334840756-10-16-2023-09-CC-SBRR-CWNR9C-20231016124918

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334840756
Report Date: 10/16/2023
Date Signed: 10/16/2023 12:49:28 PM

Document Has Been Signed on 10/16/2023 12:49 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	ISLAS FAMILY CHILD CARE		FACILITY NUMBER:	334840756
ADMINISTRATOR:	ISLAS, SOCORRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 329-2486
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92509
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 10	CENSUS: 4	DATE:	10/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Socorro Islas, Licensee		TIME COMPLETED:	01:00 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 10/16/2023 at 9:45 AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was greeted by Licensee Socorro Islas and granted entry to tour the facility inside and out. LPA reviewed records and observed and/or discussed the following: Present were the licensee and 2 adult residents. Normal days and hours of operation are Monday- Friday, 5:00 AM - 10:00 PM OFF-LIMIT AREAS INCLUDE: Garage, Laundry Room and Entire 2^nd Floor. The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. · The facility is operating within the licensed capacity and appropriate ratios. A census was taken of 4 children in care. · The Licensee is present in the home and has ensured that children in care are supervised. · When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children. · A working telephone is present. · A fully charged fire extinguisher (2A:10BC) was observed with a tag by fire department on 06/28/2023 and needle in the green. A smoke detector and carbon monoxide detector were present and tested by the Licensee during this inspection on 10/16/2023. · All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children. · Storage of poisons is inaccessible to children and locked in the garage. · There is a properly barricaded fireplace on 10/16/2023

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ISLAS FAMILY CHILD CARE	FACILITY NUMBER: 334840756
	VISIT DATE: 10/16/2023

NARRATIVE

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· No guns or weapons present as stated by the Licensee. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Stairs are barricaded at this on 10/16/2023
· Home is clean and orderly, with heating and ventilation for safety and comfort
· Clean, Safe and age appropriate toys and equipment are present for both indoor and outdoor activities.
· Outdoor play areas are fenced and/ or appropriate supervision is present.
· Verification of control of property on file by mortgage statement.
· Pediatric CPR and First Aid training completed 08/17/2022; Card expires on 11/2024
· Health & Safety Certificate - completed on 11/17/2010
· Mandated reporter General: 03/07/2022; AB 1207 Child Care Expires: 03/2024
· Fire clearance: 11/20/2012
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 07/24/2023 at 10:15 AM, lasted 10 minutes, 11 children in care, went to front of the home.
· There are no bodies of water on 10/16/2023. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Children’s files are NOT complete: Safe Sleep logs were not on file for 1 infant present and in care. In addition, the licensee did not maintain records of sleep logs for 2 children present and enrolled prior to turning 2 years of age.
· Staff’s files are complete. No staff at this time. There are 2 adult residents that assist with the daycare when the facility is at full capacity.
· A review of staff records on 10/11/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

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: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ISLAS FAMILY CHILD CARE	FACILITY NUMBER: 334840756
	VISIT DATE: 10/16/2023

NARRATIVE

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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

Licensee Socorro Islas, was reminded that all adults 18 and over living or working in the home, 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 Susan Brewer, discussed the safe sleep regulations with licensee Socorro Islas, 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 Susan Brewer, also informed licensee Socorro Islas, 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Deficiency cited this visit for a Type B violation..
Civil Penalties not cited this visit.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Socorro Islas.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/16/2023 12:49 PM - It Cannot Be Edited

Created By: Susan Brewer On 10/16/2023 at 12:06 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ISLAS FAMILY CHILD CARE	FACILITY NUMBER: 334840756
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(2)(D)

102425 (j)(2)(D) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Date, Infant’s name, Time of each 15-minute check This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee Socorro Islas did not comply with the section cited above in the licenesee failed to maintain sleep logs for 1 infant under 24 months who is present in care as of 09/05/2023, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/18/2023
	Plan of Correction
1 2 3 4	The licensee agrees to maintain sleep logs for enrolled children up to 24 months of age, where documentation includes the Date, Infant’s name, Time of each 15-minute check and any observations of labored breathing and submit proof of the sleep log for a current infant under 24 months of age to the department by fax, mail or e-mail on or before the close of business day on 10/18/2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Kimberly Williams

LICENSING EVALUATOR NAME:

Susan Brewer

LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

LIC809 (FAS) - (06/04)

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