Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617458
Report Date: 11/03/2016
Date Signed: 11/03/2016 04:36:44 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:TORRES, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376617458
ADMINISTRATOR:IRMA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 583-2024
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 3DATE:
11/03/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Irma TorresTIME COMPLETED:
04:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Farah Tanous made an unannounced annual random inspection. Upon arrival, LPA Tanous met with Licensee, Irma Torres, who was supervising three day care children (one is an infant). Licensee’s daughter, Carolina Sanchez, arrived to the facility during LPA’s visit. LPA toured/inspected the facility inside and outside as per facility sketch. The following areas are used for day care: living room, dining room, kitchen, the first bedroom (to the right) for napping and one bathroom. Licensee utilizes a fully fenced front yard area for outdoor activities which was approved by LPA Tanous during the visit. Licensee was reminded supervision is required during outdoor activities. Licensee stated that she no longer wished to utilize the backyard for outdoor play. Licensee sated she will submit an updated facility sketch LIC 999 to Child Care Licensing. The master bedroom is off-limits to children and made inaccessible through the use of a door lock. LPA did not observe bodies of water during this visit.

There is a functioning smoke alarm, carbon monoxide detector, & fire extinguisher maintained in the home. The home has adequate heating and ventilation. The home has a working telephone. Licensee stated no changes to the LIC610A dated 10/24/2005. The Last disaster drill was conducted on 11/03/2016 just before LPA's visit. Licensee stated there are no weapons on premises. Licensee stated that there are no new adults living or working in the home over the age of 18 years. Licensee has CPR & first aid certification valid through May 2018.

LPA reviewed the following with Licensee: Capacity limitations, supervision, unusual incidents, mandated reporting, Assembly Bill 633, SIDS, Shaken Baby Syndrome, Megan's law, AB 2084 Healthy Beverages in Child Care. Licensee is reminded that corporal punishment, smoking, baby walkers, exersaucers, jumpers and bouncy seats shall never be permitted during day-care operation. Licensee is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children. Some Children's records were reviewed.

SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Farah TanousTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2016
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: TORRES, IRMA FAMILY CHILD CARE
FACILITY NUMBER: 376617458
VISIT DATE: 11/03/2016
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IMS was discussed. 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 http://www.ada.gov/childqanda.htm

*** New immunization law (SB792) was discussed with Licensee. Licensee understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza.

No deficiencies observed in the areas inspected during today's visit. Licensee’s (LIC 9058 12/15) rights were provided. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit. Exit interview conducted. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov
SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Farah TanousTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2016
LIC809 (FAS) - (06/04)
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