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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629778
Report Date: 11/13/2023
Date Signed: 11/13/2023 12:53:27 PM

Document Has Been Signed on 11/13/2023 12:53 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:GASTELUM, LAURA FAMILY CHILD CAREFACILITY NUMBER:
376629778
ADMINISTRATOR:LAURA GASTELUMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 862-9166
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/13/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Laura Gastelum & Gilberto SicairosTIME COMPLETED:
01:00 PM
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On 11/13/23 at 11:00AM, LPA, Luigi Gargaro, conducted a prelicensing inspection for a relocation for a large license with the applicant to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Analyst met with the applicant Laura Gastelum and her spouse, Gilberto Sicairos. The couple speaks some English but analyst conducted the inspection with the assistance of the Language Link Translation Service to provide additional translation help.

The two story five bedroom, 2 1/2 bathroom home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher and smoke and carbon monoxide detectors meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. The applicant was asked whether she had any bodies of water or weapons in the home and she replied no. CPR and First Aid expire on Feburary of 2025 for the applicant. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Applicant owns the home and provided proof of control of property with a copy of a mortgage statement that was included with the original application.

Applicant will be using the following rooms for childcare: the kitchen, the dining area, the living room, the second dining room/day care room, the family/day care room and the bathroom all located on the first floor of the home. Off limits is the second floor of the home and the garage. The second floor of the home is made off limits with a secured child safety gate that is installed on the bottom entrance of the home staircase. The garage is inaccessible with a door knob cover that is installed on its entrance door handle. The applicant has sufficient toys and equipment available.

The home has a fenced backyard available for outdoor activities. The yard has an entrance door that leads to a storage room located behind the garage. The storage room entrance door from the back yard is inaccessible with a locking door handle. The home also has a front yard that is off limits to the day care and is made that way from the back yard with separation fencing and a latching gate.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2023
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: GASTELUM, LAURA FAMILY CHILD CARE
FACILITY NUMBER: 376629778
VISIT DATE: 11/13/2023
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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. LPA and applicant discussed California Megan's Law and he provided applicant with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.ca.gov.

Applicant was reminded of requirements for children’s records, child abuse and unusual incident reporting, immunizations, adults living or working in the home and associated civil penalties, shaken baby syndrome, and SIDS. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not allowed in day care.

No corrections are required. Applicant also applied for the transfer of the large license from her previous location and received a fire clearance from the San Diego Fire Department on 10/30/23. Based on the clearance and today's visit, a license for 14 will be issued today at this new location.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023
LIC809 (FAS) - (06/04)
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