Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619282
Report Date: 06/28/2018
Date Signed: 06/28/2018 04:21:46 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:LAVENANT, OLGA FAMILY CHILD CAREFACILITY NUMBER:
376619282
ADMINISTRATOR:OLGA LAVENANTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 781-5702
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 3DATE:
06/28/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Olga LavenantTIME COMPLETED:
04:30 PM
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(1)LPA Armando Locano completed an un-announced annual site inspection today. The purpose of the visit is to ensure the facility is maintaining the health and safety standards as required by CCR, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. Met with licensee Olga Lavenant, 3 daycare children were present during the visit, 2 school age and 1 toddler. LPA toured the home to ensure the home was properly childproofed, LPA observed toys and equipment available for children of different age groups. Outdoor play had a variety of age appropriate equipment and was properly childproofed. Children’s records were reviewed, proper forms were in order, facility roster was up to date and it was verified licensee conducts fire drills twice a year, most recent 6/18/18. There was an operational Type II 10ABC fire extinguisher and working smoke and carbon monoxide alarms maintained in the home. CPR & First Aid Certificates were verified to be up to date for licensee and all helpers. Mandated Reporter Training was completed on 12/27/17. There are no weapons or bodies of water on the premises. LPA Reviewed with licensee SIDS and Shaken Baby Syndrome information, clearance requirements for persons over 18 residing or working in the home and new car seat regulations. A review of staff records on June 28, 2018, indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions as required.

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

Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu. LPA has verified required immunizations are up to date and facility is in compliance.

There are no deficiencies cited on this visit, all paperwork was in order, properly posted and the home was properly childproofed.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed licensee posting notice during.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2018
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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