Community Care Licensing

Document Has Been Signed on 04/27/2023 06:57 AM - It Cannot Be Edited

FACILITY NAME:	DEL RIO, GABRIELA FAMILY CHILD CARE		FACILITY NUMBER:	376628134
ADMINISTRATOR:	GABRIELA DEL RIO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 247-7323
CITY:	SAN YSIDRO	STATE: CA	ZIP CODE:	92173
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 3	DATE:	04/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Gabriela De Rio		TIME COMPLETED:	11:40 AM

SUPERVISORS NAME: Jason Garay LICENSING EVALUATOR NAME: Cindy Meier LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023

Link to Parent Document Below:

FACILITY NAME: DEL RIO, GABRIELA FAMILY CHILD CARE	FACILITY NUMBER: 376628134
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/26/2023

Type B

Section Cited

HSC

1596.8662(b)(1)

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, licensee's Mandated Reporter Training expired in 2018 and assistant S(1) has not taken the course, the licensee did not comply with the section cited above in that she has not renewed the Mandated Reporter Training course, nor assistant S(1) taken course which poses as a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/26/2023
	Plan of Correction
1 2 3 4	LPA provided Licensee with written instructions on how to locate the Mandated Reporter Training online. Licensee states she and assistant S(1) will complete this online course and provide LPA with a copy of her training completion certificate no later than 05/26/2023.

Type B

Section Cited

HSC

1597.622(a)(1)

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, assistant's S(1) immunization's were not available for review, the licensee did not comply with the section cited above in that one (1) out of (1) persons did not have immunization's records available which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/05/2023
	Plan of Correction
1 2 3 4	Licensee will obtain a copy of assistant's S(1) immunization's and send a copy to CCLD by 5/5/2023.

SUPERVISOR'S NAME: Jason Garay LICENSING EVALUATOR NAME: Cindy Meier LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023

Link to Parent Document Below:

FACILITY NAME: DEL RIO, GABRIELA FAMILY CHILD CARE	FACILITY NUMBER: 376628134
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/26/2023

Type B

Section Cited

CCR

102417(g)(7)

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst record review, the licensee did not comply with the section cited above in that three (3) out of three (3) children's files reviewed were incomplete and missing required documents and signatures which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 05/12/2023
	Plan of Correction
1 2 3 4	LPA provided Licensee the LIC311D which lists required forms for children's files. Licensee stated she will provide the three children's completed files to LPA by 5/12/23.

Type B

Section Cited

CCR

102425(c)

An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the Licensee did not comply with the section cited above in not having the required LIC 9227 Individual Sleeping Plan for infant in care which poses a potential health, safety to persons in care.
	POC Due Date: 05/12/2023
	Plan of Correction
1 2 3 4	LPA provided Licensee with a blank LIC 9227 form and PIN 20-24-CCP "Safe Sleep Regulations". The Licensee stated she will submit a copy of the completed LIC 9227 for the infants in care for the plan of correction to CCLD by 5/512/2023.

SUPERVISOR'S NAME: Jason Garay LICENSING EVALUATOR NAME: Cindy Meier LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023

FACILITY NAME: DEL RIO, GABRIELA FAMILY CHILD CARE	FACILITY NUMBER: 376628134
	VISIT DATE: 04/26/2023

FACILITY NAME: DEL RIO, GABRIELA FAMILY CHILD CARE	FACILITY NUMBER: 376628134
	VISIT DATE: 04/26/2023