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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629707
Report Date: 08/01/2023
Date Signed: 08/01/2023 12:57:29 PM

Document Has Been Signed on 08/01/2023 12:57 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:PRECIADO, VIRIAM FAMILY CHILD CAREFACILITY NUMBER:
376629707
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/01/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Viriam Preciado TIME COMPLETED:
01:20 PM
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On 08/01/2023 at 11:20am Licensing Program Analyst (LPA), David Miller conducted an announced pre-licensing inspection with applicant, Viriam Preciado. 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 story, two (2) bedroom, and one (1) bath home was toured and inspected. Lina Lepe, a family friend, provided translation from Spanish.

Applicant will utilize the bathroom in the hallway, kitchen, living room and bedroom 1. Kitchen drawers did not have any safety hazards stored in the drawers. LPA observed applicant move cleaning supplies and a bottle of bleach from the drawer under the sink to a higher kitchen drawer during today's inspection. Off limits areas include bedroom 2, which is made inaccessible via a safety knob. Applicant will utilize the backyard for outdoor activities. The fire extinguisher, smoke and carbon monoxide detectors met requirements at this time. Children’s toys and play equipment are available. 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 maintains documentation of proof of control of property for review by the Department. Mandated Reporter AB1207 training was completed on 03/28/2023. Applicant completed 8 hours of preventative health on 03/28/2023. Pediatric CPR and First Aid certifications expire on 03/28/2025. Required documents are not posted. Applicant has criminal record clearances on file. Immunization records per SB792 were reviewed and met regulations. LPA Miller 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-Friday 12:01am to 11:59pm
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2023
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: PRECIADO, VIRIAM FAMILY CHILD CARE
FACILITY NUMBER: 376629707
VISIT DATE: 08/01/2023
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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.

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. Megan’s Law was discussed meganslaw.ca.gov. A new provider packet was provided and discussed, 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, 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, with landlord consent, 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.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
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: PRECIADO, VIRIAM FAMILY CHILD CARE
FACILITY NUMBER: 376629707
VISIT DATE: 08/01/2023
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No Deficiencies were noted

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; Viriam Preciado.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
LIC809 (FAS) - (06/04)
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