Community Care Licensing

Document Has Been Signed on 05/10/2024 12:47 PM - It Cannot Be Edited

FACILITY NAME:	SIMON, RICHARD FAMILY CHILD CARE		FACILITY NUMBER:	376629029
ADMINISTRATOR/ DIRECTOR:	IMMACULA & RICHARD S.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 341-7849
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92113
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	05/10/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Richard Simon		TIME VISIT/ INSPECTION COMPLETED:	10:45 AM

SUPERVISORS NAME: Jason Garay LICENSING EVALUATOR NAME: Cindy Meier LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2024

Link to Parent Document Below:

FACILITY NAME: SIMON, RICHARD FAMILY CHILD CARE	FACILITY NUMBER: 376629029
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/10/2024

Type B

Section Cited

HSC

1597.543

Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst observation, the licensee did not comply with the section cited above as a carbon monoxide detector was not present in the home which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 05/17/2024
	Plan of Correction
1 2 3 4	POC Licensee states he will purchase a carbon monoxide detector, install it and send analyst a photo of the purchase receipt and video of testing by 05/17/24 to complete the correction.

Type B

Section Cited

HSC

1596.8662(b)(1)

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the Licensee did not comply with the section cited above in that Licensee’s current Mandated Reporter Training was not available for review which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/10/2024
	Plan of Correction
1 2 3 4	Licensee stated they will ensure to complete AB-1207 Mandated Reporter training and send certificate to the San Diego Child Care Regional Office (SDCCRO) as proof of correction by the due date of 6/10/2024.

SUPERVISOR'S NAME: Jason Garay LICENSING EVALUATOR NAME: Cindy Meier LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2024

Link to Parent Document Below:

FACILITY NAME: SIMON, RICHARD FAMILY CHILD CARE	FACILITY NUMBER: 376629029
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/10/2024

Type B

Section Cited

CCR

102416(c)

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the Licensee did not comply with the section cited above as the Licensee’s CPR/First Aid certification was not available for review which poses a potential health, safety or personal rights risk to children in care.
	POC Due Date: 06/10/2024
	Plan of Correction
1 2 3 4	Licensee stated he will enroll in an EMSA CPR/First Aid training class, complete it and will submit a copy for the plan of correction to the San Diego Regional Office by 6/10/2024. Licensee will ensure to renew the certification every two years prior to the expiration date.

Type B

Section Cited

CCR

102417(g)(7)

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in (6) out of (6) children's files were incomplete and missing required documents which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/28/2024
	Plan of Correction
1 2 3 4	LPA provided Licensee the LIC311D which lists required forms for children's files. Licensee stated he will provide copies of the children's completed files to LPA by 6/28/2024.

SUPERVISOR'S NAME: Jason Garay LICENSING EVALUATOR NAME: Cindy Meier LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2024

FACILITY NAME: SIMON, RICHARD FAMILY CHILD CARE	FACILITY NUMBER: 376629029
	VISIT DATE: 05/10/2024

FACILITY NAME: SIMON, RICHARD FAMILY CHILD CARE	FACILITY NUMBER: 376629029
	VISIT DATE: 05/10/2024

FACILITY NAME: SIMON, RICHARD FAMILY CHILD CARE	FACILITY NUMBER: 376629029
	VISIT DATE: 05/10/2024