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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627162
Report Date: 01/19/2023
Date Signed: 01/19/2023 05:20:42 PM

Document Has Been Signed on 01/19/2023 05:20 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:BELTRAN, ROCIO FAMILY CHILD CAREFACILITY NUMBER:
376627162
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 9CENSUS: 5DATE:
01/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Rocio BeltranTIME COMPLETED:
05:30 PM
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On 1/19/2023 at 3:10 pm, Licensing Program Analyst (LPA), Vicky Williamson conducted an unannounced inspection for the purpose of a capacity increase. LPA met with Licensee Rocio Beltran and disclosed the purpose of the inspection. Also present during the inspection was licensee's spouse Gabriel Sandoval. Upon LPA’s arrival, there were three (3) daycare children, two of whom were infants. LPA observed one (1) infant age 19 months napping in a play yard. During the inspection, assistant Edith Beltran arrived at the facility with two (2) school age children.

The Fire Safety Inspection Request (STD 850) was approved by the local fire marshal on 1/04/2023 for fourteen (14) children.



LPA accompanied by licensee toured this 1 story, 2- bedroom, 1 bath home. Licensee will use the following areas for child care: living room, kitchen, bathroom, bedroom #2, fenced backyard play area and front patio. Off limits areas include: bedroom #1, garage, backyard patio behind the locked gate. They are made inaccessible to day care children through the use of fence locks, doorknob covers and door latches. Licensee utilizes the backyard play area for outdoor activities it is properly fenced.

Fireplace is screened and inaccessible to children. There are no bodies of water observed during time of inspection. The fire extinguisher, smoke and carbon monoxide detectors meet requirements. The licensee has toys, play equipment and materials available. Licensee stated there are no weapons in the home. A review of staff records on 1/19/2023 indicates that all individuals who require caregiver background checks have received criminal record and child abuse clearances. First Aid/CPR certifications expire for licensee on 6/2023 and for assistant on 9/2024. Immunization records for licensee and assistant meet requirements. Licensee and assistant completed Mandated Reporter training on 1/11/2023. Facility roster was reviewed and is maintained. A sample of children files were reviewed and meet requirements. The last fire and disaster drill was conducted on 12/1/2022.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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 2
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: BELTRAN, ROCIO FAMILY CHILD CARE
FACILITY NUMBER: 376627162
VISIT DATE: 01/19/2023
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There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are free from all loose articles and objects. LPA reviewed Sleep Log and verified that licensee physically checks on sleeping infants every 15 minutes. An Individual Infant Sleeping Plan (LIC 9227) is maintained for each infant up to 12 months of age. Licensee stated that she places infants up to 12 months of age on their backs for sleeping.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



The Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate (SCCCA) information was provided: (916) 654-1541 and childcareadvocatesprogram@dss.ca.gov The Licensee is already enrolled in this program’s email list through the CCLD website, thus receives updated regulation information.

The Licensee was provided with the Ratio/Capacity Worksheet for a large family childcare home. The Licensee acknowledged that if no assistant provider is present at a Large Family Child Care Home,then the Licensee shall comply with the capacity requirements for a Small Family Child Care Home.

A Large Family Child Care License for a capacity of fourteen (14) children may be issued upon final review.

No deficiencies cited. Exit interview conducted and copy of this report was provided to this Licensee Rocio Betran. Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC809 (FAS) - (06/04)
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