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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628978
Report Date: 07/14/2021
Date Signed: 07/14/2021 03:50:21 PM

Document Has Been Signed on 07/14/2021 03:50 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:SALDARRIAGA, ADRIANA FAMILY CHILD CAREFACILITY NUMBER:
376628978
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
07/14/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Adriana SaldarriagaTIME COMPLETED:
04:00 PM
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On July 14th, 2021, at 1:30PM, LPA, Luigi Gargaro, conducted an unannounced capacity increase visit with the applicant. The one story home was toured and inspected to ensure an environment safe for the care and supervision of children. Present were Ms. Saldarriaga, her cleared and associated spouse, Rene Saldarriaga, her cleared and associated assistant Amanda Diaz and six day care children including her own three children under ten years of age. The fire extinguisher and combination smoke and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Analyst inquired of the applicant about whether there were any bodies of water or weapons in the home and she replied no.

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. The home appears to be large enough to comfortably accommodate 14 children. An approved fire clearance by the Chula Vista Fire Department was granted on 07/01/21. CPR and First Aid expire on 11/28/22 for the applicant, her spouse and Ms. Diaz.

Applicant will be using the following rooms for childcare: the kitchen, the living room, the family/dining room area and the second home bathroom. Off limits areas in the home are the two home bedrooms, the home office and the third and master bath, the laundry area and the garage. The bedrooms are made off limits with locking doorknobs and the garage entrance door from the home is made inaccessible with a doorknob cover. The laundry area has all cleaning items on high shelves that are inaccessible to children. The applicant also has a child safety gate at the hallway entrances to the laundry/bedroom area and may use it to make those rooms/areas off limits. However, applicant understands that when those safety gates are left open, the off limits rooms must be closed and locked so that they cannot be accessed by children in care.

The home has a fenced backyard available for outdoor activities. The backyard has an off limits shed that is made that way with an installed padlock. The back yard contains a trampoline the applicant states can be used for the day care. During today's visit, the access ladder was not installed on the trampoline and the trampoline entry door was zippered.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2021
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: SALDARRIAGA, ADRIANA FAMILY CHILD CARE
FACILITY NUMBER: 376628978
VISIT DATE: 07/14/2021
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IApplicant states she will also add a small padlock to the zipper to make it additionally off limits when not in use. Applicant has a manufacturer's guide available that she will use to follow recommended instructions when the trampoline is in use. When not in use, the access ladder will be removed and the entrance zippered so that the trampoline cannot be used until appropriate supervision is available.

Applicant also has a combination swing/slide set in the yard that has no age listing on it and has a rock climbing ladder that leads up to the slide. Applicant states they are currently not using that piece iof equipment and will be removing it in the near future. To keep children from using the equipment applicant will provide direct supervision at all times when children are in the play yard to ensure that the equipment is not used until its removal.

The applicant advised analyst that she is in the process of converting the garage to an additional room for the home, however, the conversion has not been completed and the garage is not permitted. Applicant understands that until she has it officially permitted by the city and inspected and approved by Licensing she may not use it for any type of regular care. The applicant currently uses it to store equipment but not for any activities.

ncidental 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. LPA and applicant discussed California Megan's Law and he provided applicant with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

The following information was reviewed with the applicant: information on reporting requirements for suspected child abuse and unusual incidents, children’s records, immunizations, adults living or working in the home and related civil penalties, shaken baby syndrome, and SIDS. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not allowed in day care.

The home appears to be in sufficient compliance and as no corrections are needed, a license for 14 will be issued effective today. Analyst printed a copy of the Notice Of Site Visit today and had licensee place it in her facility notice area before he left the home.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
LIC809 (FAS) - (06/04)
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