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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101205
Report Date: 08/16/2023
Date Signed: 08/16/2023 11:00:55 AM

Document Has Been Signed on 08/16/2023 11:00 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:CAZARES, GINA FAMILY CHILD CAREFACILITY NUMBER:
376101205
ADMINISTRATOR:GINA CAZARESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 315-1373
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY: 14TOTAL ENROLLED CHILDREN: 17CENSUS: 11DATE:
08/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Gina CazaresTIME COMPLETED:
11:20 AM
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Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by Licensee, Gina Cazares. LPA was granted entry after identifying herself and disclosing the purpose of her visit. There were 11 children in care and licensee had an assistant that is associated to her facility. Licensee is using the following areas for daycare: Playroom, Dining room, Living Room, Kitchen, Bedroom 2, Bathroom 1, and Backyard. The following areas are off-limits to children: Bedrooms 1, 3, 4, 5, Bathroom 2, 3, and Garage. These areas are inaccessible to children by locked doors. The children are provided a safe, healthful, and comfortable environment, furnishings, and equipment. Business Hours are Monday-Friday, 7:00am-5:30pm.

LPA tested the smoke alarm in the playroom and the carbon monoxide detector located in the hallway area and were both functional. There is a fire extinguisher in the kitchen area that meets regulations. LPA did not observe any bodies of water on the premises. Licensee stated there are no weapons or ammunition stored on the premises and LPA did not observe any.

There is a fireplace that has been screened in the living room. Storage for poisons, detergents, cleaning solutions, medications are out of reach and inaccessible to children by locks and stored in Off Limit Rooms. Licensee provided a fire/disaster drill log that shows the last drill was conducted on 6/28/23. The home is kept clean and orderly with heating and ventilation for safety and comfort.

There are no infants enrolled at this facility. Pediatric CPR and First Aid card expires January 2024. Licensee has a Mandated Reporter Certificate that expires August 2023, and licensee stated she will renew this month. There is a working telephone and email address.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2023
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CAZARES, GINA FAMILY CHILD CARE
FACILITY NUMBER: 376101205
VISIT DATE: 08/16/2023
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Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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.

LPA discussed the safe sleep regulations with licensee or facility representative 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 for facility representative 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.

There are no deficiencies cited today.

Exit interview was conducted and report was reviewed with licensee, Gina Cazares. Copy of report and Appeal Rights was given. A notice of site visit was posted and must remain for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023
LIC809 (FAS) - (06/04)
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