
376101090
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/06/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation, the licensee did not comply with the section cited above. The wall heater was observed accessible to children. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/13/2023
Plan of Correction
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Mrs. Jules stated that she will install a barricade to make the wall heater inaccessible to children no later than 9/13/2023.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. Mrs. Jules failed to conduct a fire drill with the children. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/13/2023
Plan of Correction
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Mrs. Jules stated that she will conduct a fire drill no later than 9/13/23 with the children. She will submit a copy of her fire drill no later than 9/13/23.
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:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
09/06/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/06/2023
LIC809
(FAS) - (06/04)
Page:
5
of
7
Document Has Been Signed on
09/06/2023 04:21 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
09/06/2023
at
03:49 PM
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:
JULES, ODRANISE FAMILY CHILD CARE
FACILITY NUMBER:
376101090
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/06/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on interview and record review, the licensee did not comply with the section cited above. Licensee's sister Bertha is her helper. Licensee failed to obtain the required immunization for Bertha. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/13/2023
Plan of Correction
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Mrs. Jules will obtain Bertha's immunization record and submit copy to the department no later than 9/13/23.
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
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4
Based on interview & record review, the licensee did not comply with the section cited above. Several children were missing form LIC 700. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/13/2023
Plan of Correction
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LPA provided Mrs. Jules a packet of children's forms. She will obtain completed forms from the parents and submit to the department no later than 9/13/2023.
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:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
09/06/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/06/2023
LIC809
(FAS) - (06/04)
Page:
6
of
7
Document Has Been Signed on
09/06/2023 04:21 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
09/06/2023
at
03:49 PM
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:
JULES, ODRANISE FAMILY CHILD CARE
FACILITY NUMBER:
376101090
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/06/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(m)(3)
Operation of A Family Child Care Home
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Licensee failed to maintain the required form LIC 282. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/13/2023
Plan of Correction
1
2
3
4
Licensee will obtain completed form from the parents and submit copies to the department no later than 9/13/2023.
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Mrs. Jules did not maintain a sleeping log that documented the 15-minute check during naps. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/13/2023
Plan of Correction
1
2
3
4
LPA provided the safe sleep regulation packet to Mrs. Jules. She stated that she will start logging the 15-minute checks during nap.
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:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
09/06/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/06/2023
LIC809
(FAS) - (06/04)
Page:
7
of
7