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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629459
Report Date: 11/01/2022
Date Signed: 11/01/2022 12:33:33 PM

Document Has Been Signed on 11/01/2022 12:33 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:DALEY, CHRISTINA FAMILY CHILD CAREFACILITY NUMBER:
376629459
ADMINISTRATOR:CHRISTINA DALEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 254-5678
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/01/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Christina Daley, ApplicantTIME COMPLETED:
12:33 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 1, 2022, at 10:30 AM., Licensing Program Analyst (LPA) Marie Hernandez conducted an announced pre-licensing inspection with the applicant, Christina Daley. The purpose of the inspection is to ensure that the home complies with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes.

This is a two story five bedroom, four bath home that was toured and inspected to ensure the environment is safe for the care and supervision of children. The applicant provided proof of control of the property for review by the Department. The applicant will use the following areas for childcare: The downstairs family rooms, room #1 with attached bathroom. The off-limits areas are the laundry room, kitchen, hallway bathroom #2, the entire upstairs and backyard. The off-limits areas are made inaccessible to day care children through the use of a child proof doorknob covers, gates and locks. The applicant will utilize a local park for outdoor activities of children. The Applicant stated it is understood that there must always be direct supervision while outdoors and/or at the park with the children. There are no bodies of water observed during the time of visit. The applicant stated there are no weapons or firearms in the home. The home has a working carbon monoxide detector. smoke detector and fire extinguisher. All poisons, cleaners, and hazardous items in the home are inaccessible to children through latches, locks, and/or placed on high surfaces. The children’s toys and play equipment are available. The applicant has completed the Eight Hours of Preventative Health. Pediatric CPR and First Aid certifications expire on 08/13/2024. The Mandated Reporter AB1207 online training certification expires on 08/11/2023; the certification must be renewed every two years. The immunization records per SB792 were reviewed and are incompliance. The operating hours are Monday through Friday from 7:00 AM to 5:00 PM. The applicant was advised that no changes should be made to the home without prior notice and/or approval from Licensing. The Applicant states they are financially secure to operate a family childcare home for children and will comply with all regulations and laws governing family childcare homes. The prohibited devices were discussed and the visual handout was provided to the Applicant.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
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 3
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: DALEY, CHRISTINA FAMILY CHILD CARE
FACILITY NUMBER: 376629459
VISIT DATE: 11/01/2022
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
The applicant currently does not plan on providing IMS to clients. 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 the publication: Commonly Asked Questions about Family Child Care and the ADA, available at: http://www.ada.gov/childqanda.htm.

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 Applicant and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed 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 Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, 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: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: DALEY, CHRISTINA FAMILY CHILD CARE
FACILITY NUMBER: 376629459
VISIT DATE: 11/01/2022
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
On 09/15/2022, the fire marshal granted the fire clearance. During the inspection today, LPA observed that the home has ample space for a large day care of 14 children. The ratio handout was discussed and provided to the Licensee. Maximum capacity (when there is an assistant present): 12 - no more than 4 infants. Capacity of 14 - No more than 3 infants, 1 child in kindergarten or elementary school and 1 child at least age 6. When there is no qualified assistant, the capacity reverts back to the requirements of a small family child care home. The Applicant stated it is understood.

Effective today (11/01/2022), the Applicant is approved for licensure of a large day care.
An exit interview was conducted and a copy of the report was provided to the Applicant.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3