191607494-10-22-2024-30-CC-VWHY-DAB2JG-20241022172619

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191607494
Report Date: 10/22/2024
Date Signed: 10/22/2024 05:26:33 PM

Document Has Been Signed on 10/22/2024 05:26 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:	GARCIA FAMILY DAY CARE		FACILITY NUMBER:	191607494
ADMINISTRATOR:	GARCIA, NANCY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 406-5163
CITY:	GARDENA	STATE: CA	ZIP CODE:	90247
CAPACITY:	12	CENSUS: 11	DATE:	10/22/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Nancy Garcia		TIME COMPLETED:	05:25 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 10/22/24, Licensing Program Analyst (LPA) V. Wheatley, conducted an unannounced Annual Inspection and was met by Licensee's assistant Rosa Maria. The licensee Nancy Garcia was not present during arrival but arrive approximately 3:25pm. Days and hours of Monday -Friday 6:45am to 5:30pm.Capacity as specified on the license is being maintained. LPA observed 11 children with two assistants. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that inside the home there are two bedrooms, kitchen and rear outdoor are used the for Day Care. LPA observed two children in an attached patio napping. Licensee will submit an updated facility sketch. All other rooms are off-limits and made inaccessible. There is no swimming pool or other bodies of water on the premises. The assistant states a water table is used for activities. Per licensee, there are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. The fireplace located in bedroom with the bathroom adjacent and is made inaccessible by a cork board. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation. LPA observed a portable tower fan in use. Several age appropriate toys and play equipment were observed. The home has working telephone service and LPA confirmed the phone number.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

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: GARCIA FAMILY DAY CARE	FACILITY NUMBER: 191607494
	VISIT DATE: 10/22/2024

NARRATIVE

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There currently one infant in care. LPA discussed Safe Sleep Regulations with licensee. There is one play yard for each infant in care, and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Licensee will keep a sleeping log for the children up to age 2 years old. Provider will physically checks on sleeping infants up to 2 years old every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. LPA observed a copy of the roster.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Licensee does not provide transportation. The outdoor play area in the backyard is fenced and there are no hazards to children present. LPA observed several age appropriate toys and equipment. There is a rabbit on premises and inaccessible to children.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was expired on 2/12/24. Licensee and Licensee's assistant pediatric CPR/First Aid expired on 9/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Based on Title 22 Regulations, Type B deficiencies are cited.

Exit interview conducted. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/22/2024 05:26 PM - It Cannot Be Edited

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: GARCIA FAMILY DAY CARE	FACILITY NUMBER: 191607494
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the LPA's observation and record review, the licensee did not comply with the section cited above in that the Mandated Reporter Training expired. This poses a potential health, safety or rights risk to persons in care.
	POC Due Date: 11/05/2024
	Plan of Correction
1 2 3 4	The licensee and assistant will complete Mandated Reporter Traning and submit a copy of the certificate to the Department via email.

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observation and record review], the licensee did not comply with the section cited above in that the pediatric CPR/first aid training. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/05/2024
	Plan of Correction
1 2 3 4	The licensee and assistant will complete pediatric CPR/first aid training and submit a copy of the certification to the Department via email.

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: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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