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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629291
Report Date: 04/29/2022
Date Signed: 04/29/2022 11:23:36 AM

Document Has Been Signed on 04/29/2022 11:23 AM - 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:INGUANZO, LESLIE FAMILY CHILD CAREFACILITY NUMBER:
376629291
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
04/29/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Leslie Inguanzo TIME COMPLETED:
11:30 AM
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On 04/29/2022, at 10:00AM Licensing Program Analyst (LPA), David Miller conducted an announced prelicensing inspection with applicant, Leslie Inguanzo. Also present in the home was the applicant’s mother; Martha Inguanzo. Purpose of the inspection is to ensure the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. This one (1) story, four (4) bedroom, and two (2) bath home was toured and inspected.

Applicant will utilize the Kitchen, breakfast room, family room, daycare room and bathroom. Off limits areas include the Master Bedroom and bath, bedroom 1, bedroom 2, and bedroom 3 and the garage; which are made inaccessible to children through the use of a safety gate and locks on the door. The fire extinguisher, smoke and carbon monoxide detectors were inspected and met requirements at this time. The applicant has appropriate toys in the home. Detergents, cleaning compounds and medicines are located in areas inaccessible to children. The applicant has a working cell phone. Applicant stated there are no firearms, ammunition or other weapons in the home. Applicant stated there is no body of water on the property. No bodies of water were observed on the premises during the inspection.

Applicant completed 8 hours of preventative health on 09/24/2021 and Pediatric CPR and First Aid certifications expires on 03/20/2024. Applicant completed the Mandated Reporter Training on 03/17/2022. Required documents are posted. LPA advised that prior to making alterations or additions to the home or grounds, applicant shall notify the Department of the proposed change. Applicant states she is financially secure to operate a family child care home for children and will comply with all regulations and laws governing family child care homes. Hours of operation are Monday through Friday from 6am to 6pm.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2022
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: INGUANZO, LESLIE FAMILY CHILD CARE
FACILITY NUMBER: 376629291
VISIT DATE: 04/29/2022
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with the applicant 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 the applicant 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.

LPA reviewed with the applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
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: INGUANZO, LESLIE FAMILY CHILD CARE
FACILITY NUMBER: 376629291
VISIT DATE: 04/29/2022
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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 athttp://www.ada.gov/childqanda.htm. Megan’s Law was discussed meganslaw.ca.gov. LPA provided and discussed the provider packet, including: PIN 20-24-CCP Safe Sleep Regulations including Individual Infant Sleeping Plan (LIC9227) and sleeping infants shall be physically checked every 15 minute and checks shall be documented, SIDS, shaken baby syndrome, lead exposure, required postings, PIN 21-02-CCLD for Guardian, prohibited items and no smoking or corporal punishment in a day care.

LPA discussed the maximum capacity for a small family child care home: four infants only (infant means any child under 24 months); or six children with no more than three infants; or eight children with no more than two infants, one child in kindergarten or elementary school and one child at least age six, including children under age 10 who live in the home.



Applicant is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate information was provided, and applicant was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov. Applicant was reminded, per Title 22, Division 12, Chapter 3, for Family Child Care Homes, regulation 102352(f)(1) child care is provided ‘in the care giver’s own home’ and Health and Safety Code §1596.78(a) ‘Family day care home means a home that regularly provides care… in the provider’s own home’. LPA provided applicant with a copy of the regulation and Health and Safety Code.

A license for a small family child care home may be issued following a final file review.

Exit interview was conducted and a review of the report was discussed with the applicant; Leslie Inguanzo.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
LIC809 (FAS) - (06/04)
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