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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629584
Report Date: 03/28/2024
Date Signed: 09/23/2024 12:15:21 PM

Document Has Been Signed on 09/23/2024 12:15 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:FABILA, WENDY FAMILY CHILD CAREFACILITY NUMBER:
376629584
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 10DATE:
03/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Wendy FabilaTIME COMPLETED:
02:00 PM
NARRATIVE
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On 3/28/24 at 11:05 a.m., Licensing Program Analyst (LPA), Cindy Meier conducted an unannounced Case Management-licensee initiated inspection with licensee, Wendy Fabila. LPA Meier informed licensee that the purpose of the inspection was for the requested change of capacity. Licensee led LPA on a tour of the facility. There were ten (10) children present during the time of the inspection which is over capacity. Hours of operation are Monday through Friday 5:00 a.m. – 6:00 p.m.

On 3/28/2024 a fire clearance was granted for fourteen (14) children. Licensee uses the following areas for childcare: living room, bedroom #1 bathroom #1 and side yard. Off Limit areas include: kitchen, bedroom #2, bedroom #3 and patio. Off limit areas are inaccessible to children by use of safety gates, safety latches or doorknob covers. There is no fireplace on the premises. Licensee utilizes the fenced side yard for outdoor activities. LPA informed licensee to ensure children are supervised at all times during outdoor activities. Licensee stated there are no bodies of water and LPA did not observe any bodies of water during the inspection.

There are sufficient age appropriate toys, games, and play equipment available. The home was clean and orderly during inspection. During the tour LPA observed a container of bleach in a lower bathroom cabinet assessable to children. Detergents, cleaning compounds, and medicines are inaccessible to children in care and poisons are to be locked away. The fire extinguisher is rated 2A:10B:C and located in the living room, smoke alarm and carbon monoxide detectors meet requirements and are operational. There is a working cell phone in the home. Licensee stated there are no firearms, other weapons or ammunition on the property.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: FABILA, WENDY FAMILY CHILD CARE
FACILITY NUMBER: 376629584
VISIT DATE: 03/28/2024
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Licensee maintains documentation of proof of control of property for review by the Department. Property Owner/Landlord Consent form LIC9149 is on file, signed by landlord and approves licensee to care for fourteen (14) children. Licensee’s Mandated Reporter training, CPR and First Aid, MMR, Influenza, and Dtap immunization's were unavailable for review. Required documents are posted.

During tour of facility, LPA observed an adult male (A1) sleeping in the bedroom #2. A1 is an uncleared adult who has not been fingerprinted. Licensee stated A1 is her brother and has been living in the home for 30 days. All other adults living or working in the home have been fingerprint cleared and associated. Facility roster was not available for review. Children's files were not on the premises and brought over from a relatives day-care. Three (3) children in attendance did not have any required paperwork on file and five (5) children's files were incomplete. The licensee has not conducted ad documented any fire drills.

There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. The licensee did not have documented Safe Sleep logs for the two (2) infants in care.

LPA reviewed the following with licensee: SIDS, car seat law, reporting requirements, shaken baby syndrome, care and supervision. Licensee was also reminded the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care.

LPA discussed the safe sleep regulations with [applicant, 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 [applicant, licensee, or 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.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
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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: FABILA, WENDY FAMILY CHILD CARE
FACILITY NUMBER: 376629584
VISIT DATE: 03/28/2024
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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.

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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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. San Diego Regional Office Duty Line was provided: (619) 767-2248.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
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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: FABILA, WENDY FAMILY CHILD CARE
FACILITY NUMBER: 376629584
VISIT DATE: 03/28/2024
NARRATIVE
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Increase in capacity was not granted on this date.

Per California Code of Regulations, (Title 22, division 12 & Chapter 3) three (3) Type A citations and four (4) Type B citations are being cited on the attached LIC 809-D.

LPA Cindy Meier informed Licensee, Wendy Fabila that this report dated 3/28/24 document(s) (3) Type A citation(s) which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Cindy Meier informed the Licensee, Wendy Fabila to provide a copy of this licensing report dated 3/28/24 that documents Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

LPA conducted a file review and noted that the licensee was licensed on 3/13/2023 via televisit. LPA requested the licensee take the Family Child Care Orientation in person to gain a better understanding of the regulations.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee, Wendy Fabila.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/23/2024 12:15 PM - It Cannot Be Edited


Created By: Cindy Meier On 03/28/2024 at 12:30 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: FABILA, WENDY FAMILY CHILD CARE
FACILITY NUMBER: 376629584

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/28/2024
Section Cited
CCR
102370(d)(1)

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department

This requirement is not met as evidenced by:
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Licensee will ensure adult resident, Jesus Fabila, will obtain a criminal record clearance prior to returning to the facility.
Licensee stated she will have adult resident, Jesus Fabila obtain a criminal background clearance via Live Scan prior to returning to the facility and send proof to CCL.
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Based on observation and interview the licensee did not comply with the section cited above in that one (1) person residing in the home did not have a criminal record background clearance which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
03/28/2024
Section Cited
CCR102417(g)(4)

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

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Licensee removed the item during today's visit and states she will purchase and install latches in the respective cabinet and send analyst photos by 04/5/24 to complete the correction.
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Based on observation, the licensee did not comply with the section cited above as analyst found bleach in the children's bathroom cabinet in an unlatched cabinet assessible to children which poses/posed a immediate health, safety or personal rights risk to children in care.
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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:Jason Garay
LICENSING EVALUATOR NAME:Cindy Meier
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2024


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Document Has Been Signed on 09/23/2024 12:15 PM - It Cannot Be Edited


Created By: Cindy Meier On 03/28/2024 at 12:48 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: FABILA, WENDY FAMILY CHILD CARE
FACILITY NUMBER: 376629584

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/28/2024
Section Cited
CCR
1012416.5(a)

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(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This is not evidenced by:
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During inspection, licensee called parents of two (2) children to come pick children up. Licensee will ensure the capacity does not exceed the number on the license. Licensee will send LPA schedule of children in attendance for the week of 4/1/24 to 4/5/24 to ensure capacity of license.
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Based on observation and interview there were ten (10) children present during the inspection with licensee.
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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:Jason Garay
LICENSING EVALUATOR NAME:Cindy Meier
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2024


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Document Has Been Signed on 09/23/2024 12:15 PM - It Cannot Be Edited


Created By: Cindy Meier On 03/28/2024 at 12:57 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: FABILA, WENDY FAMILY CHILD CARE
FACILITY NUMBER: 376629584

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2024
Section Cited
CCR
102417(g)(8)

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(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:
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LPA provided licensee with a blank facility roster during today's visit. Licensee states that she will fill out the roster listing all the children in care and their corresponding required personal information and then submit a copy of the completed roster to LPA by 04/05/24 to complete the correction.

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Based on LPA record review, the licensee did not comply with the section cited above as it was determined that she is not maintaining a facility roster which poses/posed a potential health, safety or personal rights risk to children in care.
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Type B
03/28/2024
Section Cited
CCR102417(g)(7)

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(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.

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LPA provided licensee with a blank records packet to provide to the parents of children she has in care to complete and submit copies of to analyst by 04/30/24 to demonstrate appropriate record keeping practices for children in care.
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Based on LPA record review, the licensee did not comply with the section cited above as 3 children did not have any paperwork and 5 children's files were incomplete which poses/posed a potential health, safety or personal rights risk to children in care.
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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:Jason Garay
LICENSING EVALUATOR NAME:Cindy Meier
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/23/2024 12:15 PM - It Cannot Be Edited


Created By: Cindy Meier On 03/28/2024 at 01:07 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: FABILA, WENDY FAMILY CHILD CARE
FACILITY NUMBER: 376629584

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2024
Section Cited
CCR
102425(j)(i)

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The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

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Licensee stated she will submit a Safe Sleeping Log documenting physically checking every 15 minutes for infants to CCLD by 04/05/2024.
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Based on analyst interview and record review, the licensee did not comply with the section cited above as she is not documenting the infant she has in care's sleeping status every 15 minutes as required by regulation which poses/posed a potential health, safety or personal rights risk to the child in care.
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Type B
03/28/2024
Section Cited
HSC102417(g)(9)(A)

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Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department...(A) Each family child care home shall conduct fire drills and disaster drills at least once every six months...The licensee shall document the drills, including the date and time of each drill.

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Licensee stated she will schedule and conduct a fire drill, document it and send it to the LPA by 4/30/24/
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Based on record review and interiew the licensee did not coply with the regulation in fire drills have not been conducted every six months and documented.
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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:Jason Garay
LICENSING EVALUATOR NAME:Cindy Meier
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2024


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