191813354-10-23-2019-33-CC-LGOZ-BH8TWW-20191023150614

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191813354
Report Date: 10/23/2019
Date Signed: 10/23/2019 03:06:22 PM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	ZORRILLA FAMILY CHILD CARE		FACILITY NUMBER:	191813354
ADMINISTRATOR:	ZORRILLA, JOANNE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 413-3373
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90026
CAPACITY:	14	CENSUS: 5	DATE:	10/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:48 PM
MET WITH:	Joanne Zorrilla		TIME COMPLETED:	03:21 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	Licensing Program Analyst (LPA) Lissete Gonzalez conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Joanne Zorrilla. Also present were the Licensee’s adult children (fingerprint clearances on file) Kimberly Zorrilla (Day Care Assistant) and Michael Zorrilla. Licensee, Joanne Zorrilla, provided LPA on a tour of the facility indoors and outdoors. There were 5 children present, 2 being infants. Licensee states there are 5 children enrolled. The children’s roster was reviewed and is current. Licensee’s operating hours are from 7:30 a.m. to 6:00 p.m. from Monday through Friday. This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room, front yard (fenced) and a shed. The children use 1 bathroom, living room, and the front yard for play. Per licensee, areas off limits to children and parents include: 3 bedrooms, licensee's bathroom and kitchen. The LPA toured all areas used by children during this visit. LPA inspected the living room used by children. There are adequate age appropriate toys, books, and games. No hazards or violations were observed. There is proper ventilation through the home provided by an air conditioning unit located in the living room. Knives and sharp objects are stored in the kitchen (off limits) on a high cabinet. Cleaning compounds and detergents are stored in the Licensee’s bathroom (off limits) that is maintained locked and is inaccessible. The bathroom used by the children in care was inspected for safety and cleanliness. No hazards or violations were observed. There are electrical outlet covers throughout and a First Aid Kit is available. LPA inspected the front yard. LPA observed age appropriate toys and equipment. There is grass underneath the play equipment. The shed that is located in the front yard has a child safety latch to prevent access. No hazards or violations were observed. REPORT CONTINUES ON NEXT PAGE: 1 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ZORRILLA FAMILY CHILD CARE	FACILITY NUMBER: 191813354
	VISIT DATE: 10/23/2019

NARRATIVE

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Licensee has the Parent’s Rights poster and other appropriate forms posted on a board in the living room. Licensee, Joanne Zorrilla’s First Aid/Infant CPR certificates are valid through 10/25/2019. Per Licensee, she plans to sign-up and attend a First Aid/Infant CPR course within the next week to renew certifications. Licensee's disaster drill log notes last drill conducted on 10/07/19. Licensee has a working telephone.

LPA observed the 2A10BC fire extinguisher located in the kitchen to be fully charged and was purchased on 9/07/2019. There is an operational smoke detector and an operational carbon monoxide detector in the home. There are no firearms or poisons present on the premises as stated by Licensee. Licensee states there is 1 dog that is maintained on the side yard which is gated from to prevent access.

Staff files were reviewed and found to be complete. Children’s files were reviewed for proper documentation and found to be complete.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting. LPA reviewed LIC 311D with licensee, reminding her of required forms. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

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

A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.
REPORT CONTINUES ON NEXT PAGE: 2 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ZORRILLA FAMILY CHILD CARE	FACILITY NUMBER: 191813354
	VISIT DATE: 10/23/2019

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LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

There were no deficiencies cited during today’s inspection.

Exit interview was conducted with Licensee, Joanne Zorrilla. The Licensee was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

A copy of the LIC 9213 was given to licensee—Notice of Site Visit. The Notice of Site Visit (LIC 9213) – must
remain posted for 30 days during the hours of operation after each site visit by a licensing representative.
Failure to maintain posting as required will result in a civil penalty of $100.00.

END OF REPORT: PAGE 3 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

LIC809 (FAS) - (06/04)

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