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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628181
Report Date: 10/31/2023
Date Signed: 10/31/2023 01:27:48 PM

Document Has Been Signed on 10/31/2023 01:27 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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:FELDER, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
376628181
ADMINISTRATOR:CLAUDIA FELDERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 917-1731
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
10/31/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Claudia FelderTIME COMPLETED:
12:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Annette Sutherland conducted an unannounced case management visit to cite unrelated deficiencies noted during today’s visit. LPA observed facility operating out of ratio. LPA arrived at facility at 11:05 am and Facility helper Staff #1 (S1) was here by herself with 9 children (4 infants and 5 preschool children). LPA asked if anyone was home, S1 stated she was by herself. S1 stated that Licensee was out picking up children and would be back shortly. Ms. Claudia arrived and stated her adult son is home. LPA advised that her son must be out helping to meet facility ratio.

LPA Also observed infant (under 12 months) placed on her stomach whihc is in violation of safe sleep regulations. Infants must be placed to go to sleep on their backs.

Deficiencies are being cited per Title 22 regulations and noted on the attached LIC 809D.


LPA Annette Sutherland informed licensee Claudia Felder that this report dated 10/31/23 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 Annette Sutherland informed the licensee Claudia Felder to provide a copy of this licensing report dated 10/31/23 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2023
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 2
Document Has Been Signed on 10/31/2023 01:27 PM - It Cannot Be Edited


Created By: Annette Sutherland On 10/31/2023 at 11:22 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: FELDER, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 376628181

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/31/2023
Section Cited
CCR
102416.5(b)

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 102416.5 Staffing Ratio and Capacity(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: (1) Four infants; or
(2) Six children, no more than three of whom may be infants; or
(3) More than six and up to eight children, without an additional adult attendant, only if the criteria in Section 1597.44 of the Health and Safety Code are met. This requirement was not met as evidenced by…
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Provider will submit a schedule that will show how she will stay in ratio when she leaves the facility to pick up more children. Licensee will also provide LPA with a written statement that she understands the ratio for large license and if only 1 adult present then she understands small license ratio. Written statement should be sent to LPA Sutherland by 8/8/23 via e-mail to ANnette.sutherland@dss.ca.gov.
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Based on LPA observation, Helper was at facility with 4 infants and 5 preschool children. This poses an immediate health, safety or personal rights risk to persons in care.
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Type A
10/31/2023
Section Cited
CCR102425(d)

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102425 INFANT SAFE SLEEP (d) The provider shall place infants up to 12 month of age on their backs for sleeping. This requirement was not met as evidenced by…
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Provider will submit statement that she has read safe sleep regulation and provided training to her staff on safe sleep regulation. Written statement should be sent to LPA Sutherland by 8/8/23 via e-mail to ANnette.sutherland@dss.ca.gov.
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infant under 12 months old was placed on their stomach to sleep. This poses an immediate health, safety or personal rights risk to persons 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:Renesha Askew
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 10/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/31/2023


LIC809 (FAS) - (06/04)
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