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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136609770
Report Date: 02/15/2023
Date Signed: 02/15/2023 05:17:08 PM

Document Has Been Signed on 02/15/2023 05:17 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:LOPEZ, ESTHER FAMILY CHILD CAREFACILITY NUMBER:
136609770
ADMINISTRATOR:ESTHER LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 356-0025
CITY:HOLTVILLESTATE: CAZIP CODE:
92250
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
02/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:53 AM
MET WITH:TIME COMPLETED:
12:35 PM
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On 2/15/23 at 10:53am, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced annual inspection and met with Licensee, Esther Lopez. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were four (4) children present. Also present was licensee’s husband, Le Lopez and helper, Guadalupe Anguiano. The following areas are used for childcare: the daycare room, bathroom 1, bedroom 1, kitchen, dining room, living room and den. The following off-limit areas are made secure via doorknob covers bedrooms 2 and 3 and bathroom 2. Facility operates Monday - Friday 6:00am – 5:30pm.

The fire extinguisher, smoke detector and carbon monoxide detector met requirements. Hazardous items were inaccessible to children in care. LPA informed licensee poisons shall be placed in a storage area and locked. Licensee stated there are no bodies of water on the premises of the property. Firearms and ammunition are locked and stored separately. LPA informed licensee that children shall be supervised during outdoor activities.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Licensee acknowledged understanding of the requirements for criminal record clearances.

Licensee’s First Aid and CPR certifications expire 12/2024. Licensee has required immunization records on file for review. Licensee’s Mandated reporter training expired. LPA informed licensee the mandated reporter training shall be completed once every two years. Technical assistance provided.

The last fire/disaster drill was conducted and documented 1/5/23. LPA informed licensee the disaster drills shall be completed once every six months and documented. Required documents were posted. A sample of children’s files and staff files were reviewed and were complete. Facility roster reviewed and was complete.



See LIC809C continuation....
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2023
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: LOPEZ, ESTHER FAMILY CHILD CARE
FACILITY NUMBER: 136609770
VISIT DATE: 02/15/2023
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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.

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-and-resources/safe-sleep as an additional resource. 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.

LPA 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. LPA informed licensee in order to sign up for Quarterly Updates and PINs through our website. Please go to www.cdss.ca.gov and on the right side of your screen click on “Receive Important Updates”, put your email address in and choose which program(s) you would like to subscribe to and click “subscribe. In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiencies cited. Exit interview conducted with Licensee, Esther Lopez.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC809 (FAS) - (06/04)
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