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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625085
Report Date: 08/17/2022
Date Signed: 08/17/2022 12:00:09 PM

Document Has Been Signed on 08/17/2022 12:00 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:SUAREZ, JANETTE & MARIA FAMILY CHILD CAREFACILITY NUMBER:
376625085
ADMINISTRATOR:JANETTE & MARIA S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 761-8822
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
08/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jeannette and Maria SuarezTIME COMPLETED:
12:15 PM
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On 8/17/22 at 8:45 AM Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced Annual inspection with the Licensee. Upon arrival, LPA met with Licensee, Janette Suarez. Also present in the home was co-licensee Maria Suarez, three minor children and nine children in care. Proper supervision and ratios were observed. The one-story three bedroom one bathroom single story home was toured and inspected to ensure an environment safe for the care and supervision of children. Licensee states that there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee was reminded that all adults 18 and over living or working in the home, 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 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.

The 2A10BC fire extinguisher located in the playroom, carbon monoxide detector located in the dining room and smoke detector located in the playroom meet requirements and are operational. Upon arrival at the facility at 8:45 AM LPA observed that Licensee has a fountain installed in front yard near the door in which contains water and is where children enter and exit the home. There is no 5 foot fence surrounding the fountain. Licensee states it was installed approximately 2 months ago. There were no children present near the fountain. At 8:50 AM LPA observed that the bedrooms at end of hall on right and left are designated as Off Limits, but do not have locks, latches or gates to prevent access by children, LPA observed toxins on desk in right bedroom. At 9:00 AM LPA observed wall heater in hallway is unscreened. Licensee states that the wall heater is not operational. At 9:05 AM LPA observed that there are construction materials stored between back and side of outdoor shed and fence. Fencing is rotting, unstable and has nails, screws and staples protruding into accessible backyard space. The shed is unlocked and contains toxin "clean cide,"

(continued on LIC809 page 2)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2022
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 8
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: SUAREZ, JANETTE & MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376625085
VISIT DATE: 08/17/2022
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LIC809 page 2)

and nails within reach of children. Shade house propped outside could fall and injury children and trampoline parts pose tripping hazard. There is also fake grass being stored on the playground equipment. At 10:30 AM LPA observed licensee does not keep safe sleep logs.

Licensee Janette’s First Aid and CPR certifications expire 9/2023. Licensee Maria’s First Aid and CPR certifications expire 9/2023. Licensees both meet immunization requirements and have completed Mandated Reporter Training, Licensee Janette’s expires 9/24/23 and Licensee Maria’s expires which expires 9/27/23. Licensee maintains emergency records for children. At 10:30 AM LPA observed that child 9 does not have a child file.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include: playroom, living room, dining room, room 3 , bathroom and hallway. Off Limits areas include kitchen, Room 1 and room 2 as well as side yard. Licensee was reminded to ensure that off limits areas be made inaccessible at all times when children in care are present. 11:00 AM LPA observed excersaucers in the playroom and advised that they are not allowed in the daycare. Licensee has sufficient appropriate, safe, toys and equipment available. The home has a fully fenced backyard available for outdoor activities. Due to current hazards visual supervision will be requires at all times until attached Plan of Correction is completed.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances associated to the facility, corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA Mangina reviewed Covid-19 guidelines with Licensee and provided Covid-19 resources. LPA Mangina directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.


(continued on LIC809 page 3)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
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: SUAREZ, JANETTE & MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376625085
VISIT DATE: 08/17/2022
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(LIC809 page 3)


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 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 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.

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/process.

See LIC809 -D for type B deficiencies and civil penalty issued and LIC9102’s for technical violation given.

Exit interview conducted and report was reviewed with the licensee Janette Suarez. A Notice of Site Visit (LIC9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 08/17/2022 12:00 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 08/17/2022 at 10:35 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: SUAREZ, JANETTE & MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376625085

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
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:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above as construction materials are stored between back and side of outdoor shed and fence. Fencing is rotting, unstable and has nails, screws and staples protruding into accessible backyard space, shed is unlocked and contains toxins in reach of children, shade house could fall and injure children and trampoline parts pose tripping hazards and off limits bedrooms not made off limits and contain toxins, toxins within reach in hall cabinet which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/18/2022
Plan of Correction
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LIcensee states will remove or block constrution materials, fix fence, lock shed, remove trampoline and shade house to safe spot, will make bedrooms inaccessible and will latch hall cabinet and provide proof to LPA no later than close of business 9/14/22.
Type B
Section Cited
CCR
102417(g)(5)
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: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above as she states she installed a fountain near fromt door 2 months ago which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/18/2022
Plan of Correction
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Licensee emptied and turned over fountain while LPA was present. Licensee states will ensure that in future, all water features will meet regulatory safety requirements.
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:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022


LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 08/17/2022 12:00 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 08/17/2022 at 10:35 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: SUAREZ, JANETTE & MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376625085

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(a)
Child's Records
(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as 1 of 10 children in care do not have child files (Child 9) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/14/2022
Plan of Correction
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Licensee states will provie LPA with complete file for child 9 no later than close of business 9/14/22 and will in future ensure that all children have complete files prior to taking them into care.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022


LIC809 (FAS) - (06/04)
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