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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100639
Report Date: 03/15/2021
Date Signed: 03/15/2021 02:21:20 PM

Document Has Been Signed on 03/15/2021 02:21 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:FARACO, PAULA FAMILY CHILD CAREFACILITY NUMBER:
376100639
ADMINISTRATOR:PAULA FARACOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 688-6818
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/15/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Applicant Paula FaracoTIME COMPLETED:
02:15 PM
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On 3/15/2021 @ 1:45 p.m., LPA, Joelle Redding, met with Applicant Paula Faraco , for the purpose of a Pre-Licensing inspection. This inspection is being conducted virtually due to Covid 19 restrictions. Applicant applied for a change of location on 1/21/21. Fire clearance was received on 2/22/21. Covid-19 Self Assessment Guide was received and reviewed on 3/4/21.

LPA toured the home. It is a one story, three bedroom, two bathroom home with a two car garage. All required forms were posted. There is a working telephone on the premises. LPA did not note any hazardous items accessible to children. The fireplace is secured and there are no bodies of water or weapons/firearms or ammunition in the home or on the property. The fire extinguisher size (2A10BC or larger) meets requirements and is fully charged, located on the wall of the child care room. The smoke detector (located in the living room and child care room) and carbon monoxide detector (located in the living room) are operational. Applicant’s Pediatric CPR/FA certification with A-B-Cpr is valid through 4/6/21. All adults living or working in the home have been fingerprint cleared and associated and immunization requirements have been met. Mandated Reporter Training is current. Control of property was verified. Applicant will be using the following areas for childcare: Living room, dining room, hallway bathroom and front bedroom. Off limits areas of the home include: the remaining bedrooms and bathroom and the garage. These areas have been made inaccessible with the use of door knob covers and latches/locks. Outdoor play area is fully-fenced and equipped with age-appropriate play equipment and toys, in good condition. No hazards were noted. Applicant was reminded of requirements for children’s records, child abuse reporting, unusual incident reporting, immunizations, criminal background clearance procedures and policies, posting requirements. Safe Sleep for Infants, Shaken Baby Syndrome and Covid-19 safety requirements and guidelines. Applicant was reminded that walkers, exersaucers, bouncy seats, jumpers, drop side cribs and napping portables and recalled items are not to be used for day care. Garage use and smoking during in or around day care areas is prohibited.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2021
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: FARACO, PAULA FAMILY CHILD CARE
FACILITY NUMBER: 376100639
VISIT DATE: 03/15/2021
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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, an updated Plan of Operation that includes 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. Applicant states that no services will be provided at this time.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

No corrections are required. Upon final file review, the change of location will be granted and a new license will be sent for posting.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021
LIC809 (FAS) - (06/04)
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