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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376624504
Report Date:
05/05/2022
Date Signed:
05/06/2022 06:13:10 AM
Document Has Been Signed on
05/06/2022 06:13 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
CCLD Regional Office
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
ADMINISTRATOR:
ISIS SENA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(760) 704-2328
CITY:
CARDIFF
STATE:
CA
ZIP CODE:
92007
CAPACITY:
14
CENSUS:
2
DATE:
05/05/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:00 AM
MET WITH:
Licensee, Isis Sena
TIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs), Jennifer Lott and Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPAs were greeted at the front door by licensee, Isis Sena and granted entry after identifying themselves and disclosing the purpose of her visit. The licensee is using the following areas for daycare: Living room, bathroom, play room and front yard. Off limit areas include: bedroom #1 & 2, kitchen and back yard. Business Hours are: Monday-Frida, 8:15am-5:00pm. The facility currently has 2 infants in care. Licensee did not provide a copy of their current roster, but is operating within the licensed ratio and capacity.
At 10:15am, LPA tested the smoke detector located in the play room area. There was no carbon monoxide detector in the home. Additionally, licensee has a large capacity license and there is no pull station alarm in the home as required by the fire department. LPA Did not observe any bodies of water on the premises. Licensee, Sena advised there are no firearms or ammunition stored on the premises.
Fireplace was screened, however the wall heater was not screened and allowed access to children. There are no stairs in the home. Storage for poisons, detergents, cleaning solutions, medications were not locked and were accessible to children in the bathroom. . Front yard, outdoor play area is fenced and free of hazards. The licensee could not provide proof that a fire drill had been conducted. The home is kept clean. The home provides safe toys, play equipment and materials.
Children’s records contained emergency contact information and immunization records. All parents or representatives received a copy of the Family Child Care Home Notification of Parent’s Rights.
SUPERVISOR'S NAME:
Tashima Daniel
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
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
CCLD Regional Office
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
VISIT DATE:
05/05/2022
NARRATIVE
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Pediatric CPR and First Aid cards are current and will expire on 04/2024. Mandated Reporter Training was expired as of 02/01/2019. Licensee was unable to provide proof of immunization. There is a working telephone and email address.
LPA addressed the Fire Department's visit conducted on 04/21/2022. The fire clearance was not granted at the time of inspection due to the following areas needing correction: 2nd exit egress required by removing side yard fencing to provide a safe egress path from rear door around the side of the house. Provide protection from the gas fired furnace/heater in the living room, install manual fire alarm with pull station bell/horn. Fire Department stated that the fire safety hazards and violations shall be corrected immediately.
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 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
.
SUPERVISOR'S NAME:
Tashima Daniel
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
VISIT DATE:
05/05/2022
NARRATIVE
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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 observed and noted on the attached LIC 809D. Exit interview conducted and report was reviewed with the licensee Sena. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
LPAs Lott and Velando
informed licensee Sena,
that this report dated 05/05/2022
document(s)
(2)
Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Velando,
informed the licensee Sena
to provide a copy of this licensing report dated 05/05/2022
that documents any Type A citation(s) 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.
SUPERVISOR'S NAME:
Tashima Daniel
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
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Document Has Been Signed on
05/06/2022 06:13 AM
- It Cannot Be Edited
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/05/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1597.543
Licensure Requirements
Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation, the licensee did not comply with the section cited above in that there was no carbon monoxide detector in the home. This poses an immediate health and safety risk to persons in care.
POC Due Date:
05/06/2022
Plan of Correction
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2
3
4
Licensee will purchase a carbon monoxide detector and install it. Proof of purchase and installation will be provided to LPA via fax or email by POC date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
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2
3
4
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
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
4
of
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Document Has Been Signed on
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- It Cannot Be Edited
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/05/2022
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 LPA's observations, the licensee did not comply with the section cited above in that they bathroom cabinet did not have a lock on it and items which are to be kept out of reach of children were accessible. This poses a potential health & safety risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
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2
3
4
Licensee states that they will remove all hazardous items and place a lock on the cabinet. Proof will be submitted to licensing via fax or email by POC date.
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
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2
3
4
Based on LPA's observation and record review, the licensee did not comply with the section cited above by not completeing and documenting the required fire drill. This poses a potential health& safety risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
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2
3
4
Licensee states that they will complete and document the required fire drill. Proof will be submitted to licensing via fax or email by the POC date.
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
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
5
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Document Has Been Signed on
05/06/2022 06:13 AM
- It Cannot Be Edited
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/05/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's record review, the licensee did not comply with the section cited above that the licensee's mandatory reporter training certificate expired on 02/01/2019. This poses a potential health & safety risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
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2
3
4
Licensee states they will complete mandated reporter training and submit proof to licensing via fax or email by POC date.
Type B
Section Cited
CCR
102416.1(a)
Personnel Records
(a) Personnel records shall be maintained on each employee and shall contain the following information:
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation and record review, the licensee did not comply with the section cited above in that 1:1 personnel records were incomplete. This poses a potential health & safety reisk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
1
2
3
4
Licensee states they will complete 1:1 employee files and submit proof to licensing via fax or email by POC date.
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
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
6
of
10
Document Has Been Signed on
05/06/2022 06:13 AM
- It Cannot Be Edited
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/05/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.2(a)
Reporting Requirements
(a) The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's record review, the licensee did not comply with the section cited above in that they did not report a fire at the rear of the facility and an evacuation of the children on 03/18/22. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
1
2
3
4
Licensee states they will complete the Unusual Incident Report (LIC 624B) for the incident which occurred on 03/18/22 and submit to licensing via fax or email by POC date.
Type B
Section Cited
CCR
102419(b)
Admission Procedures and Authorized Representatives Rights
(b) The licensee shall post the PUB 394 (8/02), Family Child Care Home Notification of Parents’ Rights Poster in a prominent, publicly accessible area in the family child care home at all times children are in care.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observations, the licensee did not comply with the section cited above in that licensee did not have all of the required postings in the facility; facilty sketch, fire drill, paren's rights and earthquake preparedness (see LIC 311D). This poses a potential health & safety risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
1
2
3
4
Licensee states they will hang all of the required postings and submit a photo to licensing via fax or email by POC date.
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
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
7
of
10
Document Has Been Signed on
05/06/2022 06:13 AM
- It Cannot Be Edited
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/05/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's record review, the licensee did not comply with the section cited above in that they could not produce a copy of current immunization for licensee and employee. This poses a potential l health & safety risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
1
2
3
4
Licensee states they will provide proof of MMR, DTP, PER, FLU, TB for themself and employee by POC date via fax or email.
Type B
Section Cited
CCR
102417(g)(8)
Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation and record review, the licensee did not comply with the section cited above in that they were unable to produce a copy of the facility roster. This poses a potential health & safety risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
1
2
3
4
Licensee states they will provide a copy of the facility roster to licensing by fax or email by POC date.
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
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
8
of
10
Document Has Been Signed on
05/06/2022 06:13 AM
- It Cannot Be Edited
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/05/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)(2)
Infant Safe Sleep
...an individual infant sleeping plan (LIC 9227) (3/20)) shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant's file.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation and record review, the licensee did not comply in that 2:2 infants in care did not have a safe sleep plan and every 15 minute check log. This poses a potential health & safety risk to persons in care.
POC Due Date:
05/19/2022
Plan of Correction
1
2
3
4
Licensee states they will submit 1:1 infant safe sleep plans and 15 minute check logs. Proof will be submitted to licensing via fax or email by POC date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
9
of
10
Document Has Been Signed on
05/06/2022 06:13 AM
- It Cannot Be Edited
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:
SENA, ISIS FAMILY CHILD CARE
FACILITY NUMBER:
376624504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/05/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102371(a)
Fire Safety Clearance
A fire safety clearance approved by the city or county fire department, the district providing fire protection services, or teh State Fire Marshall shall be requiree for a large family child care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation and record review, the licensee did not comply with the section cited above in that they do not have a current fire clearance. Inspection report from inspection conducted on 04/21/2022 states that a 2nd exit/egress is required, protection from gas fired furnace/heater in front room and install manual fire alarm with pull station and bell/horn are to be fixed immediately. This poses an immediate health & safety risk to persons in care.
POC Due Date:
05/09/2022
Plan of Correction
1
2
3
4
Licensee states that they will place a cover in front of the heater, move the side yard fencing to provide a safe egress path from rear door around the side of house and submit an LIC 279 application for a reduction in capacity to a capacity of 8. Once the fire alarm/pull station has been installed, a second visit will be conducted by the fire department for an approved clearance and capacity increase.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
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2
3
4
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
TELEPHONE:
(619) 629-8413
LICENSING EVALUATOR NAME:
Jennifer Lott
TELEPHONE:
619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE:
05/05/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/05/2022
LIC809
(FAS) - (06/04)
Page:
10
of
10