Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376606391
Report Date: 05/04/2018
Date Signed: 05/04/2018 03:03:50 PM

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: 11DATE:
05/04/2018
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Licensee Andrea WitzmannTIME COMPLETED:
03:10 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced case management visit to evaluate the facility's compliance with Title 22 regulation and with the terms of the Probationary Agreement entered into on 717/2015.

There were 11 children present with Licensee, her daughter Molly and her assistant Alex. Four of the children were under two years of age. The facility is within ratio and capacity. LPA toured the facility. The fire extinguisher is full, located in the laundry room along with the operational carbon monoxide detector. The smoke alarm in the nap room is operational. The pool if fenced per regulation. No hazards were noted inside or out.

Licensee's roster was current. LPA reviewed files of the children present at the facility and found them to be complete. Licensee, Alex, Chelo and Molly have current CPR/FA certification on file as well as the required Mandated Reporter Training certification. SB 792 regulations were met last year for Licensee, assistant Chelo and her daughter Molly. LPA verified SB 792 regulation requirements for Assistant Alex at today's visit.
LPA reviewed physical plant requirements today. Appropriate supervision was observed today.

No deficiencies are cited.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS>
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2018
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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