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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627656
Report Date: 08/05/2021
Date Signed: 08/05/2021 05:08:21 PM

Document Has Been Signed on 08/05/2021 05:08 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:CANNING, MARGARITA FAMILY CHILD CAREFACILITY NUMBER:
376627656
ADMINISTRATOR:MARGARITA CANNINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 430-6318
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
08/05/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:06 PM
MET WITH:Maragrita CanningTIME COMPLETED:
03:35 PM
NARRATIVE
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On 8/5/21, LPA, Tyra Block, conducted an unannounced Case Management-Deficiencies visit. Licensee was present with 11 children including 5 infants and her helper. During the inspection LPA observed several deficiencies while touring the facility and reviewing records.

See 809D for deficiencies cited in accordance with Title 22 California Code of Regulations.

Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

The licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.



LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2021
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 08/05/2021 05:08 PM - It Cannot Be Edited


Created By: Tyra Block On 08/05/2021 at 04:03 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: CANNING, MARGARITA FAMILY CHILD CARE
FACILITY NUMBER: 376627656

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/06/2021
Section Cited
CCR
102416.5(d)(1)

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Staffing Ratio and Capacity-102416.5(d)(1): For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home...shall be either: Twelve children, no more than four of whom may be infants; or...This requirement was not met as evidenced by:
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Licensee will submit written plan for not going over capacity. Licensee will not accept more infants or children than allowed on license. Proof of correction will be submitted by POC Due Date.
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Based on observation Licensee was caring for 5 infants at one time for a total capacity of 11 children.This poses an immediate health and safety risk to children in care.
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Type B
08/06/2021
Section Cited
CCR102423(a)(2)

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Personal Rights-102423(a)(2): Each child receiving services from a family child care home shall have certain rights...These rights include, but are not limited to the following:To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by:
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Licensee stated she will purchase napping mats from Amazon for children to sleep on and submit receipt to LPA and in the meantime place children to sleep on a blanket rather than allowing them to sleep in high chairs. Plan will be submitted by POC Due Date.
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Based on observation and interview 6 children in care were napping in high chairs. This poses a potential health and safety risk for children in care.
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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:Tyra Block
LICENSING EVALUATOR SIGNATURE:
DATE: 08/05/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/05/2021 05:08 PM - It Cannot Be Edited


Created By: Tyra Block On 08/05/2021 at 04:16 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: CANNING, MARGARITA FAMILY CHILD CARE
FACILITY NUMBER: 376627656

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2021
Section Cited
CCR
102425(a)

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Infant Safe Sleep- 102425(a): There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. This requirement was not met as evidenced by:
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Licensee willl submit written plan for putting infants to sleep and ensure there is a play pen or crib for each infant in care, while acknowledging infants are only to use swing when awake,
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Based on observation and interview 1 infant was asleep in the swing while 3 play yards and 2 cots were occupied by other children in the bedroom.
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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:Tyra Block
LICENSING EVALUATOR SIGNATURE:
DATE: 08/05/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2021


LIC809 (FAS) - (06/04)
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