Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376618722
Report Date: 09/21/2016
Date Signed: 09/21/2016 03:58:10 PM

COMPREHENSIVE INSPECTION
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:ARINDUQUE, KATHI FAMILY CHILD CAREFACILITY NUMBER:
376618722
ADMINISTRATOR:KATHI ARINDUQUEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 475-0262
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: 15DATE:
09/21/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Kathi Arinduque TIME COMPLETED:
04:15 PM
NARRATIVE
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(3)Licensing Program Analyst Selina Siao conducted an unannounced annual random inspection with the Licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present at the facility were the Licensee, helper Ybon Rambeau and her son/helper Edwin Arinduque and 13 school age children including 5 of her school age grand children. Licensee's other son/helper Ricky Arinduque dropped off licensee's school age grand daughter that is over the age of 10 and two additional school age day care child at the facility during today's visit. The facility is found to be over capacity by 1 school age child today. The home has a fully charged fire extinguisher and an operating smoke detector. Licensee stated that she does not have a carbon monoxide detector at the home. Not all hazardous items were latched/locked and secured out of reach of children. There are no bodies of water or 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. Licensee's CPR/FA cards are due to expire on 02/2018. Licensee's son/helper's CPR/FA cards are current due to expire on 04/2016. The day care children’s records were reviewed and are mostly in ordered. Facility has an updated roster and fire drill log available for review. Licensee last conducted a drill with the children in care on 06/06/2016.
Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include living room, dining room, family room, kitchen and bathroom. Off limits areas include three bedrooms and master bath by having the doors closed. Facility has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2016
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: ARINDUQUE, KATHI FAMILY CHILD CARE
FACILITY NUMBER: 376618722
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/22/2016
Section Cited
102417(g)(4)
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102417(g)(4) Operation of a Family Child Care Home. Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger to children shall be stored where they are inaccessible to children. LPA observed more than 8 sharp kitchen knives in the kitchen's drawer that are not latched therefore accessible to children. LPA also observed two bottles of spray sunblock and a tube of hair gel on the bathroom sink counter accessible to children. This poses an immediate health and safety risk to clients in care.

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Licensee removed the sharp knives to the top of the refrigerator today and removed the sunblocks and gel to the latched sink cabinet. A written plan of correction shall be submitted to LPA via email by 09/22/2016.
Type A
09/22/2016
Section Cited
102423(a)(4)
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102423(a)(4) Personal Rights. Each child shall be free from corporal or unusual punishment. Upon arrival, while LPA was standing at the front entrance door, LPA heard licensee's son/helper Edwin Arinduque yelling at his school age daughter in the dining room in front of the day care children who were sitting in the family room and back yard. This poses an immediate health and safety risk to clients in care.

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Licensee stated that she will talk to her helpers including her sons regarding personal rights. She will remind her son that he is not allow to yell at his children in front when children are in care. A written plan of correction shall be submitted to LPA via email by 09/22/2016.
Type A
09/22/2016
Section Cited
1597.46(e)
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H&S 1597.46(e) A large family day care home shall have one or more functioning carbon monoxide detectors. Facility does not have a carbon monoxide detector. This poses an immediate health and safety risk to clients in care.


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Licensee stated that she will purchase a carbon monoxide detector for the facility. Licensee shall submit a photo of the carbon monoxide detector along with the receipt to LPA via email.
Type A
09/22/2016
Section Cited
102416.5(c)
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The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children. Licensee's son Ricky Arinduque dropped off two additional school age day care children when the facility have 13 children including licensee's 5 grand children. Facility have a total of 15 children and is out of capacity by 1 child.
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Licensee stated that she will tell her son that her grand children cannot be at the facility until some of her day care children leaves. A written plan of correction shall be submitted to LPA via email by 09/22/2016.
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: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2016
LIC809 (FAS) - (06/04)
Page: 3 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: ARINDUQUE, KATHI FAMILY CHILD CARE
FACILITY NUMBER: 376618722
VISIT DATE: 09/21/2016
NARRATIVE
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The following items were discussed with provider: Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about heat related illness & Incidental Medical Service (IMS) and reporting responsibilities were discussed. Licensee shall submit a plan of operation regarding IMS to Licensing within 30 days. Discussed Senate Bill 279 to Licensee today.

Licensee was advised to obtain the family child care regulation highlights at www.ccld.ca.gov and register her email address on www.myccl.ca.gov so she can obtain periodic Licensing information.

See LIC 809D for deficiencies:

“Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. “


A Notice of Site Visit was posted today and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2016
LIC809 (FAS) - (06/04)
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