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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376622737
Report Date: 07/08/2024
Date Signed: 07/08/2024 01:12:53 PM

Document Has Been Signed on 07/08/2024 01:12 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:PONCE, CATALINA FAMILY CHILD CAREFACILITY NUMBER:
376622737
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 6DATE:
07/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:10 AM
MET WITH:Catalina Ponce & Kimberly BeltranTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 7/8/2024 at 11:25am, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection for the purpose of a capacity increase. LPA met with Licensee, Catalina Ponce and discussed the purpose of the inspection. Also present was licensee's assistant, Kimberly Beltran and licensee's spouse, Miguel Ponce. Licensee's assistant, Kimberly Beltran aided as a translator due to licensee's primary language is Spanish. There were six (6) daycare children present, one (1) of whom is 1 year of age. Days and hours of operation are Monday – Sunday, 23 hours per day.

On 6/11/2024, Licensee submitted a Family Child Care application requesting a capacity increase. The Fire Safety Inspection Request was approved for fourteen (14) children on 6/20/2024. The licensee provided proof of control of property.

This facility is a one story, four bedroom, two bathroom home. The following areas are used for childcare: daycare room #1, daycare room #2, bathroom #1 (inside of daycare room), fully fenced left side of backyard, side yard. Off limits areas are the living room, kitchen, dining room, bedroom #1, bedroom #2 (master), bedroom #3, bedroom #4, bathroom #2 (inside of master), fully fenced right side of backyard, and garage. Off limit areas are made inaccessible by use of fencing, doorknob covers and door locks. Licensee stated that she will utilize the left portion of the fenced backyard for outdoor activities. Licensee was reminded to ensure the supervision of children during outdoor activities. Licensee updated facility sketch during time of inspection.

The fire extinguisher, smoke and carbon monoxide detectors meet requirements and are operational. Poisons, detergents, cleaning compounds, medications and other hazardous items were made inaccessible to children during time of inspection. Licensee has children's toys, play equipment and books available. Licensee has a working cell phone. Licensee stated there are no bodies of water on the premises. Licensee stated there are no firearms or weapons in the home.
See LIC 809C Continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2024
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PONCE, CATALINA FAMILY CHILD CARE
FACILITY NUMBER: 376622737
VISIT DATE: 07/08/2024
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Licensee and adult residents in the home have criminal record clearances and/or exemptions on file. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Pediatric CPR/First Aid certification for licensee is valid through 7/3/2025 and for assistant through 1/2026. Licensee and assistant have the required immunization records on file. Mandated Reporter training certification for licensee expires on 6/2025 and for assistant 1/3/2026. LPA informed licensee to ensure the mandated reporter training is completed once every two years. LPA observed the required documents posted. A sample of children’s files were reviewed and were determined to be complete. The last fire/disaster drill was conducted and documented on 6/10/2024.

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.

LPA discussed safe sleep regulations with licensee 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
LPA reviewed PIN 20-24-CCP regarding Safe Sleep with licensee. Licensees stated that he understood.

LPA also informed licensee 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.

See LIC 809C Continuation...

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PONCE, CATALINA FAMILY CHILD CARE
FACILITY NUMBER: 376622737
VISIT DATE: 07/08/2024
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Please visit the Guardian web page and set-up your Guardian account. https://cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian
If you have any questions regarding Guardian, please contact CDSS at email: guardian@dss.ca.gov

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

Licensee was provided the Ratio/Capacity worksheet. LPA discussed the maximum number of children for whom care shall be provided when there is an assistant provider in the home, including children under age 10 who live in the licensee's home and the assistant provider's children under age 10, shall be either: Twelve (12) children with no more than four of whom may be infants or Fourteen (14) children, with at least two of the children with 1 child enrolled in kindergarten and 1 child at least six years of age and no more than three infants, with landlord consent (LIC 9149).

A Large Family Child Care Home license may be issued upon final file review and completion of the following:

- 8 hour Preventative Health (including nutrition and lead poisoning prevention)

During the exit interview, the Licensee, Catalina Ponce, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A copy of this report along with Appeals Rights, were provided. Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Licensee, Catalina Ponce and assistant, Kimberly Beltran aided as a translator.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC809 (FAS) - (06/04)
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