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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617364
Report Date: 11/16/2023
Date Signed: 11/16/2023 07:11:30 PM

Document Has Been Signed on 11/16/2023 07:11 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BROWN, LISA FAMILY CHILD CAREFACILITY NUMBER:
376617364
ADMINISTRATOR:LISA BROWNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 972-3724
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 14TOTAL ENROLLED CHILDREN: 16CENSUS: 3DATE:
11/16/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Jezebel Figueroa and Lisa BrownTIME COMPLETED:
05:40 PM
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On November 16, 2023, at 3:30pm., Licensing Program Analyst (LPA), Vicky Williamson conducted an unannounced annual inspection. LPA met with Licensee's Assistant, Jezebel Figueroa and disclosed the purpose of the inspection. There were three (3) children present during the inspection. At 4:00pm, Licensee, Lisa Brown arrived at the facility. Days and hours of operation are Monday - Friday, 2:00pm - 5:00pm. Licensee provides after school only.

This tri-level, 6 bedroom, 4 bath home was tour and inspected. The following areas are used for child care are: living room, kitchen, dining room, downstairs day care rooms, and downstairs day care bathroom. Off-limits areas are the entire upstairs. Licensee provides care for only school-age children at this time, but understands that a safety gate must be in place at the bottom of stairs when children under 5 are present. The backyard is used for outdoor activities and is fully fenced. There is in-ground swimming pool and jacuzzi in the backyard. In addition there is a bathroom located inside of the fence where the swimming pool and jacuzzi are located. The swimming pool and jacuzzi are surrounded by a 5-foot mesh fence with a self-latching gate that swings away from the pool.

Licensee stated there are no firearms or weapons in the home. All cleaning compounds, medications, and other hazardous items are inaccessible to children during the inspection. There is a working fire extinguisher, a smoke detector, and a carbon monoxide detector. The fireplace in the home is properly secured. Licensee has a working cell phone. The licensee has age-appropriate toys and play equipment available.

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. See LIC809C Continuation...

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2023
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BROWN, LISA FAMILY CHILD CARE
FACILITY NUMBER: 376617364
VISIT DATE: 11/16/2023
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Pediatric CPR/First Aid certification for licensee is valid through 9/2025 and licensee's assistant through 7/2025. The licensee and assistant have the required immunization records on file. Mandated Reporter training certification for licensee and assistant is valid. LPA informed licensee to ensure the mandated reporter training is completed once every two years. LPA observed the required documents posted. A sample of children’s files were reviewed and determined to be completed. The last fire/disaster drill was conducted and documented on 9/9/2023.

On this date, 11/16/2023, the California Attorney General - Megan’s Law website (meganslaw.ca.gov) was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

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.

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

LPA discussed and provided Licensee with the following: childcare advocates email address: childcareadvocatesprogram@dss.ca.gov. In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

See LIC 809C Continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BROWN, LISA FAMILY CHILD CARE
FACILITY NUMBER: 376617364
VISIT DATE: 11/16/2023
NARRATIVE
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed - related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

LPA advised the Licensee that prior to making alterations or additions to the home or grounds, the Licensee shall notify the Department of the proposed change.

Licensee updated the facility sketch during the time of inspection.

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/process.

No deficiencies cited during today's inspection. An exit interview was conducted with the Licensee, Lisa Brown. A copy of the report and Appeal Rights were explained and provided to the licensee. Notice of Site Visit (LIC9213) was given to Licensee and must remain posted for 30 days.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC809 (FAS) - (06/04)
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