191603376-6-16-2023-30-CC-JCHR-CSURG5-20230616130009

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191603376
Report Date: 06/16/2023
Date Signed: 06/16/2023 01:00:23 PM

Document Has Been Signed on 06/16/2023 01:00 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	RODRIGUEZ FAMILY DAY CARE		FACILITY NUMBER:	191603376
ADMINISTRATOR:	RODRIGUEZ, SECUNDINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 673-8280
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90303
CAPACITY:	14	CENSUS: 13	DATE:	06/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Sucundina Rodriguez Licensee		TIME COMPLETED:	01:11 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 6/16/2023 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced I year required visit for the Rodriguez Family Child Care Home. Present in the home was the licensee Secundina Rodriguez, licensee's spouse, two daughters and two minor granddaughters. All adults in the home have criminal background clearances and were associated to the home.The home is a single family, single story home with three bedrooms, one bathroom, kitchen, dining area living room and laundry area. Day care operations are conducted in the room located off of the kitchen with the restroom inside and in the laundry area (for crafts), all other areas of the home are off limits. LPA observed the following: Care and supervision was provided by licensee and the two adult daughters The homes capacity was within the scope of the license Appropriate size fire extinguisher, carbon and smoke detector present & operable. Detergents, and knives were inaccessible, Toxins were locked and inaccessible to children in care.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: RODRIGUEZ FAMILY DAY CARE	FACILITY NUMBER: 191603376
	VISIT DATE: 06/16/2023

NARRATIVE

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No guns or weapons were present as stated by the licensee, no weapons were observed by LPA.
The home has a working telephone
Licensee was advised that the parent notification board should be placed in a prominent area for viewing and the following posting shall be posted; the license, facility sketch, Emergency Disaster Plan, Notification of Parent’s Rights Poster, Lead Poison Awareness, Safe Sleep and California Safety Seat Belt Law.
A first aid kit was observed containing the required supplies: scissors, tweezers, bandages, medical ointment and a thermometer. Licensee’s Pediatric CPR and First Aid Card expires 4/22/2025 No bodies of water were observed on the premises
Children records were available and in good order.
Personal records were reviewed and in good order.
Licensees Mandated Reporter certificate expired 4/23/2022. Licensee and all other applicable adults shall provide updated certificates no later than 6/23/2023
A roster was readily available and current for review.
Parents and authorized adults sign children in and out using their original signatures.
Licensee was not providing Incidental Medical Services (IMS). Incidental Medical Services were discussed with licensee.
Toys, equipment and materials were available and in good repair. Children napped in a play yard, or bed mats.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: RODRIGUEZ FAMILY DAY CARE	FACILITY NUMBER: 191603376
	VISIT DATE: 06/16/2023

NARRATIVE

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Infant safe sleeping was discussed with licensee. LPA reminded licensee that children are only to use car seats during transportation, per licensee she provides minimal transportation. Licensee was reminded that appropriate car seats shall be used and all laws and requirements of the Department of Motor vehicle shall be adhered to at all times during transportation.
Licensee was informed feeding chairs shall only be used during mealtime.
Outdoor activities were conducted in the back yard, LPA spoke to licensee regarding open access to the front area, per licensee when children are outdoors the gate is shut and the children are under constant supervision. LPA did not observe any hazardous conditions in this area.

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.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: RODRIGUEZ FAMILY DAY CARE	FACILITY NUMBER: 191603376
	VISIT DATE: 06/16/2023

NARRATIVE

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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 at 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Secundina Rodriguez

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

LIC809 (FAS) - (06/04)

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