Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376606391
Report Date: 07/28/2017
Date Signed: 07/28/2017 03:17:57 PM

COMPREHENSIVE INSPECTION
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:WITZMANN, ANDREA FAMILY CHILD CAREFACILITY NUMBER:
376606391
ADMINISTRATOR:WITZMANN, ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 943-7342
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:14CENSUS: 13DATE:
07/28/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee Andrea WitzmannTIME COMPLETED:
03:25 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a required annual inspection. During this visit there were 13 children in care with Licensee and her daughter, Molly. Three of the children were school age and two were under the age of 2 years. The facility is within ratio and capacity. Day care hours are: Monday thru Friday from 7 a.m. to 5:30 p.m. LPA toured the home. Primary child care space is the family room, first floor bathroom and bedroom, kitchen and fully fenced back yard. Off limits areas have been made inaccessible with the use of safety gates. There is sufficient space for the children to eat, sleep and play within the home, it is clean and orderly and was a comfortable temperature during this visit. There are plenty of age appropriate toys, games, books and play equipment available, in gdition. The fireplace is secured, the stairs are inaccessible. Both the fire extinguisher and dual smoke alarm/CO monitor are operational, located in the dining room. Licensee provided un updated phone number of 760-845-7869. All required forms were posted. All adults living/working in the home have been fingerprint cleared and associated. There are no firearms or ammunition. There is a pool and jacuzzi on the property, fully fenced with an operational self latching gate per regulation. Licensee's pediatric FA/CPR certification with Heartsaver is valid through 3/18 and Molly's through 7/19. The last emergency drill was conducted on 6/5/17. LPA reviewed the facility roster and children's records. LPA discussed SB 792 (Staff Immunizations) and SIDS (Child Care Providers Guide to Safe Sleep Handout provided). Incidental Medical Services (IMS) policy was discussed. This facility provides Incidental Medical Services – IMS. Approved plan in place. No services provided today. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.. No deficiencies are cited. Licensee is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Notice of Site Visit was posted during this visit and must remain posted to 30 days
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2017
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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