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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100686
Report Date: 07/21/2023
Date Signed: 07/21/2023 11:50:36 AM

Document Has Been Signed on 07/21/2023 11:50 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO NORTH, 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: 7CENSUS: 5DATE:
07/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:11 AM
MET WITH:Adriana NaspoliniTIME COMPLETED:
12:00 PM
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On 7/21/23 at 9:11 am Licensing Program Analyst’s (LPA) Gerald Poindexter and LPA Patrick Ma conducted an unannounced inspection for an annual inspection and increase in capacity application. Upon arrival, LPA met with Licensee Adriana Naspolini. Licensee was provided the Inspection Checklist (LIC 126). The two-bedroom, two-bathroom, two-story home was toured and inspected to ensure an environment safe for the care and supervision of children. At the time of LPA’s arrived, three daycare children were present in the home, including two infants. Licensee states they typically arrive between 8-9:30 am. During inspection, two addition children were dropped off at the facility.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas Licensee stated she uses for childcare include 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, or gates to prevent access. Stairs are barricaded when children under age 5 years old are present. The facility has sufficient toys and equipment available.

The home has a fenced patio area. Licensee stated she understands that direct visual observation must be maintained at all times during outdoor play. There is a pool at the complex which licensee states is located approximately one block from the facility and requires key access.

There is a fully charged fire extinguisher, smoke and carbon monoxide detector that meet requirements and are operational. There is no fireplace. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children via safety gates. Adequate heating and ventilation are provided. There is a working telephone. Licensee stated there are NO firearms and weapons in the home.

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SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2023
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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NASPOLINI, ADRIANA FAMILY CHILD CARE
FACILITY NUMBER: 376100686
VISIT DATE: 07/21/2023
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LPA observed all required postings were posted. Personnel records were reviewed. Children’s and Staff records were reviewed and found to be in order. Licensee has the required immunizations per SB792. Licensee’s Pediatric CPR/First Aid are current with an expiration date of 2/19/25. Licensee’s Mandated Reporter Training Certificate per AB1207 is current, expires 2/12/25 and must be renewed every 2 years. Licensee’s primary language is English.

Emergency drills are conducted and documented with the last one being on 1/4/23. Licensee maintains a current roster of the children which LPA obtained during time of inspection. LPA verified that all adults living or working in the home have been fingerprint cleared and associated. Licensee maintains and updates all required records for children in care. Licensee is reminded that property owner/landlord consent is required to provide care for more six children for a small home and more than 12 children for a large home. The licensee has not obtained a signed Property Owner/Landlord Consent form (LIC9149). LPA reminded Licensee that all unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203. Duty officer number is (619)767-2248.


Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA conducted child care quality management staff interview with the Licensee. 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-andresources/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.


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SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023
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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NASPOLINI, ADRIANA FAMILY CHILD CARE
FACILITY NUMBER: 376100686
VISIT DATE: 07/21/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

The following corrections are needed:


• Licensee must conduct an emergency drill every six months and provide proof its occurrence

Applicant understands that corrections must be submitted to the Department within 30 days or the application may be denied.

Exit interview conducted and report was reviewed with the licensee Adriana Naspolini. During the exit interview, the LICENSEE confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023
LIC809 (FAS) - (06/04)
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