Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136609662
Report Date: 01/10/2017
Date Signed 01/10/2017 03:44:46 PM

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:LIZARRAGA, ELSA FAMILY CHILD CAREFACILITY NUMBER:
136609662
ADMINISTRATOR:ELSA LIZARRAGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 425-7883
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY:14CENSUS: 12DATE:
01/10/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Elsa LizarragaTIME COMPLETED:
04:00 PM
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(1)LPA Armando Locano completed an un-announced annual site inspection today. The purpose of the visit is to ensure the facility is maintaining the health and safety standards as required by CCR, Title 22, Division 12, Chapter 3, Regulations governing Family Child Care Homes. Met with licensee Elsa Lizarraga, 10 daycare children were present during the visit and 17 yr old helper, 2 additional children arrived during the visit, totaling 12 children, all children were within ratios. LPA toured the home both indoor and outdoor areas to ensure the home was properly childproofed. There were plenty of toys and equipment available for various age groups. Outdoor play area had proper shade and adequate toys for various ages as well. Children’s records were reviewed, all forms were in order and facility roster was up to date. There was an operational Type II 10ABC fire extinguisher and working smoke and carbon monoxide alarms maintained in the home. CPR & First Aid Certificates were verified to be up to date. There are no weapons or bodies of water on the premises. LPA Reviewed with licensee SIDS and Shaken Baby Syndrome information, clearance requirements for persons over 18 residing or working in the home and new car seat regulations. A review of staff records on January 10, 2017 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

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

Per new Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis or Whooping Cough and Influenza or Flu, licensee has provided verification of up to date immunizations for adults in daycare and is in full compliance.

There no deficiencies cited on this visit, all paperwork was in order, properly posted and the home was properly childproofed.
LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed licensee posting notice during visit.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2017
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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