376629187-11-23-2021-20-CC-DSAZ-C8MPXJ-20211110104224

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376629187
Report Date: 11/10/2021
Date Signed: 11/23/2021 09:20:26 AM

Document Has Been Signed on 11/23/2021 09:20 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:	LEOS VALDIVIA, MARGARITA FAMILY CHILD CARE		FACILITY NUMBER:	376629187
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	11/10/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Margarita Leos Valdivia, Applicant		TIME COMPLETED:	10:50 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Diana Sanchez, conducted a Prelicensing inspection to the facility today. LPA met with Applicant Margarita Leos Valdivia. The single story three bedroom home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher, carbon monoxide and smoke detector meet requirements and are operational. Applicant stated that she will be using the following areas for daycare purposes: living room, dining room, kitchen, bedroom #3 (located next to the living room), kitchen, hallway bathroom and back yard. Off limits areas includes: The other two bedrooms, outside side hallway located next to the living room and garage. All bottom kitchen cabinets have been protected with child proof safety latches and magnet locks. All hazardous items were latched/locked and not accessible to children. The hallway bathroom is clean and operable. The backyard has a lemon tree with thorns that needs to be barricaded. There is a playground structure that needs to be secured to the ground. A review of all adults living in this home who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aid and CPR are up to date. Applicant stated that they do not hand gun or ammunition in this house. Applicant stated that she will have the children take naps in the daycare room #3 and living room area. LPA observed napping cots that will be used for napping. Assembly Bill 1207 Mandated Child Abuse Reporting. Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. LPA verified that applicant has proof of completed course. Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu were discussed with Applicant. LPA has verified that applicant has verification of required immunizations and is in compliance.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021

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: LEOS VALDIVIA, MARGARITA FAMILY CHILD CARE	FACILITY NUMBER: 376629187
	VISIT DATE: 11/10/2021

NARRATIVE

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Applicants were advised of the requirement of an Individual Infant Sleeping Plan [LIC 9227 (3/20)] is maintained for each infant up to 12 months of age, to physically checks on sleeping infants every 15 minutes and to place infants up to 12 months of age on their backs for sleeping.

This facility plans to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
Community Care Licensing WEB SITE: http://www.ccld.ca.gov

LPA provided applicant a copy of the SIDS Safe Sleep printout information, Safe Sleep Regulation Concepts and Lead Exposure brochure. LPA advised applicant the importance of child abuse reporting, children’s records, immunization, shaken baby syndrome and the YMCA Resource Center. LPA explained clearance requirements for persons over 18 residing or working in the facility. Applicant understood that physical discipline/corporal punishment and smoking shall never be permitted in the child care program. Applicant was also advised that exersaucers, bouncy, rockers, walkers shall never be permitted in the child care program.

The following items needs to be corrected and completed by November 24, 2021:
· Secured Playground Structure to the ground.
· Barricade lemon tree in the backyard.
· Barricade wall heater in the living room.
· Barricade both sides between kitchen door and garage entrance.

An exit interviewed was conducted with applicants Margarita Leos Valdivia and a copy of this report left at the facility.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021

LIC809 (FAS) - (06/04)

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