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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376100167
Report Date:
06/15/2023
Date Signed:
06/15/2023 01:02:51 PM
Document Has Been Signed on
06/15/2023 01:02 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:
MELLO, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER:
376100167
ADMINISTRATOR:
CLAUDIA MELLO
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(760) 716-3652
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92126
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
8
CENSUS:
8
DATE:
06/15/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:45 AM
MET WITH:
Claudia Mello
TIME COMPLETED:
01:30 PM
NARRATIVE
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On 6/15/2023 @ 10:45AM, LPA Nancy Diaz conducted an unannounced inspection. LPA disclosed the purpose of the inspection and was granted facility entry by the Licensee. A tour of the home was conducted with Claudia Mello. Upon arrival, LPA observed 8 children in care with only one school-age child (two children were under age 2). Licensee's helper, Helena Kaiserman arrived at 11AM. The following areas are accessible to children living room, dining, kitchen, hallway bathroom, bedroom #1 and back fenced yard. Facility operates Monday-Friday; 8AM to 5PM. The licensee was present in the home to ensure that all children are supervised at all times. Licensee was observed to be out of ratio today.
There were no bodies of water observed within the premises. Ms. Mello stated that she does not maintain weapons in the home.
Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored appropriately and inaccessible to children. Fire extinguisher and smoke detectors meet State Fire Marshall standards. The carbon monoxide detector present in the home meet the standards established in Chapter 8 of Part 2, Division 12. Home is kept clean and orderly with heating and ventilation for safety and comfort. Licensee provide safe toys, play equipment and materials. The home maintains a working telephone service.
There is a play yard for each infant who is unable to climb out of the play yard. The play yard was observed to be free from all loose articles and objects. Bumper pads are not used. There are no objects hanging above or attached to the side of the crib. Infants are not swaddled while in care. Infants are supervised while they sleep.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
06/13/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/13/2023
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:
MELLO, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER:
376100167
VISIT DATE:
06/15/2023
NARRATIVE
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LPA discussed the safe sleep regulations with Ms. Mello 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 licensee 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.
Car seats are only used for transportation purposes and not used for sleeping. Infants are supervised while they sleep.
The outdoor play area is fenced or supervised by the licensee. An isolation area has been designated for children who became ill during the day.
Children’s records were reviewed. Licensee maintains a copy of the emergency information card that contains all of the information specified by the regulation.
Staff records were reviewed. Licensee's mandated reporter training pursuant to Health & Safety Code expired on 9/2021. Licensee was made aware that the mandated reporter training shall be renewed every 2 years.
Helper, Helena Kaiserman has not completed the Mandated Reporter Training course. Immunization records for licensee and helper was not available for review today. Licensee’s CPR and First aid is valid thru 10/17/2023.
Licensee 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.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/15/2023
LIC809
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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:
MELLO, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER:
376100167
VISIT DATE:
06/15/2023
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. Ms. Mello stated that she does not maintain medications for children. 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
TYPE B DEFICIENCIES WERE CITED TODAY.
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
.
Exit interview conducted and report was reviewed with facility representative, Claudia Mello. A copy of this report, along with Appeal Rights (LIC9058), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/15/2023
LIC809
(FAS) - (06/04)
Page:
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Document Has Been Signed on
06/15/2023 01:02 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
06/15/2023
at
11:50 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
MELLO, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER:
376100167
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
06/15/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. Ms. Mello has not conducted a fire drill since March 1, 2021. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/22/2023
Plan of Correction
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Ms. Mello stated that she will conduct a fire drill no later than 6/22/2023. She will submit a copy of the Fire Drill log via email to:
[email protected]
no later than 6/22/23.
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. Ms. Mello did not document the 15-minute nap checks for children that are under age two. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/22/2023
Plan of Correction
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LPA provided Ms. Mello a sample 15-minute nap check log. She stated that she will start documenting her 15-minute nap check starting today. Ms. Mello shall check for:
(A) Labored breathing.
(B) Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness.
(C) Infants up to 12 month of age who are sleeping in a position other than on their back.
She will submit sample 15-minute nap checks for 2 infants in care to the department via email to:
[email protected]
no later than 6/22/23.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
06/15/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/15/2023
LIC809
(FAS) - (06/04)
Page:
4
of
7
Document Has Been Signed on
06/15/2023 01:02 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
06/15/2023
at
11:50 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
MELLO, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER:
376100167
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
06/15/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. Licensee's Mandated Reporter Trng. expired in 2021. Her helper Helena Kaiserman did not have proof of Mandated Reporter Trng. on file. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/22/2023
Plan of Correction
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Ms. Mello stated that they (herself and helper) will complete the Mandated Reporter Trng. course per AB 1207 no later than 6/22/2023. She will submit copies of training certificate to the department via email to:
[email protected]
no later than 6/22/2023. Website for Training is: mandatedreporterca.com
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on interview and record review. the licensee did not comply with the section cited above. Helper Helena Kaiserman did not have the required immunization on file (Measles, Pertussis and Influenza). This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/22/2023
Plan of Correction
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Mrs. Mello stated that she will obtain a copy of Ms. Kaiserman's required immunization record and submit a copy to the department via email to:
[email protected]
no later than 6/22/2023.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
06/15/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/15/2023
LIC809
(FAS) - (06/04)
Page:
5
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Document Has Been Signed on
06/15/2023 01:02 PM
- It Cannot Be Edited
Citations on this Visit Report are Under Appeal!
Created By:
Nancy Diaz
On
06/15/2023
at
11:50 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
MELLO, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER:
376100167
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
06/15/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Under Appeal
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Helper, Helena Kaiserman did not have the required Preventative Health Training and CPR/First Aid certificate on file. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/22/2023
Plan of Correction
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2
3
4
Ms. Mell stated that she will have Helena Kaiserman register to complete both classes and submit proof of registration no later than 6/22/23. She will submit copies of completed class upon completion via email to:
[email protected]
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Helper, Helena Kaiserman did not have the required immunization on file - Influenza, Pertussis and Measles. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/22/2023
Plan of Correction
1
2
3
4
Ms. Mello stated that she will obtain a copy of Helena Kaiserman's required immunization record and submit to the department via email to:
[email protected]
no later than 6/22/23.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
06/15/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/15/2023
LIC809
(FAS) - (06/04)
Page:
6
of
7
Document Has Been Signed on
06/15/2023 01:02 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
06/15/2023
at
11:50 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
MELLO, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER:
376100167
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
06/15/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.5(e)
Staffing Ratio and Capacity
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above. Upon arrival, LPA observed 8 (with 1 school age child) children present with the licensee without a helper. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/15/2023
Plan of Correction
1
2
3
4
CORRECTED TODAY. Helper Helena Kaiserman arrived at 11AM. Ms. Mello stated that Ms. Kaiserman stepped out to purchase lunch for the children. She stated that this will never happen again. She will ensure that there is a helper with her when she exceeds the ratio for the small family child care home.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
06/15/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/15/2023
LIC809
(FAS) - (06/04)
Page:
7
of
7