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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623091
Report Date: 01/23/2023
Date Signed: 01/23/2023 01:28:27 PM

Document Has Been Signed on 01/23/2023 01:28 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:SCHAFFER, FLORA FAMILY CHILD CAREFACILITY NUMBER:
376623091
ADMINISTRATOR:FLORA SCHAFFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 539-6041
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 6DATE:
01/23/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Flora SchafferTIME COMPLETED:
01:50 PM
NARRATIVE
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On 1/23/2023 @ 12:45PM, Licensing Program Analyst (LPA) conducted an unannounced case management inspection. Observed present today were 6 day care children (napping). Four children were napping in the living room and the 2 children (under age two) were napping in the bedroom.

Type B deficiency was cited today. Type B deficiency if not corrected poses a potential risk to the health, safety and personal rights of chidren in care.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2023
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 01/23/2023 01:28 PM - It Cannot Be Edited


Created By: Nancy Diaz On 01/23/2023 at 01:07 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: SCHAFFER, FLORA FAMILY CHILD CARE
FACILITY NUMBER: 376623091

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/30/2023
Section Cited
CCR
102417(b)

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(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

This requirement was not met as evidenced by:
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CORRECTED TODAY. Mrs. Schaffer took out her space heater out and placed them in the living room. She stated that the space heater will remain on during child care hours. Mrs. Schaffer ensures that children will not access the space heater.
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LPA observed that the temperature inside the house was too cold. Mrs. Schaffer stated that she does not have a thermostat to indicate the temperature inside the house.
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 01/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/23/2023


LIC809 (FAS) - (06/04)
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