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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628659
Report Date: 11/29/2021
Date Signed: 11/30/2021 08:57:39 AM

Document Has Been Signed on 11/30/2021 08:57 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:GALVAN, MARICELA FAMILY CHILD CAREFACILITY NUMBER:
376628659
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 5DATE:
11/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Maricela GalvanTIME COMPLETED:
06:45 PM
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On November 29, 2021, at 2:45 PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Maricela Galvan. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Five (5) children (including two of the licensee's own who are under the age of ten) and the licensee and her cleared and associated spouse, David Galvan, were present in the facility during this inspection. This facility is a two floor, five bedroom, three bathroom house. Licensee accompanied LPA inside the facility during this inspection. The following areas used for child care are: the kitchen, the family room, the living room, the downstairs bedroom/playroom and the downstairs bathroom. Off limits areas are the garage and the entire second floor of the home. The garage is made off limits with a locking door handle and a dead bolt lock on its entrance door while the second floor is made that way with a child safety gate that is securely installed at the bottom entrance of the home staircase.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced backyard that is currently off limits to the day care children as the licensee is in the process of making the yard useable for child care. Licensee understands that once all her work is completed in converting the yard, she has to contact Licensing to have them come and inspect it and approve it before it can be used for care. Licensee states she currently takes children to a local park for outdoor activity whenever necessary. The yard is made off limits with a latching, sliding and alarmed glass sliding door.

No bodies of water observed on the premises during the inspection. Licensee stated 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.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2021
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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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: GALVAN, MARICELA FAMILY CHILD CARE
FACILITY NUMBER: 376628659
VISIT DATE: 11/29/2021
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Licensee’s First Aid and CPR certifications expire on 02/27/22. Licensee has required immunizations. Licensee has a recently expired Mandated Reporter Training certificate and will be completing a new certification this upcoming weekend. Facility roster is maintained and was reviewed. Fire and disaster drills have not been conducted as licensee has only recently had children enrolled effective August of 2021. Licensee states she will conduct the drills sometime before the day care children's first six months are completed and will conduct them every six months afterwards. Licensee currently has two infants in care but one is part time arriving after usual napping hours and does not nap during her stay at the facility while the second infant is almost two and naps on a cot. However, analyst did provide licensee with a copy of the safe sleep regulations for her to review at a future date for whenever she has napping infants enrolled in her facility.

LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

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.

No deficiencies were cited during today's visit.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) 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: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2021
LIC809 (FAS) - (06/04)
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