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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376606519
Report Date: 03/25/2022
Date Signed: 03/25/2022 12:46:48 PM

Document Has Been Signed on 03/25/2022 12:46 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:PADILLA, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376606519
ADMINISTRATOR:PADILLA, IRMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 934-7896
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 14DATE:
03/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Irma Padilla / Braiana PadillaTIME COMPLETED:
12:45 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 03/25/22 at 9:45AM, Licensing Program Analysts (LPAs) Edgar Campana and Cindy Meier conducted a complaint investigation inspection at the facility. LPAs initially met with Licensee, Irma Padilla, who was was about to leave facility on an urgent personal matter. Licensee informed LPAs that her adult daughter, Braiana Padilla, would assist and LPAs proceeded to tour the facility. Census was 14 children, one of whom is an infant, and two staff. All adults who were present are cleared and associated to facility, however no staff records are on file.

Upon tour of the facility, it was determined that hazardous items were accessible to children. LPAs observed construction supplies, tools, steel tubes, and chains behind the play structure in the backyard, all of which were directly accessible to children in care.

LPAs also observed an infant inside of a crib with loose articles and objects.

Pursuant to Title 22 of the CA Code of Regulations, the following Type A and B deficiencies were cited (refer to LIC 809-D).

Facility representative was reminded that all adults 18 and over, 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 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 facility representative 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 facility representative 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.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE: DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2022
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
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: PADILLA, IRMA FAMILY CHILD CARE
FACILITY NUMBER: 376606519
VISIT DATE: 03/25/2022
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
LPA Edgar Campana informed facility representative, Braiana Padilla, that this report dated 03/25/2022 documents two Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Edgar Campana informed the facility representative to provide a copy of this licensing report dated 03/25/2022 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with the facility representative. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) were provided to facility representative and signature on this form acknowledges receipt of these rights. LPA observed Notice of Site Visit being posted. Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 03/25/2022 12:46 PM - It Cannot Be Edited


Created By: Edgar Campana On 03/25/2022 at 11:18 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: PADILLA, IRMA FAMILY CHILD CARE
FACILITY NUMBER: 376606519

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2022
Section Cited
CCR
102417(g)(4)

1
2
3
4
5
6
7
102417(g) - 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: (4)… other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Facility representative made backyard off limitis until hazardous itmes are made inaccessible. Staff member stated that she will inform Licensee to watch "Locks and Inaccessibility Requirements in Child Care" video and provide a summary to the Department by 03/30/2022.
8
9
10
11
12
13
14
Based on LPA observations, Licensee did not ensure that hazardous items are inaccessible, which poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
Facility representative stated that Licensee will provide pictures of backyard fencing prior to using backyard for daycare use.
Type A
03/25/2022
Section Cited
CCR102425(b)

1
2
3
4
5
6
7
102425 - Infant Safe Sleep: (b) Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Facility representative immediately cleared all loose items and articles from infant crib. Facility representative stated that she will inform Licensee to review Safe Sleep Regulations, PIN 20-24 CCP, and Safe Sleep FAQ's from June 2021.
8
9
10
11
12
13
14
Based on LPA observations, Licensee did not ensure that infant cribs were free from loose articles and objects which poses an immediate risk to the health and safety of children in care.
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:Jason Garay
LICENSING EVALUATOR NAME:Edgar Campana
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 03/25/2022 12:46 PM - It Cannot Be Edited


Created By: Edgar Campana On 03/25/2022 at 11:46 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: PADILLA, IRMA FAMILY CHILD CARE
FACILITY NUMBER: 376606519

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/30/2022
Section Cited
CCR
102416.1(d)

1
2
3
4
5
6
7
102416.1 - Personnel Records - (d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Facility representative was provided with a copy of CCR 102416.1 - Personnel Records as well as form LIC311D to relay to Licensee. Facility representative further stated that she will inform Licensee to watch "Record Keeping in Family Child Care" video and provide summary to Department by 03/30/2022
8
9
10
11
12
13
14
Based on LPA observations and staff interview, Licensee did not ensure that personnel records are maintained and available for review, which poses a potential risk to the health and safety of children 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:Jason Garay
LICENSING EVALUATOR NAME:Edgar Campana
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022


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