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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191596050
Report Date: 03/22/2023
Date Signed: 03/22/2023 10:52:17 AM

Document Has Been Signed on 03/22/2023 10:52 AM - 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CORRAL FAMILY DAY CAREFACILITY NUMBER:
191596050
ADMINISTRATOR:CORRAL, CAROLINE ROMOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 929-6092
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Licensee Caroline Corral TIME COMPLETED:
11:00 AM
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On 3/22/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection at the above facility. LPA met with the Licensee Caroline Corral and informed her of the purpose for the visit. Licensee guided LPA on a tour of the facility. There were 0 children present when LPA arrived. Licensee provides care to children ages 6 weeks to 13 years old and operation days/ hours are Monday through Sunday 6AM to 6PM.
This is a one story, 3 bedroom home with a living room, dining room, kitchen, two bathrooms, backyard and detached garage. Areas on limits to children are the living room, one bedroom (play room), bathroom in the hallway, dining room, kitchen and a gated section of the back yard. Areas off limits to children are two bedrooms, second bathroom in bedroom, a section of the backyard and the detached garage.
All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log, last drill conducted on 3/8/23. Licensee had a copy of the Roster available during the inspection. There is an operable carbon monoxide detector in the kitchen. The smoke detector in the living room was operable. The 2A10BC Fire extinguisher located in the living room was last serviced on 5/24/22. The home maintains telephone service (land line and cell phone). Food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. The home is observed to be clean and orderly. There are toys and other age appropriate materials available for children.
Per Licensee, children have access to one bedroom set up for play, the living room, dining room. Per Licensee, children do not go into the kitchen. LPA observed safety knobs on the stove and latched cabinets and drawers. Sharp objects, detergents and cleaning compounds are in latched cabinets in the kitchen. Personal medication is kept in the off limits bathroom. The home has central A/C and heating. LPA did not observe any wall heaters
Valarie Cook
Jeanette Estrada
DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CORRAL FAMILY DAY CARE
FACILITY NUMBER: 191596050
VISIT DATE: 03/22/2023
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Children use the restroom in the hallway. LPA observed latched cabinets in the bathroom. LPA observed that the section of the outdoor yard that children have access to is fenced and has toys and other materials for children to play with. Per Licensee, children are supervised while playing outside.
Per Licensee there are no poisons or fire arms/ weapons in the home. Licensee understands that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the kitchen separated from other children in care. There are no pools or spas, or other bodies of water. There are no pets in the home.

Infant Care: Currently licensee cares for 1 infant over 12 months old. Per Licensee infant sleeps on a napping mat. LPA reviewed the infant sleeping log with Licensee.
Overnight Care: There is no overnight care provided at the moment. LPA discussed the following: Licensee is aware that they must remain wake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights.

Staff records were reviewed. Licensee's mandated reporter was completed 6/21/22. Licensee completed American red cross pediatric cpr/first aid on 2/5/22. Assistant 1 completed mandated reporter training on 6/22/22 and pediatric cpr/first aid from the american red cross on 2/5/22. Both Licensee and assistant have required proof of immunization to measles, pertussis and flu on file.

incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. Per Licensee no children enrolled require medication. 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISOR'S NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CORRAL FAMILY DAY CARE
FACILITY NUMBER: 191596050
VISIT DATE: 03/22/2023
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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. LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep 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.
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 inspectionprocess@dss.ca.gov. 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.

No deficiencies were cited during today's visit.

Exit interview conducted and report was reviewed with the Licensee, Caroline Corral. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC809 (FAS) - (06/04)
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