376101092-6-3-2022-51-CC-ALMA-CF2TLH-20220603144935

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376101092
Report Date: 06/03/2022
Date Signed: 06/03/2022 02:49:52 PM

Document Has Been Signed on 06/03/2022 02:49 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	LAWTON, NICOLETTE FAMILY CHILD CARE		FACILITY NUMBER:	376101092
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 1	DATE:	06/03/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Nicolette Lawton		TIME COMPLETED:	03:15 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 6/3/22 at 12:30 PM Licensing Program Analyst (LPA) Adrian Mangina conducted an announced Pre-Licensing inspection with the applicant. Also present in the home during the inspection was Applicant’s husband Juan Gonzalez and one child in care. The two bedroom one bathroom single story home was inspected to ensure home safe for the care and supervision of children. A copy of the rental agreement was provided as proof of control of property. Applicant states that they have sufficient financial resources to sustain the license. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. 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. Applicant rents the home and has provided the Landlord Notification Form. First Aid and CPR expire on 4/23/24 and preventative health practices course was completed on 3/24/22. Mandated Reporter Training AB 1207 was completed on 1/26/22. Staff immunization requirements per SB792 were met. Applicant has the required immunizations. Family Child Care Orientation was completed on 1/12/22. There are weapons in the home, and they are properly secured. Applicant will be using the following rooms for childcare: living room, hallway, nap room, bathroom and small back patio. The following areas will be off limits: bedroom #1, front yard, fenced dog run in back yard. The (continued on LIC809 page 2)

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022

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: LAWTON, NICOLETTE FAMILY CHILD CARE	FACILITY NUMBER: 376101092
	VISIT DATE: 06/03/2022

NARRATIVE

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(LIC809 page 2)

off-limit areas either have safety latches, locks, doorknob covers or gates to prevent access. There is a wall heater in off limits kitchen and a second heater in the living room which Applicant states will be removed or covered prior to licensure. The attached garage will also be off limits and is kept inaccessible through the use of a door knob cover. There are no bodies of water on the property. Licensee will utilize small back patio for outdoor space. The applicant has sufficient toys and equipment available. Applicant owns three dogs which are kept in off limits areas during daycare hours and two hamsters which are caged and out of reach of children.

The 2A10BC fire extinguisher located in the kitchen, smoke detector located in the bedroom and carbon monoxide detector located in the kitchen meet requirements and are all operational. All hazardous items were latched/locked and secured out of reach of children.

The new provider packet was reviewed with the applicant including information on ratios and capacity, child abuse reporting, children’s records, immunizations, adults living or working in the home, car seat law, shaken baby syndrome, SIDS, safe sleep practices, effects of lead poisoning, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers, and bouncy seats are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided applicant with the following information:
· Child Care Advocates - email address [email protected].
· For common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.

(continued on LIC809 page 3)

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022

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: LAWTON, NICOLETTE FAMILY CHILD CARE	FACILITY NUMBER: 376101092
	VISIT DATE: 06/03/2022

NARRATIVE

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(lIC809 page 3)

LPA discussed the safe sleep regulations with 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 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information , see PIN 22-02-CCP. 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

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
Entrance Checklist was provided to the applicant.
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.

Applicant has obtained landlord consent to care for up to 8 children, including any children living in the home under ten years old.

(continued on LIC809 page 4)

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022

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: LAWTON, NICOLETTE FAMILY CHILD CARE	FACILITY NUMBER: 376101092
	VISIT DATE: 06/03/2022

NARRATIVE

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(LIC809 page 4)

The following corrections are needed prior to the issuance of the license:

1) Applicant to enclose or remove wall heater
2) Applicant to enclose small back patio and cover to prevent head injuries

Applicant understands that corrections must be submitted to the Department within 30 days, no later than 7/1/22 or the application may be denied.

Exit interview conducted and report was reviewed with the applicant, Nicolette Lawton.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022

LIC809 (FAS) - (06/04)

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