<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627162
Report Date: 11/09/2021
Date Signed: 11/09/2021 03:39:09 PM

Document Has Been Signed on 11/09/2021 03:39 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:BELTRAN, ROCIO FAMILY CHILD CAREFACILITY NUMBER:
376627162
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
11/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Rocio Beltran, LicenseeTIME COMPLETED:
03:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On November 9, 2021 at 1:10 PM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced Annual Required Inspection and met with the Licensee, Rocio Beltran. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. During the inspection today, there is one child with the Licensee and the adult helper, Edith Beltran-Gomez. This facility is a one story, two bedroom, and one bath home. The Licensee accompanied LPA during the inspection of the home, inside and outside of the facility. The following areas are used for child care are: The kitchen, dining room, living room, bedroom #2, hallway bathroom, and the front patio. The off limit areas are bedroom #1, garage and the backyard patio. The off limits areas are inaccessible through use of a child proof door knobs and locks. All hazardous items were inaccessible to children. The storage area for poisons is locked. The licensee has toys, play equipment and materials available. No bodies of water observed on the premises during the inspection. The Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received a criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certification expires on 06/2023. Licensee and adult helper have the required immunization records. The Licensee's Mandated Reporter certification expires on 10/13/2022. The mandated reporter certification must be renewed every two years prior to expiration. The Licensee conducted the fire/disaster drill on 06/23/2021. The Licensee currently does not have any infants enrolled in the facility. However, LPA discussed and provided the Infant Safe Sleep plan, regulation and the fifteen minute checks. LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in day-care. Licensee was also provided with the information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. The handout was provided for he SDQPI Every Child Deserves Quality Early Learning Experiences.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2021
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 2
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: BELTRAN, ROCIO FAMILY CHILD CARE
FACILITY NUMBER: 376627162
VISIT DATE: 11/09/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA discussed and provided Licensee with the following: child care 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.

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.

LPA reviewed the following information with the Licensee: Safe Sleep, SIDS, shaken baby, child abuse reporting, community resources, YMCA Childcare Resource Service, children’s records, facility records, required postings, immunization's, unusual incident report, facility roster, car seat law, visual for ratio/capacity, fire/disaster drill log and prohibited items including no smoking or corporal punishment in a day care. LPA discussed the maximum capacity for a small family child care home: Maximum capacity: 6 - no more than 3 infants or 4 infants only. Capacity of 8 - No more than two infants, 1 child in kindergarten or elementary school and 1 child at least age 6, including children under age 10 who live in the home. Discussed and provided the Covid-19 postings. LPA discussed the Guardian for background checks and disassociation's with the Licensee.

No deficiency cited today. An exit interview was conducted with the licensee. The licensee was provided a copy of the report and the notice of site visit. LPA provided the notice of site visit, and observed it being posted at the facility.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2