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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101150
Report Date: 07/19/2022
Date Signed: 07/19/2022 03:46:23 PM

Document Has Been Signed on 07/19/2022 03:46 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:FARR, CARLA FAMILY CHILD CAREFACILITY NUMBER:
376101150
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/19/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Carla FarrTIME COMPLETED:
03:50 PM
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On 7/19/22 at 1:50 PM, Licensing Program Analysts (LPAs) Adrian Mangina and Saraliz Velando conducted an announced Pre-Licensing inspection with the applicant, Carla Farr. Also present in the home during the inspection was Katie O’Connor. The three bedroom, two bathroom home single story home was toured and inspected to ensure an environment safe for the care and supervision of children. Applicant owns the home and has provided a copy of the grant deed as proof of control of property.

Applicant states that they have sufficient financial resources to sustain the license. 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. Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Applicant completed Family Childcare Orientation on 4/10/22. First Aid and CPR expire March 2024 and preventative health practices course was completed on 6/24/22. Mandated Reporter Training AB 1207 was completed on 3/12/2022. Staff immunization requirements per SB792 were met. Applicant has the required immunizations.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2022
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: FARR, CARLA FAMILY CHILD CARE
FACILITY NUMBER: 376101150
VISIT DATE: 07/19/2022
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Applicant will be using the following rooms for childcare: Daycare playroom, living room, bathroom 2 and Bedroom 2, and Backyard. The following areas will be off limits: Primary Bedroom, Primary bathroom, Kitchen, Garage, and Front Yard. The off-limit areas either have safety latches, locks, doorknob covers or gates to prevent access. The fireplace in the Living Room is screened and gated to prevent access. The attached garage will also be off limits and is kept inaccessible through the use of a lock requiring a key. There are no bodies of water on the property. Applicant states that there are no weapons or ammunition in the home.

The 2A10BC fire extinguisher located in the kitchen and the smoke detector locate in the hallway and carbon monoxide detector located in the hallway meet requirements and are all operational. All hazardous items were latched/locked and secured out of reach of children. The applicant has sufficient toys and equipment available. Outdoor play will take place in the fully fenced back yard with constant supervision. Applicant owns two cats. Outdoor play structure is securely fixed to the ground and has sufficient mulch for cushioning.

The new provider packet was reviewed with the applicant including information on ratios and capacity, child abuse reporting, children’s records, immunizations, adults living or working in the home, car seat law, shaken baby syndrome, SIDS, safe sleep practices, effects of lead poisoning, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers, and bouncy seats 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 discussed and provided applicant with the following information:
· Child Care Advocates - email address childcareadvocatesprogram@dss.ca.gov.
· For common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.
LPA discussed the safe sleep regulations with applicant 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 applicant 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
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
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: FARR, CARLA FAMILY CHILD CARE
FACILITY NUMBER: 376101150
VISIT DATE: 07/19/2022
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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: http://www.ada.gov/childqanda.htm

LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Applicant owns home and can care for up to 8 children, including any children living in the home under ten years old.

The following corrections are needed prior to the issuance of the license:
· Secure gates to prevent children from accessing the kitchen area and fireplace area.
· Touchless thermometer
· Secure cords under computer desk in Bedroom 2.

Applicant understands that corrections must be submitted to the Department within 30 days, no later than August 19, 2022, or the application may be denied.

Exit interview conducted and report was reviewed with the applicant, Carla Farr.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
LIC809 (FAS) - (06/04)
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