376101568-7-24-2023-51-CC-SSIO-CU2Q4P-20230724115040

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376101568
Report Date: 07/24/2023
Date Signed: 07/24/2023 11:50:48 AM

Document Has Been Signed on 07/24/2023 11:50 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:	COSSICH, GABRIELA FAMILY CHILD CARE		FACILITY NUMBER:	376101568
ADMINISTRATOR:	GABRIELA COSSICH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(858) 314-0462
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92128
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 1	DATE:	07/24/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Gabriela Cossich and Ruth Enriquez		TIME 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 07/24/2023 at 8:30am, Licensing Program Analyst (LPA), Selina Siao conducted a pre licensing inspection with applicant. The 4 bedroom 2.5 bath two stories house was toured and inspected to ensure an environment safe for the care and supervision of children. The home has a fully charged fire extinguisher size 3A40BC, smoke and carbon monoxide detector that meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children during the inspection. The home does not have any bodies of water. The home has weapons and it is locked in a safe, LPA will need to return to the home to ensure that the ammunition is stored separately with the weapons. Applicant has an EMSA approved pediatric CPR and First Aid cards that are current due to expire on 06/10/2025 and her helper Ruth Enriquez's pediatric CPR and First Aid cards are current due to expire on 06/07/2025. Applicant completed the online mandated child abuse training on 06/04/2023 and Ruth Enriguez's completed the online mandated child abuse training on 06/13/23. Applicant was reminded that the mandated child abuse training certificates must be renew every two years. A review of the application and records on this date indicates that applicant, her partner James Dinneen are the current adult residents at the home with the require TB clearances, caregiver background checks and child abuse clearances. Applicant and helper Ruth Enriquez has the required immunizations and TB clearances. Applicant submitted a written statement from her partner James Dinneen that allows her to operate a day care facility at the resident. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). Applicant will be using the following areas for childcare: living room, play area for program, 1/2 bathroom, dining area when it's raining outside and kitchen. The fireplaces located in the dining area and living room are blocked off with a secured fireplace screen. Off limit areas: master bedroom, laundry room, garage and all of upstairs. The off-limit areas either have safety locks or gates to prevent access. Outdoor area will be the fenced backyard and visual supervision is required when children are outside.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

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: COSSICH, GABRIELA FAMILY CHILD CARE	FACILITY NUMBER: 376101568
	VISIT DATE: 07/24/2023

NARRATIVE

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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. Entrance Checklist was provided to the applicant.

Applicant was reminded that corporal punishment, smoking, baby walkers, exersaucers, bouncy seats and baby jumpers are not allowed in day care. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

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 she 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

Applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Applicant shall comply with all regulations and laws governing family childcare homes and be financially secure to operate a family childcare home for children.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: COSSICH, GABRIELA FAMILY CHILD CARE	FACILITY NUMBER: 376101568
	VISIT DATE: 07/24/2023

NARRATIVE

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Applicant 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.

On this date, 07/24/2023, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

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 corrections are needed prior to granting a license within 10 days:

submit a facility sketch for the upstairs off limit area
remove the fire pit to an off limit area or have a cover for the fire pit
latch the cabinet that has glass located at the dining area
latch the two kitchen drawers that have hazardous sharp items
bottom of the garage door needs to be repair or inaccessible to children
applicant needs to show LPA the weapons located in the safe and the ammunition are stored separately.

Exit interview conducted and report was reviewed with the applicant.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

LIC809 (FAS) - (06/04)

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