376617485-5-10-2023-51-CC-SVEO-CRPQ8N-20230510115701

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376617485
Report Date: 05/10/2023
Date Signed: 05/10/2023 11:57:16 AM

Document Has Been Signed on 05/10/2023 11:57 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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	ACOSTA, ALMA FAMILY CHILD CARE		FACILITY NUMBER:	376617485
ADMINISTRATOR:	ALMA ACOSTA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 280-1515
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 4	DATE:	05/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Licensee, Alma Acosta		TIME COMPLETED:	12:10 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	Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by Licensee, Alma Acosta. LPA was granted entry after identifying herself and disclosing the purpose of her visit. LPA conducted the inspection in Spanish as requested by licensee. Licensee is using the following areas for daycare: Living room, Dining room, Kitchen, bathroom 1, bedroom 2, and Patio. The following areas are off-limits to children: Bedroom 1, Front yard, and Garage. These areas are inaccessible to children by locked doors and a baby safety gate. The licensee is present in the home and ensures that children in care are supervised at all times. The children are provided a safe, healthful, and comfortable environment, furnishings, and equipment. Business Hours are Monday- Saturday, 9:30am-7:00pm. The facility currently has 4 children in care. LPA tested the smoke alarm and the carbon monoxide detector located in the dining room area and they are both functional. There is a fire extinguisher in the Kitchen area that meets regulations. LPA did not observe any bodies of water on the premises. Licensee stated there are no weapons or ammunition stored on the premises and LPA did not observe any. There is no fireplace in the home or open wall heater. LPA observed knives in a kitchen drawer where the latch is not working properly and baby gate was left open where children could access the kitchen. LPA observed 2 electrical outlets in living room and 3 electrical outlets in bedroom 2 that had no covers. Licensee provides outdoor play in the backyard with age-appropriate play equipment and toys. Licensee provided a fire/disaster drill log that shows last drill was conducted on 6/23/22. The home is kept clean and orderly with heating and ventilation for safety and comfort. Children’s files are available and complete. LPA observed a Sleep Log for 1 infant, but licensee was missing a Sleeping Plan for 1 infant. Pediatric CPR and First Aid card is current and will expire January 2025. Licensee has a current flu shot. There is a working telephone and email address.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

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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Document Has Been Signed on 05/10/2023 11:57 AM - It Cannot Be Edited

Created By: Saraliz Velando On 05/10/2023 at 11:14 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: ACOSTA, ALMA FAMILY CHILD CARE	FACILITY NUMBER: 376617485
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/10/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with that a Kitchen drawer containing knives was accessible to children in care. There are 2 electrical outlets missing covers in Living room and 3 electrical outlets missing covers in Bedroom 2, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/11/2023
	Plan of Correction
1 2 3 4	Licensee tols LPA she will place covers on the elctrical outlets and submit proof to the department by 5/11/23.

Type B

Section Cited

CCR

102417(g)(9)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation the licensee did not comply with the section cited above in that the last recorded fire drill was conducted on 6/23/22, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/31/2023
	Plan of Correction
1 2 3 4	Licensee told LPA that she will conduct a fire/disaster drill and submit proof to the department by 5/31/23.

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:

Monica Cuddy

LICENSING EVALUATOR NAME:

Saraliz Velando

LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ACOSTA, ALMA FAMILY CHILD CARE	FACILITY NUMBER: 376617485
	VISIT DATE: 05/10/2023

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Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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 licensee or 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 licensee for 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.

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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to: inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Based on today’s visit, deficiencies were cited on LIC809-D.

Exit interview was conducted and report was reviewed with the licensee, Alma Acosta. A notice of site visit was posted and must remain for 30 days.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

LIC809 (FAS) - (06/04)

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