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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100686
Report Date: 03/30/2021
Date Signed: 03/30/2021 12:22:09 PM

Document Has Been Signed on 03/30/2021 12:22 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:NASPOLINI, ADRIANA FAMILY CHILD CAREFACILITY NUMBER:
376100686
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
03/30/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Adriana NaspoliniTIME COMPLETED:
12:15 PM
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On 3/30/2021 at 9:30 AM Licensing Program Analyst (LPA) Adrian Mangina conducted an announced Pre-Licensing inspection with the applicant. Also present in the home during the inspection were applicant’s two minor children. The 2-bedroom, 2-bathroom two story home was toured and inspected to ensure an environment safe for the care and supervision of children. A copy of the rental agreement was provided as proof of control of property.

Applicant will be using the following rooms for childcare: living room, hallway, downstairs bathroom, and patio. The following areas will be off limits: kitchen, first floor hall closet, and entire second floor. The off-limit areas either have safety latches, locks, doorknob covers or gates to prevent access.

The 2A10BC fire extinguisher located in kitchen and attached to wall next to refrigerator and the combination smoke detectors/carbon monoxide detectors located in living room, upstairs hallway, Bedroom #1 and Bedroom #2 meet requirements and are all operational. TV in living room is securely fixed to the wall. All hazardous items were latched/locked and secured out of reach of children.

The applicant has sufficient toys and equipment available. Outdoor play area is the fenced patio area. Visual supervision is required at all times. There is a pool at the complex which is currently closed due to covid-19. Applicant advised visual supervision is required at all times. There are two infant bouncer seats in the home that applicant purchased for her child care. LPA observed applicant move them to off limits area. Applicant advised that bouncer seats may not be used for children in care.

(Continued on LIC809 page 2)
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 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: NASPOLINI, ADRIANA FAMILY CHILD CARE
FACILITY NUMBER: 376100686
VISIT DATE: 03/30/2021
NARRATIVE
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(LIC809 page 2)

Applicant states that they have sufficient financial resources to sustain the license. 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. Applicant rents the home and has provided the Landlord Notification Form. First Aid and CPR expire on 1/31/2023 and preventative health practices course was completed on 2/18/2021. Mandated Reporter Training AB 1207 was completed on 1/25/2021. Staff immunization requirements per SB792 were met. Applicant has the required immunizations. Applicant states that there are no weapons in the home.

The new provider packet was reviewed with the applicant including information on ratios and capacity, child abuse reporting, children’s records, immunizations, adults living or working in the home, car seat law, shaken baby syndrome, SIDS, safe sleep practices, effects of lead poisoning, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers, and bouncy seats are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided applicant with the following information:
· Child Care Advocates - email address childcareadvocatesprogram@dss.ca.gov.
· For common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.

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

(continued on LIC809 Page 3)
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2021
LIC809 (FAS) - (06/04)
Page: 2 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: NASPOLINI, ADRIANA FAMILY CHILD CARE
FACILITY NUMBER: 376100686
VISIT DATE: 03/30/2021
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(LIC809 page 3)

Applicant has not obtained landlord consent to care for up to 8 children, and will be limited to caring for 6 children, including any children living in the home under ten years old. Applicant agreed to comply with all regulations and laws governing family child-care homes.

No corrections are needed. A small license for maximum 8 children may be granted upon final file review.

An exit interview was conducted with applicant. Appeal Rights (LIC9058) will be sent along with the report (LIC809) via e-mail to the Applicant. Applicant’s reply to email is considered signature and confirmation of receipt..
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3