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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376629390
Report Date:
05/14/2024
Date Signed:
05/14/2024 02:33:46 PM
Document Has Been Signed on
05/14/2024 02:33 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:
LEPE, LINA FAMILY CHILD CARE
FACILITY NUMBER:
376629390
ADMINISTRATOR/
DIRECTOR:
LINA LEPE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 874-8915
CITY:
CHULA VISTA
STATE:
CA
ZIP CODE:
91911
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
5
DATE:
05/14/2024
TYPE OF VISIT:
Annual/Random
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:
Lina Lepe, Provider
TIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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On May 14, 2024
, at 12:45 p.m.,
Liicensing Program Analysts (LPAs), D. Sanchez and S. Zazueta, conducted an unannounced
Annual Random
Inspection and met with the
Licensee, Lina Lepe
. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee.
Five (5)
children,
two (2)
staff and provider were present in the facility during this inspection. This facility is a single
story, 2
bedrooms, two
bathroom
house
. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: living room, dining room, kitchen, hallway bathroom, bedroom located next to the living room and back yard.
Off limits areas are: bedroom located at the end of the hallway and garage and
are inaccessible through use of door knob protection.
The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. LPA observed a lysol spray bottle under the unsecured bathroom sink accessible to children.
The licensee has toys, play equipment and materials available. Provider placed two children to nap in a single twin size bed. The home has a fenced backyard available for outdoor activities. No bodies of water observed on the premises during the inspection.
Licensee stated there are no weapons in the home.
LPA was unable to review staff records. Provider Lina Lepe stated that her staff assistant had all records at home and was unable to obtain for LPA's review. One of the staff present in the facility has been working for two weeks without fingerprint clearance. Licensee’s First Aid and CPR certifications expire on 01/2026
. Licensee has required immunizations. Licensee completed Mandated Reporter Training on 01/20/2024
. Facility roster is maintained and was reviewed. Three children records reviewed were missing immunization records and children are not school age. Provider stated that she has not conducted a fire drill past nine months.
Provider stated she currently does not have infants in care but knows that there should be one crib or play yard for each infant who is unable to climb out of the crib or play yard.
Cribs or play yards should be free from all loose articles and objects.
The provider shall physically check on sleeping infants every 15 minutes.
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained for each infant up to 12 months of age.
The provider shall place infants up to 12 months of age on their backs for sleeping.
SUPERVISORS NAME
:
Jason Garay
LICENSING EVALUATOR NAME
:
Diana Sanchez
LICENSING EVALUATOR SIGNATURE
:
DATE:
05/14/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/14/2024
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
7
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:
LEPE, LINA FAMILY CHILD CARE
FACILITY NUMBER:
376629390
VISIT DATE:
05/14/2024
NARRATIVE
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LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided:
www.meganslaw.ca.gov
.
LPA discussed and provided Licensee with the following: child care advocates email address:
childcareadvocatesprogram@dss.ca.gov
. In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.
Incidental 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
.
California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.
Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC
9058
12/15) and their signature on this form acknowledges receipt of these rights.
LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISORS NAME
:
Jason Garay
LICENSING EVALUATOR NAME
:
Diana Sanchez
LICENSING EVALUATOR SIGNATURE
:
DATE:
05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/14/2024
LIC809
(FAS) - (06/04)
Page:
2
of
7
Document Has Been Signed on
05/14/2024 02:33 PM
- It Cannot Be Edited
Created By:
Diana Sanchez
On
05/14/2024
at
01:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
7575 METROPOLITAN DR., STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
LEPE, LINA FAMILY CHILD CARE
FACILITY NUMBER:
376629390
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/14/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in one out of two staff present did not have fingerprint clearance which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
05/15/2024
Plan of Correction
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2
3
4
Provider stated that effective today she would removed staff #1 from the facility and ensure to get her fingerprinted today and wait until she is fingerprint clear to allow her back in the facility.
Type A
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview, the licensee did not comply with the section cited above in not having two out of two personnel records available for LPA's review, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
05/17/2024
Plan of Correction
1
2
3
4
Provider stated that she would ensure to have the staff records available for review by the due date of 5/17/2024. Provider will send a copy of the two staff records present at the facility via email to the SDCCRO.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Jason Garay
LICENSING EVALUATOR NAME:
Diana Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE:
05/14/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/14/2024
LIC809
(FAS) - (06/04)
Page:
3
of
7
Document Has Been Signed on
05/14/2024 02:33 PM
- It Cannot Be Edited
Created By:
Diana Sanchez
On
05/14/2024
at
01:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
7575 METROPOLITAN DR., STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
LEPE, LINA FAMILY CHILD CARE
FACILITY NUMBER:
376629390
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/14/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above by having an Lysol spray bottle under unsecured bathroom sink cabinet accessible to children, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/15/2024
Plan of Correction
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3
4
Provider Lina Lepe immediately removed the Lysol spray bottle during inspection. No further correction is required on this deficiency.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview, the licensee did not comply with the section cited above stating that she has not conducted any fire/disaster drill which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/17/2024
Plan of Correction
1
2
3
4
Provider stated that she will ensure to conduct a fire/earthquake drill by the due date of 5/17/2024. Provider will send a copy of the fire drill log to the San Diego Child Care Regional Office (SDCCRO) by the due date of 5/17/2024.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Jason Garay
LICENSING EVALUATOR NAME:
Diana Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE:
05/14/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/14/2024
LIC809
(FAS) - (06/04)
Page:
4
of
7
Document Has Been Signed on
05/14/2024 02:33 PM
- It Cannot Be Edited
Created By:
Diana Sanchez
On
05/14/2024
at
01:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
7575 METROPOLITAN DR., STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
LEPE, LINA FAMILY CHILD CARE
FACILITY NUMBER:
376629390
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/14/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102370(k)
Criminal Record Clearance
(k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview, the licensee did not comply with the section cited above by not having two out of two staff records in the facility, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/17/2024
Plan of Correction
1
2
3
4
Provider stated that she will ensure to have all staff records in the facility available for review. Provider will send a copy of the staff records to the San Diego Child Care Regional Office (SDCCRO).
Type B
Section Cited
CCR
102370(k)(1)
Criminal Record Clearance
(k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility. (1) Documentation shall be available for inspection by the Department.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview, the licensee did not comply with the section cited above in two out of two staff present in the facility did not have staff records in the facility for LPA's review which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/17/2024
Plan of Correction
1
2
3
4
Provider stated that she will ensure to have all staff records in the facility available for review. Provider will send a copy of the staff records to the San Diego Child Care Regional Office (SDCCRO).
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Jason Garay
LICENSING EVALUATOR NAME:
Diana Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE:
05/14/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/14/2024
LIC809
(FAS) - (06/04)
Page:
5
of
7
Document Has Been Signed on
05/14/2024 02:33 PM
- It Cannot Be Edited
Created By:
Diana Sanchez
On
05/14/2024
at
01:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
7575 METROPOLITAN DR., STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
LEPE, LINA FAMILY CHILD CARE
FACILITY NUMBER:
376629390
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/14/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(d)
Personnel Records
(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview, the licensee did not comply with the section cited above in two out of two staff present in the facility did not have staff records for LPA's review which poses potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/17/2024
Plan of Correction
1
2
3
4
Provider stated that she will ensure to have the two staff records in the facility by the due date of 5/17/2024.
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.
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 three out of six children records reviewed did not have immunization records and children were not school age, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/17/2024
Plan of Correction
1
2
3
4
During inspection provider obtained immunization records from parents via text message. She printed them and placed it on child's records. Provider still is to obtain immunization record on the third child. Provider stated that she would be sending copies of missing immunization records to the San Diego Child Care Regional Office (SDCCRO) by the due date of 5/17/2024.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Jason Garay
LICENSING EVALUATOR NAME:
Diana Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE:
05/14/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/14/2024
LIC809
(FAS) - (06/04)
Page:
6
of
7
Document Has Been Signed on
05/14/2024 02:33 PM
- It Cannot Be Edited
Created By:
Diana Sanchez
On
05/14/2024
at
01:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
7575 METROPOLITAN DR., STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
LEPE, LINA FAMILY CHILD CARE
FACILITY NUMBER:
376629390
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/14/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102423(a)(2)
Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in having two toddlers napping together in a single twin size bed which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/15/2024
Plan of Correction
1
2
3
4
Provider Lina Lepe stated that she would ensure to not to place two children in one bed at the same time. Provider will send a written statement to the SDCCRO advising that she had read and understood section cited.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Jason Garay
LICENSING EVALUATOR NAME:
Diana Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE:
05/14/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/14/2024
LIC809
(FAS) - (06/04)
Page:
7
of
7