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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626699
Report Date: 10/11/2022
Date Signed: 10/11/2022 01:41:08 PM

Document Has Been Signed on 10/11/2022 01:41 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:LAGUERRE, VERONIQUE FAMILY CHILD CAREFACILITY NUMBER:
376626699
ADMINISTRATOR:VERONIQUE LAGUERREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 381-4529
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Licensee, Veronique LaguerreTIME COMPLETED:
02:00 PM
NARRATIVE
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On 10/11/22 at 10:35am, Licensing Program Analysts (LPAS), Saraliz Velando and Samantha Clenista and Investigator, Hector Quintanar conducted an unannounced Annual Licensing Inspection. Upon arrival, LPAs were greeted at the front door by Saintemene Saint-Vilus, who stated she was licensee’s half sister and is only present to help clean the house. LPAs utilized Creole interpreter, Raynald Eugene throughout the inspection. At about 11:07am, Licensee, Veronique Laguerre, arrived with Joudain Bleaker Hill, who stated he is the son of Licensee. The licensee stated she is using the following areas for daycare: Dining room, Kitchen, Bedroom, and bathroom. There are no off limit areas. Per Licensee, her business hours are Monday- Friday, 6am-9pm. Licensee stated she currently has 7 children enrolled. There were no children present during inspection. Licensee stated she has not cared for any day care children for two weeks since she is in the process of changing locations.

LPA Velando tested the smoke alarm and carbon monoxide detector located in the hallway area. Both devices were functional and the fire extinguisher located in kitchen meets Title 22 Regulations. Licensee stated there are no bodies of water on the premises and LPA did not observe any bodies of water on the premises. Licensee stated that there are no firearms, weapons or ammunition stored on the premises. All required postings were posted.

There are no open face heaters/fireplaces. Storage for poisons, detergents, cleaning solutions, medications are locked and inaccessible to children. Licensee stated she uses her side patio for outdoor play. Licensee stated she provide direct visual observation during outdoor play. The last disaster/fire drill was conducted and documented on 8/3/22. The home provides safe toys, play equipment and materials.

LPAs conducted file review. Licensee could not provide a Facility Children's Roster during inspection. Children’s records contained incomplete emergency contact information and incomplete immunization records.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2022
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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Document Has Been Signed on 10/11/2022 01:41 PM - It Cannot Be Edited


Created By: Saraliz Velando On 10/11/2022 at 12:32 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LAGUERRE, VERONIQUE FAMILY CHILD CARE
FACILITY NUMBER: 376626699

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that 6 out of 8 child files have incomplete LIC700s, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/25/2022
Plan of Correction
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Licensee stated that she will get the LIC700 completed and signed by each parent/guardian and submit complated paperwork to LPA via email by 10/25/22.
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that 2 out of 8 child files to have incomplete immunization cards which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/25/2022
Plan of Correction
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Licensee stated that she will get the Immunization blue cards completed and signed by each parent/guardian and submit complated paperwork to LPA via email by 10/25/22.
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:Monica Cuddy
LICENSING EVALUATOR NAME:Saraliz Velando
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2022


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 10/11/2022 01:41 PM - It Cannot Be Edited


Created By: Saraliz Velando On 10/11/2022 at 12:32 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LAGUERRE, VERONIQUE FAMILY CHILD CARE
FACILITY NUMBER: 376626699

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(8)
Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that lIcensee could not provide a childrens roster during the inspection which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/25/2022
Plan of Correction
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Licensee stated that she will get the roster completed and submit by email to her LPA by 10/25/22.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Monica Cuddy
LICENSING EVALUATOR NAME:Saraliz Velando
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2022


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: LAGUERRE, VERONIQUE FAMILY CHILD CARE
FACILITY NUMBER: 376626699
VISIT DATE: 10/11/2022
NARRATIVE
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Pediatric CPR and First Aid cards are current and will expire on May 2024. Licensee is exempt from Mandated Reporter Training as per AB1207 due to her first language is not English, it is Haitian Creole. There is a working telephone and email address.
Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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 licensee or facility representative 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 for facility representative 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 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.

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/inspection-process.

Based on today’s visit, deficiencies were observed and noted on the attached LIC 809D. Exit interview conducted and report was reviewed with the licensee. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC809 (FAS) - (06/04)
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