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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629445
Report Date: 12/16/2022
Date Signed: 12/16/2022 01:55:18 PM

Document Has Been Signed on 12/16/2022 01:55 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:GONZALEZ, LETICIA FAMILY CHILD CAREFACILITY NUMBER:
376629445
ADMINISTRATOR:LETICIA GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 542-9424
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/16/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Leticia GonzalezTIME COMPLETED:
02:00 PM
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On 12/16/2022 at 1:00 PM, Licensing Program Analyst (LPA) Dana Stevens, conducted an announced pre-licensing inspection with applicant, Leticia Gonzalez. Applicant's son provided translation assistance in Spanish, Purpose of the inspection is Change of Location. This single story, Four bedroom, two bath home was toured and inspected. 

Applicant will use the following areas for child care: daycare room 1 and daycare room 2, and daycare bathroom. Off limits areas include: Garage, office, laundry room, kitchen, dining area, living room, 4 bedrooms and one bathroom. The garage is made inaccessible to day care children through the use of door knob covers. The laundry room and the remainder of the house are currently accessible to daycare children from daycare room 1. Applicant will utilize the backyard for outdoor activities, it is partially fenced. Applicant understands that total supervision is required during outdoor play. The fireplace is screened, There are no bodies of water observed during time of visit. The fire extinguisher is rated 3A 40B:C and is located in daycare room 1. Smoke and carbon monoxide detectors meet requirements, are operational and are located in both daycare rooms. All poisons, detergents, cleaning compounds, and medicines are inaccessible to children in care and are located in off limit areas. Children’s toys and play equipment are available. The applicant has a working telephone/cell phone.  Applicant indicated there are no firearms or other weapons in the home.  Fire Clearance for 14 children was granted 11/2022.

Applicant maintains documentation of proof of control of property for review by the Department.  Applicant completed Mandated Reporter AB1207 training and Preventative Heath Practices. Pediatric CPR and First Aid certifications expire 11/2024. Required documents were not yet posted.  Applicant and adult residents in the home have criminal record clearances and/or exemptions on file.  Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. Any minor upon their 18th birthday must be fingerprinted within 30 days. 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 they are financially secure to operate a family child care home for children and will comply with all regulations and laws governing family child care homes. The hours of operation are Monday through Saturday, 6:00 AM - 6:00 PM.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE: DATE: 12/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/16/2022
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: GONZALEZ, LETICIA FAMILY CHILD CARE
FACILITY NUMBER: 376629445
VISIT DATE: 12/16/2022
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Applicant does not plan on providing Incidental Medical Services (IMS) to clients at this time.  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
 

Applicant is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248.
 
Southern California Child Care Advocate information was provided and applicant was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

The following corrections are needed prior to the issuance of the license:
  • Laundry room and remainder of house must be made inaccessible from daycare room 1.


A Large Family Child Care Home license maybe issued upon final file review, An exit interview was conducted and a copy of the report was provided to the applicant.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2022
LIC809 (FAS) - (06/04)
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