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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626352
Report Date: 03/30/2023
Date Signed: 03/30/2023 04:12:15 PM

Document Has Been Signed on 03/30/2023 04:12 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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:RANDOLPH, CINDY FAMILY CHILD CAREFACILITY NUMBER:
376626352
ADMINISTRATOR:CINDY RANDOLPHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 208-9206
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 0DATE:
03/30/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:06 PM
MET WITH:Licensee, Cindy RandolphTIME COMPLETED:
04:25 PM
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Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by Licensee, Cindy Randolph. LPA was granted entry after identifying herself and disclosing the purpose of her visit. The licensee is using the following areas for daycare: Living room, Dining room, Family room, Bathrooms 1 and 2, Kitchen, and Backyard. Off limit areas are: Master bedroom, Bedrooms 1 and 2, Laundry room, Enclosed patio, and Garage. Off limit areas have been made inaccessible by a locked security door and doorknob covers. Business Hours are Monday- Friday, 7:30am-5:00pm. The facility currently has no children in care due to Spring break.

LPA tested the smoke alarm located in the dining room area and the carbon monoxide alarm located in the family room area. Both devices are functional. There is a fire extinguisher that meets regulations in the dining room area. LPA did not observe any bodies of water on the premises. Licensee stated there are no weapons or ammunition stored in the home.

There is a fireplace in the family room that has been screened off and made inaccessible to children. Storage for poisons, detergents, cleaning solutions, medications are out of reach in off limit areas and inaccessible to children by safety locks and latches. 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 November 2022. The home is kept clean and orderly with heating and ventilation for safety and comfort. The licensee has a crib for each infant in care.

Children’s files are available and complete. LPA observed a file for an infant that contained a Sleeping Plan and a Sleep Log. Pediatric CPR and First Aid cards are current and will expire February 2024. Licensee has a Mandated Reporter Training certificate that expires March 2025. Licensee has proof of current flu shot. There is a working telephone and email address.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023
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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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: RANDOLPH, CINDY FAMILY CHILD CARE
FACILITY NUMBER: 376626352
VISIT DATE: 03/30/2023
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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, there were no deficiencies found.

Exit interview was conducted and report was reviewed with the licensee, Cindy Randolph. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
LIC809 (FAS) - (06/04)
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