376615314-5-15-2023-20-CC-LGAO-CRUUJV-20230515153811

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376615314
Report Date: 05/15/2023
Date Signed: 05/15/2023 03:38:23 PM

Document Has Been Signed on 05/15/2023 03:38 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:	VIRAMONTES, IMELDA FAMILY CHILD CARE		FACILITY NUMBER:	376615314
ADMINISTRATOR:	IMELDA VIRAMONTES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 781-5582
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92104
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 7	CENSUS: 2	DATE:	05/15/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Imelda Viramontes		TIME COMPLETED:	03:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On May 15, 2023, at 12;45PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Imelda Viramontes. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Two (2) children and Ms. Viramontes were present in the facility during this inspection. This facility is a one floor, three bedroom, two bathroom home. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: the living room and the day care bathroom. Off limits areas are the kitchen, the family room, the den and the three home bedrooms. The kitchen is made inaccessible with the use of a child safety gate that is installed at the entrance between the living room and the kitchen. The family room and den are behind the off limits kitchen and therefore also inaccessible to day care children. Bedrooms #1 and #2 are made off limits with a door knob cover that is installed on the entry door that leads to them. The master bedroom is made off limits by an installed safety gate in the interior of the room that still allows access to the day care bathroom. The home has a wall heating unit that was made non-operational by SDG&E and licensee maintains paperwork confirming that. Since her last visit, licensee has made areas that were formerly accessible in the day care, inaccessible. Licensee is to submit an updated facility sketch to analyst within 30 days to reflect the new off limits areas. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced backyard that the licensee states she currently does not use for day care. The exit door into the yard from the family room is inaccessible as the room is behind the off limits kitchen. The licensee only uses her gated front yard for outdoor activity whenever needed. No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. 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.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

Document Has Been Signed on 05/15/2023 03:38 PM - It Cannot Be Edited

Created By: Luigi Gargaro On 05/15/2023 at 01:58 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: VIRAMONTES, IMELDA FAMILY CHILD CARE	FACILITY NUMBER: 376615314
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/15/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(2)(B)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as she has not been maintaining safe sleep logs for the one infant she has enrolled which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 05/22/2023
	Plan of Correction
1 2 3 4	Licensee stated that she was not aware of the safe sleep record requirements for infants. Analyst provided licensee with a copy of the updated infant regulations and a sample safe sleep log during today's visit. Licensee states she will keep track of infant's sleep from this point forward beginning tomorrow and send analyst a copy of the log kept for the period of 05/16/23 to 05/19/23 and send to analyst by 05/22/23 to complete the correction.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst record review, the licensee did not comply with the section cited above as she does not have a current Mandated Reporter Training certification which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 06/12/2023
	Plan of Correction
1 2 3 4	The licensee stated she will complete a Mandated Reporter Training Class at www.mandatedreporterca.org and send analyst a copy of the certificate of completion by 06/12/23 to complete the correction.

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:

Jason Garay

LICENSING EVALUATOR NAME:

Luigi Gargaro

LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: VIRAMONTES, IMELDA FAMILY CHILD CARE	FACILITY NUMBER: 376615314
	VISIT DATE: 05/15/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Licensee’s First Aid and CPR certifications expire on 10/02/23. Licensee has required immunizations. Licensee does not have a current Mandated Reporter Training certificate. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 02/01/23. Licensee has only one older infant in care who is able to climb out of playpens and solely naps on a mat. The provider has not been maintaining safe sleep logs for the infant she has in care as required.

LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.ca.gov

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.

Two type B violations California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

An exit interview was conducted with the licensee, Imelda Viramontes. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

LPA provided notice of site visit and observed it being posted at the facility.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3