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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628266
Report Date: 06/16/2021
Date Signed: 06/16/2021 04:02:54 PM

Document Has Been Signed on 06/16/2021 04:02 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:MORAN, VIANEY FAMILY CHILD CAREFACILITY NUMBER:
376628266
ADMINISTRATOR:VIANEY MORANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 622-8424
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
06/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:47 PM
MET WITH:Vianey Moran, LicenseeTIME COMPLETED:
04:03 PM
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On June 16, 2021, at 2:47 PM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced Annual Required 1 Year Inspection and met with the Licensee, Vianey Moran LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. There were six children present during this inspection with the Licensee and the adult helper Isabel Moran. This facility is a one two story, three bedroom, and two bathroom house. The Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: living room, day-care room, downstairs bathroom, and the patio. The off limit areas are made inaccessible through the use of a child proof safety gate, door locks and latches. The entire second floor is off-limits.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The storage area for poisons is locked. The licensee has toys, play equipment and materials available. There are 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 criminal record and child abuse clearances or exemptions. The Licensee’s First Aid and CPR certifications expire on 02/15/02023. Licensee has the required immunization's. Licensee's Mandated Reporter Training is current expires on 02/15/2023, and the adult helper's AB 1207 expires on 01/29/2023. The Licensee provides care to infants ages 0 - 24 months. The Licensee has the documentation for infants under twelve months, and the individual infant sleeping plan (LIC 9227) and infants ages 0-24 months. 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 handouts with 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 last fire/disaster drill was conducted on 02/08/2021.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2021
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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MORAN, VIANEY FAMILY CHILD CARE
FACILITY NUMBER: 376628266
VISIT DATE: 06/16/2021
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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.

No deficiencies 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 notice of site visit, and observed it being posted at the facility. The Licensee was advised that the notice of site visit must be posted for 30 days. The Licensee stated it is understood.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
LIC809 (FAS) - (06/04)
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