Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376606391
Report Date: 04/17/2019
Date Signed: 04/17/2019 03:18:43 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:
04/17/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Assistant Consuelo OchoaTIME COMPLETED:
03:25 PM
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Licensing Program Analysts, Joelle Redding and Elizabeth Rivera, made an unannounced visit for the purpose of a Random Annual inspection. During this visit, there were 11 children in care with Licensee's two assistants Consuelo and Alexandra. Licensee is on vacation until Saturday. 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 areas are the family room, kitchen, downstairs bedroom and bathroom and fenced portion of the rear yard. Off limits areas have been made inaccessible with the use of safety gates. There are no hazardous substances accessible. There are no weapons stored in the home or on the property. There is a pool and jacuzzi on the property, fully fenced with a self latching gate per regulation. The fireplace is not in use, covered with a mesh screen. Licensee will replace the barrier or the glass if used at any point. The stairs have been made inaccessible. The fire extinguisher is full and of adequate size and located in the laundry room. The dual smoke alarm/carbon monoxide detector, located on the wall in the formal dining room, is operational. The home is clean, orderly and has adequate ventilation and heating. Licensee has provided sufficient space for the children to eat, sleep and play within the home. Children’s toys and play equipment are safe and age appropriate. There is a working telephone and all required forms are posted. Children’s files were reviewed for emergency information. The last emergency drill was conducted on 3/19/19. The facility roster is current and complete. Licensee's and her assistants Alexandra and Consuleo pediatric CPR/FA certificate with American Heart Association is valid through 3/2020. SB 792 (Staff Immunizations) and AB 1207 (Mandated Reporter Training- www.mandatedreporterca.com ) SIDS/Safe Sleep was discussed and Child Care Providers Guide to Safe Sleep Handout provided. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Effects of Lead Exposure handout was provided for distribution to the parents of currently enrolled children and future enrollees.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2019
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: WITZMANN, ANDREA FAMILY CHILD CARE
FACILITY NUMBER: 376606391
VISIT DATE: 04/17/2019
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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, an updated Plan of Operation that includes 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. Services were in place today. Licensee is to submit an Incidental Medical Services Plan of Operation for reiew within 30 business days of today's date in order to provide services.

Licensee is reminded that walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use.



Licensee is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Southern California Child Care Advocate: Jane Cong-Huyen 714-703-2800 or childcareadvocatesprogram@dss.ca.gov. Contact to be placed on an email list for updated regulation information.

No deficiencies are cited.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2019
LIC809 (FAS) - (06/04)
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