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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101493
Report Date: 01/18/2024
Date Signed: 01/18/2024 11:26:40 AM

Document Has Been Signed on 01/18/2024 11:26 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:VILSAINT, FABINE FAMILY CHILD CAREFACILITY NUMBER:
376101493
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 4CENSUS: 2DATE:
01/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:23 AM
MET WITH:Fabine VilsaintTIME COMPLETED:
11:45 AM
NARRATIVE
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On January 18, 2024, Licensing Program Analysts (LPAs), Martha Avila and Nancy Diaz conducted an unannounced Case Management visit for an increase in capacity from eight (8) to fourteen (14) children. LPA was greeted at the front door by Licensee, Fabine Vilsaint and granted entry after identifying herself and disclosing the purpose of her visit.

On 11/08/23, the licensee submitted an application (LIC 279) to request an increase of capacity. The Fire Safety Inspection Request (STD 850) was approved by the San Diego Fire Department and GRANTED the capacity increase to fourteen (14) children on 11/30/23.

LPA conducted an inspection of the 2 story home which includes 3 bedrooms and 1 1/2 bathrooms. Licensee will be using the living room, dining room, kitchen, day care bathroom, and backyard (with constant supervision) for child care. Off limit areas include the second floor of the home. A barricade was observed at the bottom of the stairs to make second floor inaccessible to day care children.

LPAs observed a swimming pool located at the complex next door. Licensee’s back yard is fully fenced. Licensee was reminded to keep the gate latched at all times.

The fire extinguisher, carbon monoxide detector, and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Licensee states that there are no weapons in the home. 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Martha Avila
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2024
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: VILSAINT, FABINE FAMILY CHILD CARE
FACILITY NUMBER: 376101493
VISIT DATE: 01/18/2024
NARRATIVE
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LPA discussed with Licensee the safe sleep regulations and 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 Fabine Vilsaint 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. . Licensee is reminded that infants may not be swaddled while in care and walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, corporal punishment, smoking 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 Avila directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.

Licensee was reminded that she must maintain required documentation for the helper that includes: job application/resume, fingerprint clearance, TB test, MMR, TDap, Pediatrics First Aid/CPR, Mandated Reporter Training, and flu shot.

Licensee also must obtain a signed LIC 9149 Landlord consent.

Licensee was reminded of the staffing/capacity ratios for Large Family Child Care Homes. Twelve (12) children, no more than 4 infants (birth to 24 months) and 8 older children over the age of 2. A qualified assistant (age 14 or older) is required. For fourteen (14) children, no more than 3 infants (birth to 24 months) and 11 older children; at least 2 school age, 1 child at least age 6, 1 child enrolled in and attending kindergarten or elementary school. When there isn't a qualified assistant, licensee must follow Small Family Home Child Care Regulations.

Licensee was reminded that increase of capacity will not be approved until all corrections are received.

Type B deficiencies were cited today. Type B deficiencies if not corrected poses a potential risk to the Health, Safety, or Personal Rights of children in care.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Martha Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 01/18/2024 11:26 AM - It Cannot Be Edited


Created By: Martha Avila On 01/18/2024 at 10:13 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: VILSAINT, FABINE FAMILY CHILD CARE
FACILITY NUMBER: 376101493

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/25/2024
Section Cited
CCR
102417(d)

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OPERATION OF A FAMILY CHILD CARE HOME.
The home shall provide safe toys, play equipment and materials.

This requirement was not met as evidenced by:
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Licensee stated that she will remove the trampoline from the back yard no later than end of business 1/25/24. She will send proof of correction (statement) by 1/25/24.
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Based on observation the tramploine located in the back yard worn out and damaged and will posed a safety hazard to children at play.
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Type B
01/25/2024
Section Cited
CCR102417(g)(8)

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OPERATION OF A FAMILY CHILD CARE HOME.
Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

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Licensee stated that she will complete the LIC 9040) and will submit a copy to the Department no later than end of business 1/25/24.
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Based on record review Licensee did not maintain the required Children's Roster (LIC 9040)
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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:Martha Avila
LICENSING EVALUATOR SIGNATURE:
DATE: 01/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2024


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 01/18/2024 11:26 AM - It Cannot Be Edited


Created By: Martha Avila On 01/18/2024 at 10:27 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: VILSAINT, FABINE FAMILY CHILD CARE
FACILITY NUMBER: 376101493

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/25/2024
Section Cited
CCR
102421(b)

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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 was not met as evidenced by:
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Licensee stated that she will provide copies of the children's required forms to parents today and will submit copies to the Department by end of business day 1/25/24.
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Based on record review and Licensee statement. Licensee did not maintain the required Children's Forms.

LPA provided Licensee a packet of the required children's forms today.
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Type B
01/25/2024
Section Cited
CCR102417(g)

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OPERATION OF A FAMILY CHILD CARE HOME.
The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to...

This requirement was not met as evidenced by:
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Licensee stated that she will trim the Bougainvillea and install a plastic barricade to make it inaccessible to children no later than 1/25/25. She will submit a photo no later than end of business day 1/25/24.
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Based on observation the big overgrown Bougainvillea with sharp thorns is accessible to day care children in the backyard.
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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:Martha Avila
LICENSING EVALUATOR SIGNATURE:
DATE: 01/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
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: VILSAINT, FABINE FAMILY CHILD CARE
FACILITY NUMBER: 376101493
VISIT DATE: 01/18/2024
NARRATIVE
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Exit interview was conducted with Fabine Vilsaint. LPA reviewed and provided a copy of this report to Fabine Vilsaint. Notice of Site Visit was also given and must be posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Martha Avila
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC809 (FAS) - (06/04)
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