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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626282
Report Date: 08/22/2023
Date Signed: 08/22/2023 03:13:45 PM

Document Has Been Signed on 08/22/2023 03:13 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DELIA, NICOLE FAMILY CHILD CAREFACILITY NUMBER:
376626282
ADMINISTRATOR:NICOLE DELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 741-7288
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
08/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Nicole DeliaTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by licensee, Nicole Delia. LPA was granted entry after identifying herself and disclosing the purpose of her visit. There were 3 napping children present. Licensee is using the following areas for daycare: Living Room, Kitchen, Bedrooms 1 & 2, Bathroom 1, and Back yard. The following areas are off-limits to children: Bedroom 3, Bathroom 2, Front Yard, and Garage. These areas are inaccessible to children by baby safety gates and doorknob covers. The children are provided a safe, healthful, and comfortable environment, furnishings, and equipment. Business Hours are Monday-Friday, 7:30am – 5:30pm.

There is a fire extinguisher in the kitchen area that meets regulations. LPA did not observe any bodies of water on the premises. Licensee stated there are no weapons or ammunition stored on the premises and LPA did not observe any.

There is a fireplace in the Living room area that has been screened for safety of children. Storage for poisons, detergents, cleaning solutions, medications are inaccessible by doorknob covers for off limit rooms or out of reach of children. Licensee provided a fire/disaster drill log that shows last drill was conducted on 6/19/23. The home is kept clean and orderly with heating and ventilation for safety and comfort.

Licensee has no infants currently on her roster. Pediatric CPR and First Aid card expires September 2024. Licensee has a Mandated Reporter training certificate that expires August 2023 and stated she will renew before the end of August. Letter of declination for flu shot is on file for licensee. There is a working telephone and email address.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2023
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: DELIA, NICOLE FAMILY CHILD CARE
FACILITY NUMBER: 376626282
VISIT DATE: 08/22/2023
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Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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.

LPA discussed the safe sleep regulations with licensee or facility representative 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 for facility representative 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.

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.

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 were cited today.

Exit interview was conducted and report was reviewed with licensee, Nicole Delia. Copy of report and Appeal Rights was given. A notice of site visit was posted and must remain for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023
LIC809 (FAS) - (06/04)
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