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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628175
Report Date: 10/18/2022
Date Signed: 10/18/2022 09:33:37 AM

Document Has Been Signed on 10/18/2022 09:33 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:LARRAGA, JANELLE FAMILY CHILD CAREFACILITY NUMBER:
376628175
ADMINISTRATOR:JANELLE LARRAGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 888-2034
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
10/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Janelle LarragaTIME COMPLETED:
09:45 AM
NARRATIVE
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On 10/18/2022 at 09:31PM Licensing Program Analysts (LPAs), David Miller and Rajani Goudreau conducted an unannounced case management deficiency inspection. Upon arrival LPAs met with licensee, Janelle Larraga and disclosed purpose of the inspection. During the inspection there were six children in care; including two infants and four preschool age children in care.

During the course of a complaint investigation, the Licensee stated she allowed child #1 (C1; See LIC811) to access the garage, an off-limit area of the home, to get a snack. C1 was also interviewed and confirmed that he had access to the garage. Based on file review, the garage is listed as an off-limit area of the home. In addition, licensee confirmed that the garage is an off-limit area to the daycare children. LPA informed licensee to ensure children do not have access to off-limit areas of the home. Licensee acknowledged understanding.

During today’s inspection one type B deficiency was issued. A notice of site visit was given and must remain posted for 30 days. LPA observed the licensee post the Notice of Site Visit by the front door.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022
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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Document Has Been Signed on 10/18/2022 09:33 AM - It Cannot Be Edited


Created By: David Miller On 10/18/2022 at 08:58 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: LARRAGA, JANELLE FAMILY CHILD CARE
FACILITY NUMBER: 376628175

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2022
Section Cited
CCR
102416.3(a)(6)

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102416.3(a)(6) - Alterations to Existing Buildings or Grounds. Prior to making alterations…to a family child care home…the licensee shall notify the Department… but not limited to, the following:(6)-Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care. This requirement was not met as evidenced by:
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Licensee stated she will watch Department training video titled: ‘Locks and Inaccessibility Requirements in Child Care’ and ‘Supervising Children in a Family Child Care Home' and provide a written summary of the video. Also, licensee stated she will write a written statement reflecting how the facility will maintain compliance with cited regulation. Licensee stated the POC will be submitted to the San Diego Regional Office by 10/31/2022.
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Based on interviews and record review the licensee did not comply with the section cited above, as the licensee allowed C1 to enter the garage, an off-limit area during daycare hours, which poses/posed a potential health and safety risk to persons in care.
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LPA provided ccld.childcarevideos.org.

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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:Tulam Vu
LICENSING EVALUATOR NAME:David Miller
LICENSING EVALUATOR SIGNATURE:
DATE: 10/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2022


LIC809 (FAS) - (06/04)
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