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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101774
Report Date: 06/04/2024
Date Signed: 06/04/2024 04:19:52 PM

Document Has Been Signed on 06/04/2024 04:19 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, SOLINE FAMILY CHILD CAREFACILITY NUMBER:
376101774
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
06/04/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Soline JosephTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
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On 6/4/24 at 2:00PM Licensing Program Analyst (LPA) Patrick Ma conducted an unannounced inspection for an increase in capacity application. Licensee submitted application to the Department on 4/2/24. Fire clearance report was received by the Department on 5/13/24. Upon arrival, LPA met with Licensee Soline Joseph and present his badge and purpose of visit. Also, in the home was Husband/helper, Jean Joseph. The 2 story home was toured and inspected to ensure an environment safe for the care and supervision of children. Present in the home were 6 day care children, 1 of whom is under 24 months, and 1 of licensee’s own child under the age of 10.
Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include living room, dining room, bedroom 1, bathroom 1, which are all located on the 1st floor. Off limits areas include entire upstairs and is inaccessible through use of child safety gate at the bottom of the stairs. The licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. 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 7/2024. Licensee has required immunizations. Licensee is exempt from Mandated Reporter Training as their primary language is Creole. 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)
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Document Has Been Signed on 06/04/2024 04:19 PM - It Cannot Be Edited


Created By: Patrick Ma On 06/04/2024 at 03:37 PM
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, SOLINE FAMILY CHILD CARE
FACILITY NUMBER: 376101774

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
102425(a)

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102425(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. This requirement is not met as evidenced by:
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Licensee stated she was unaware infants under 12 were required to sleep in a crib or playpen. LPA reviewed PIN 20-24 regarding children's sleep plan. Licensee stated she will follow the guidelines provided.
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Based on observation, LPA observed Jean Joseph picking child C1 from a bassinet which infants under 12 month is prohibited to sleep in and poses a potential health and safety risk to children in care.
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Type B
07/04/2024
Section Cited
CCR102425(j)(1-2)

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102425(j)(1-2) INFANT SAFE SLEEP: The provider shall supervise infants while they are sleeping and…check on the infant every 15 minutes…provider shall check and document.
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Licensee stated she was unaware of the requirement to document sleep logs. LPA reviewed PIN 20-24 regarding children's sleep plan. She will begin logs tomorow and send a sample copy of completed logs for C1 by 7/4/24.
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Based on records review, Licensee has not been documenting sleep log for C1.
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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: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)
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Document Has Been Signed on 06/04/2024 04:19 PM - It Cannot Be Edited


Created By: Patrick Ma On 06/04/2024 at 03:58 PM
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, SOLINE FAMILY CHILD CARE
FACILITY NUMBER: 376101774

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
102417(g)(7)

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102417(g)(7)card shall be maintained for each child ...parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement was not met as evidenced by:
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Licensee stated she submit proof of missing children's records to the Department by 7/4/24.
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Based on records review, C1 - C4 were missing LIC 627, C4 was also missing LIC 700, LIC995A, LIC 282 which poses a potential hazard to the health and safety of children in care.
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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: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)
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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, SOLINE FAMILY CHILD CARE
FACILITY NUMBER: 376101774
VISIT DATE: 06/04/2024
NARRATIVE
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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 applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). If capacity increase is approved, they can operate with a maximum capacity of 14 children. Capacity limitations were reviewed. Licensee is to be present in the home to ensure children are supervised and is reminded that the license is NOT transferable and should she relocate, this license will be null and void.

Once deficiency corrections are submitted and reviewed by the Department, a license for 14 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 (See LIC 809D)

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 Soline 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)
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