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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629207
Report Date: 09/29/2022
Date Signed: 09/29/2022 10:23:05 AM

Document Has Been Signed on 09/29/2022 10:23 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:SOTOMAYOR, STACIE FAMILY CHILD CAREFACILITY NUMBER:
376629207
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
09/29/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Stacie SotomayorTIME COMPLETED:
10:30 AM
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On September 29, 2022, at 09:00 AM, Licensing Program Analyst (LPA), Edgar Campana conducted an unannounced case management inspection with licensee, Stacie Sotomayor. LPA Campana informed licensee that the purpose of the inspection was for the requested change of capacity. Licensee led LPA on a tour of the facility, which is a two story, four bedroom, 2 1/2 bathroom home. There was one daycare child, two foster children and two assistants present at the time of inspection.
 
On 09/20/2022, a fire clearance was approved for 14 children. Licensee will use the following areas for child care: the kitchen, dining room, main day care area, ½ bathroom, and the backyard. Off-limits areas include garage and entire upstairs (4 bedrooms, 2 bath). The second floor of the home is made inaccessible to day care children through child safety gates that are installed at the bottom and top of the home staircase. The Licensee understands the gates must be in place when children under five years are present during day care hours. The garage is made off limits with a locking door handle. The home fireplace is appropriately screened and latched. The Licensee will utilize the backyard for outdoor activities. The yard is properly fenced. The Licensee has an off limits left side alleyway that contains trash cans and other items. It is made off limits with a safety gate that is installed at the alleyway entrance. There were no bodies of water observed during the time of visit. There are sufficient age appropriate toys, games, and books available. The home was clean and orderly during inspection. The fire extinguisher is rated 2-A;10; BC, smoke alarm and carbon monoxide detector are operational. There is a working telephone in the home and all required forms are posted. Licensee stated that there are NO firearms or ammunition on the property. All adults living or working in the home have been fingerprint cleared and associated.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2022
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: SOTOMAYOR, STACIE FAMILY CHILD CARE
FACILITY NUMBER: 376629207
VISIT DATE: 09/29/2022
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LPA reviewed children's files and emergency drill log. Last fire/disaster drill was conducted 09/20/2022. Pediatric CPR and First Aid certification expire 01/2024. Licensee completed Mandated Reporter Training on 11/04/2021. LPA discussed with Licensee maintaining supervision of day children at all times. LPA reviewed the following with licensee: SIDS, car seat law, reporting requirements, shaken baby syndrome, care and supervision, and COVID-19 precautions/guidelines. Licensee was also reminded the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home.  A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. 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.html
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SOTOMAYOR, STACIE FAMILY CHILD CARE
FACILITY NUMBER: 376629207
VISIT DATE: 09/29/2022
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The maximum capacity for a large family child care home: 12 children (with a qualified assistant) with no more than 4 infants; or 14 children (with a qualified assistant) with no more than 3 infants, 1 child enrolled in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home. When there is no Qualified Assistant, 14 years of age or older present, the capacity reverts back to the requirements for a Small Family Child Care Home.  To access our Regulations and Forms please use our WEBSITE: http://ccld.ca.gov.

Exit interview conducted and report was reviewed with the licensee, Stacie Sotomayor.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022
LIC809 (FAS) - (06/04)
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