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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101258
Report Date: 02/10/2023
Date Signed: 02/10/2023 12:16:22 PM

Document Has Been Signed on 02/10/2023 12:16 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:JOSEPH, GINETTE & DELIMA, MERCENE FCCFACILITY NUMBER:
376101258
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/10/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:07 AM
MET WITH:Applicant, Ginette JosephTIME COMPLETED:
12:25 PM
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Licensing Program Analyst (LPA), Saraliz Velando, conducted an announced Prelicensing Inspection. LPA was greeted at the front door by Ginette Joseph. Her husband, Mercene Delima, was not present. LPA was granted entry after identifying herself and disclosing the purpose of her visit. Applicant stated that she has no minor children living in the home. The applicant has applied for a capacity of eight (8). The one-story home consists of three bedrooms and one bathroom. The applicant will be using the following areas for daycare: Living room, Daycare room, and bathroom 1. Off limit areas include: Kitchen, Bedroom 1, Bedroom 2, Bedroom 3, Front yard, and side yards and have been made inaccessible by doorknob covers and locked doors. Outdoor play will take place in designated playground area in backyard after correction has been made and approved by LPA. Business Hours are Monday- Sunday, 6am to 10pm. An overall inspection of the home was conducted. The inspection included, but was not limited to:

The home has a functioning carbon monoxide detector, smoke alarm, and fire extinguisher that meet statutory requirements. There are no open face heaters, but there is a fireplace in the daycare room that has been barricaded to prevent access to children. Storage areas for poisons, detergents, cleaning solutions, medications, and items which state keep out of reach of children have been locked and placed out of reach inaccessible to children. There are no bodies of water at the unit. There is no garage at the premises, but there is a shed in the backyard that is used for storage and is locked to prevent access to children. Applicant stated there are no weapons or ammunition stored on the premises and LPA did not observe any. The home is kept clean with heating and ventilation for safety and comfort. The home provides safe toys, play equipment and materials. The applicant has completed training on preventive health practices including pediatric CPR/First Aid which expires October 2024. The applicant has also completed Mandated Reporter Training which expires February 2025. There is a working telephone and email address.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2023
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: JOSEPH, GINETTE & DELIMA, MERCENE FCC
FACILITY NUMBER: 376101258
VISIT DATE: 02/10/2023
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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.

The new provider packet was reviewed with the applicant including information on immunizations, child abuse reporting, car seat laws, shaken baby syndrome, SIDS, and the effects of lead poisoning. Applicant was also reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall not be permitted during daycare operation. All equipment that is used should be used only as intended by the manufacturer. Applicant states they are aware that interference with a child’s daily functions, physical or mental abuse and corporal punishment is not permitted. LPA and applicant discussed California Megan’s Law and LPA provided the link www.meganslaw.ca.gov.

LPA discussed safe sleep regulations with the 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 the 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 CPSC to be notified of any recalls on their purchased equipment.

LPA discussed the following with the applicant: Maximum capacity for a small family child care home; 4 infants only (infants defined as children under 24 months) or 6 children with no more than 3 infants; or with landlord consent, 8 children with no more than 2 infants – 1 child in kindergarten or elementary school and 1 child at least age 6 including children under the age of 10 who reside in the applicant’s home.

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 maximum per day/per person will be assessed if there is regulation is violated.

LPA provided the applicant with the following: Child Care Advocates email address of childcareadvocatesprogram@dss.ca.gov.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023
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: JOSEPH, GINETTE & DELIMA, MERCENE FCC
FACILITY NUMBER: 376101258
VISIT DATE: 02/10/2023
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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

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.

The following items will need to be corrected prior to the issuance of the license: The playground needs to be made safe for children in care. Once the correction has been made, and proof has been received in the licensing office, a license for eight (8) children will be granted. Licensee also understands that if the correction is not completed within thirty (30) days, application may be denied. Applicant agreed to comply with all regulations and laws governing Family Child Care Homes.

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

DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023
LIC809 (FAS) - (06/04)
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