<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101258
Report Date: 06/04/2024
Date Signed: 06/04/2024 11:46:55 AM

Document Has Been Signed on 06/04/2024 11:46 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:JOSEPH, GINETTE FAMILY CHILD CAREFACILITY NUMBER:
376101258
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
06/04/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Ginette JosephTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 6/4/24 at 9:00am Licensing Program Analyst (LPA) Patrick Ma conducted an unannounced inspection for an increase in capacity application. Fire clearance was completed on 3/11/24. LPA met with Licensee Ginette Joseph. Also, in the home was Helper Ebed Suzaland and Geannie Hyacinthe. The one story home was toured and inspected to ensure an environment safe for the care and supervision of children. Present in the home were 2 day care children.
Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include living room, daycare room, and bathroom 1. Off limits areas are the kitchen, bedroom 1 - 3, front yard, and side yards and have been made inaccessible by child safety gate and door locks. Outdoor play area will take place in the fenced backyard area. Exersaucers and an infant bouncy seats was observed and removed from the licensed backyard area during inspection visit. Licensee understands that supervision is required at all times during outdoor activities.

The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There is no body of water on the property. Licensee states that there are no weapons in the home. First Aid and CPR certifications expire on 10/2024. Licensee has required immunization for herself. Licensee completed Mandated Reporter Training in February 2023 and is reminded it must be completed every 2 years. Children’s and Staff records were reviewed.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
Document Has Been Signed on 06/04/2024 11:46 AM - It Cannot Be Edited


Created By: Patrick Ma On 06/04/2024 at 10:46 AM
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: JOSEPH, GINETTE FAMILY CHILD CARE
FACILITY NUMBER: 376101258

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2024
Section Cited
CCR
102417(d)(1)

1
2
3
4
5
6
7
102417(d)(1) Fixtures, furniture and equipment that have been banned or recalled by the United States Consumer Protection Safety Commission shall not be used for children in care or accessible to children in care. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee stated she did not know items were prohibited and removed them from licensed area during inspection and stated she will not use in the future. Deficiency cleared during inspection.
8
9
10
11
12
13
14
Based on observation 2 exersaucers and one bouncy seat, prohibited at licensed day cares, were seen at the facility in the licensed backyard area which poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Type B
07/04/2024
Section Cited
HSC1597.622(a)(1)

1
2
3
4
5
6
7
HSC 1597.622(a)(1) 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. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee stated she will provide proof of immunizations for S1 and S2 and negative TB proof for S1 to the department by 7/4/24.
8
9
10
11
12
13
14
Based on records review, staff S1 an S2 were both missing their immunization proofs, including S1 missing negative TB proof which poses a potential hazard to the health and safety of children in care if not corrected.
8
9
10
11
12
13
14
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:Renesha Askew
LICENSING EVALUATOR NAME:Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE: 06/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2024


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 06/04/2024 11:46 AM - It Cannot Be Edited


Created By: Patrick Ma On 06/04/2024 at 11:05 AM
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: JOSEPH, GINETTE FAMILY CHILD CARE
FACILITY NUMBER: 376101258

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/04/2024
Section Cited
CCR
102418(a)

1
2
3
4
5
6
7
102418(a) Immunizations: Prior to admission to a family day care home, children shall be immunized against diseases
1
2
3
4
5
6
7
Licensee stated she will provide proof of immunizations for child C1 to the department by 7/4/24 and ensure immunizations are at the facility for C5 the next time Licensee provides care for child due to drop-in status.
8
9
10
11
12
13
14
Based on records review 2 out of 5 children's files reviewed were missing immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Renesha Askew
LICENSING EVALUATOR NAME:Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE: 06/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
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 FAMILY CHILD CARE
FACILITY NUMBER: 376101258
VISIT DATE: 06/04/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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.

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-andresources/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.

The licensee has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 12 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 14 children.

After corrections are submitted and reviewed the by Department. A license for 12 children may be issued upon final file review. Licensee was reminded that annual fees are due on the date they were licensee every year.

See LIC809D for deficiencies cited.

The following corrections are needed:
• Deficiency corrections – proof of missing staff and children’s immunizations

Applicant understands that corrections must be submitted to the Department within 30 days or the application may be denied.
Exit interview conducted and report was reviewed with the applicant Ginette Joseph. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4