376614962-7-17-2024-51-CC-RROZ-D79RM7-20240717130815

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376614962
Report Date: 07/17/2024
Date Signed: 07/17/2024 01:08:44 PM

Document Has Been Signed on 07/17/2024 01:08 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	FORD, JANICE FAMILY CHILD CARE		FACILITY NUMBER:	376614962
ADMINISTRATOR:	JANICE FORD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 449-1362
CITY:	SANTEE	STATE: CA	ZIP CODE:	92071
CAPACITY:	14	CENSUS: 4	DATE:	07/17/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Janice Ford		TIME COMPLETED:	12:40 PM

NARRATIVE

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On 7/17/24 at 11:00 a.m, Licensing Program Analysts (LPA), Renita Rodriguez and Mahjoba Raofi, conducted an unannounced annual inspection. LPAs were greeted at the front door by licensee Janice Ford. LPA was granted entry after showing badge and identifying herself and disclosing the purpose of her visit. The two story home was toured and inspected for compliance. Applicant is using the following areas for daycare: Living room, dining room, and bathroom located on the 1st floor of the home. The kitchen, playroom, and side room on 1st floor is off limits. The garage is off limits. The entire second story and garage is off limits and inaccessible by security gate. The children are provided a safe, healthful, and comfortable environment, furnishings, and equipment. There were 4 children in care present (no infants). Janice Ford owns the home.

LPA tested the smoke alarm and carbon monoxide which is operational. There is a fire extinguisher size 2A10BC in the kitchen that meets regulations. LPA did not observe any bodies of water. Licensee stated there are no weapons or ammunition stored on the premises and LPA did not observe any.

There is a fireplace located in the playroom which is off limits and barricaded. Storage for poisons, detergents, cleaning solutions, medications are out of reach, in off limit areas, and inaccessible to children by latches and locks. There are sufficient toys and equipment available. Outdoor play area takes place in licensee front yard. Applicant is reminded constant supervision is required. The home has heating and ventilation for safety and comfort. Pediatric CPR and First Aid card will expire 6/2026. Mandated Reporter Training was completed 4/2023. Applicant is reminded the training is required every 2 years. Licensee is using cell phone to meet requirements. Required documents are posted.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Renita Rodriguez	TELEPHONE: (916) 903-2302
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: FORD, JANICE FAMILY CHILD CARE	FACILITY NUMBER: 376614962
	VISIT DATE: 07/17/2024

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LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

See LIC 809D for citation issued.

Exit interview conducted and report was reviewed with the licensee, Janice Ford.

During the exit interview, the Licensee Janice Ford, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Renita Rodriguez	TELEPHONE: (916) 903-2302
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/17/2024 01:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: FORD, JANICE FAMILY CHILD CARE	FACILITY NUMBER: 376614962
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/17/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(b)

Operation of A Family Child Care Home

(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. Licensee did not keep home clean and orderly which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/30/2024
	Plan of Correction
1 2 3 4	Licensee will clean up all areas used for daycare and provide pictures to LPA Renita Rodriguez by email at renita.rodriguez@dss.ca.gov

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Renita Rodriguez	TELEPHONE: (916) 903-2302
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024

LIC809 (FAS) - (06/04)

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