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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629248
Report Date: 01/31/2022
Date Signed: 01/31/2022 10:46:03 AM

Document Has Been Signed on 01/31/2022 10:46 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:APARICIO, LOURDES FAMILY CHILD CAREFACILITY NUMBER:
376629248
ADMINISTRATOR:LOURDES APARICIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 934-5053
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/31/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lourdes AparicioTIME COMPLETED:
11:15 AM
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On 1/31/2022, at 9:15am Licensing Program Analyst (LPA), Martha Malane conducted an announced pre-licensing inspection and met with applicant, Lourdes Aparicio. Purpose of the inspection is to ensure the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. This single-story, three-bedroom, one-bathroom home was toured and inspected.

Applicant will use the following areas for child care: living room, kitchen and bathroom. Off limits areas include: all three bedrooms and garage which are made inaccessible to day care children through the use of latches and door locks. Applicant will utilize the backyard for outdoor activities, it is properly fenced. Applicant stated she does not utilize the wall heater in the hallway during day care hours. The fire extinguisher, smoke and carbon monoxide detectors met requirements and are operational at this time. Detergents, cleaning compounds and medicines are inaccessible to children in care and are secured and out of reach of children. Applicant was reminded all poisons are to be made inaccessible to children via locks. Children’s toys and play equipment are available for children’s use. The applicant has a working cell phone. Applicant stated there are no firearms or other weapons in the home. Applicant stated there are no bodies of water and LPA did not observe any bodies of water.

Applicant maintains documentation of proof of control of property for review by the Department. Mandated Reporter AB1207 training was completed 12/13/21. Applicant completed the 8 hours of preventative health 11/4/2021. Pediatric CPR and First Aid certifications expire 10/3/2023. Required documents are posted. Immunization records per SB792 were reviewed and are in compliance. LPA advised that prior to making alterations or additions to the home or grounds, the applicant shall notify the Department of the proposed change. Applicant states she is financially secure to operate a family child care home for children and will comply with all regulations and laws governing family child care homes. Applicant’s planned hours of operation are Monday – Friday 7:30am – 5:00pm.

See LIC809C continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 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: APARICIO, LOURDES FAMILY CHILD CARE
FACILITY NUMBER: 376629248
VISIT DATE: 01/31/2022
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Incidental Medical Services (IMS) 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. Megan’s Law was discussed meganslaw.ca.gov.

A New Provider Resource Packet was reviewed with applicant including information on the following: Child abuse reporting, immunizations, unusual incident report, facility roster, car seat law, visual for ratio/capacity, fire/disaster drill log and prohibited items including no smoking or Corporal punishment in a day care. LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

LPA discussed the safe sleep regulations with applicant 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 applicant 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.

The maximum capacity for a large family child care home: 12 children (with a qualified assistant) with no more than four (4) infants (birth - 24 months); or 14 children (with a qualified assistant) with no more than three (3) infants (birth - 24 months), one (1) child enrolled in kindergarten or elementary school and one (1) child at least age six (6) years old including children under age 10 who live in the applicant's home. When no qualified assistant, 14 years of age or older is present, the capacity reverts back to the requirements for a Small Family Child Care. LPA and applicant discussed qualifications for an assistant.


See LIC809C continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
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: APARICIO, LOURDES FAMILY CHILD CARE
FACILITY NUMBER: 376629248
VISIT DATE: 01/31/2022
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A Regular Large Family Child Care Home license is issued effective today’s date 1/31/2022. LPA explained the inspection report, applicant stated she understood.

Exit interview conducted; this report and appeal rights were reviewed with applicant, Lourdes Aparicio
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
LIC809 (FAS) - (06/04)
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