192002900-12-27-2019-12-CC-IORA-BK9RDS-20191227115626

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 192002900
Report Date: 12/27/2019
Date Signed: 12/27/2019 11:56:37 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	ALONSO FAMILY CHILD CARE		FACILITY NUMBER:	192002900
ADMINISTRATOR:	ALONSO, JOSEFINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 504-9521
CITY:	SUN VALLEY	STATE: CA	ZIP CODE:	91352
CAPACITY:	14	CENSUS: 4	DATE:	12/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:32 AM
MET WITH:	Josefina Alonso		TIME COMPLETED:	11:57 AM

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 12/27/19 Licensing Program Analyst (LPA) Isabel Ortega conducted an unannounced annual random inspection. The LPA met with licensee Josefina Alonso who guided the LPA on a tour of the facility. Upon entry to the facility the LPA observed 4 children in care. This is a single-story family home. There is a living room, den, kitchen, dining room, four bedrooms and two restrooms. Main care is provided in the family living room and den (referred to the day care room). The children use the bathroom located to the right from the entrance to the home. There is a child safety gate between the family den and the kitchen. The off-limits areas are the second restroom, detached garage (maintained locked), and the four bedrooms (LPA observed a child safety gate). The day care home provides breakfast, morning snack, lunch, afternoon snack, dinner and evening snack. According to Licensee she is currently participating in the Angeles Food Nutrition Program. According to Licensee the operating child care hours vary depending on the children's family need Monday thru Sunday. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The knives and medications are kept in the kitchen on the top cabinet inaccessible to children. All cleaning supplies and detergents are stored in the laundry room (LPA observed a child safety gate). The fire place is barricaded and is inaccessible to children in care. There are age appropriate toys and equipment on the premises. Per the licensee there are no weapons or firearms of any kind in the facility. The LPA did not observe any weapons.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: ALONSO FAMILY CHILD CARE	FACILITY NUMBER: 192002900
	VISIT DATE: 12/27/2019

NARRATIVE

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The First Aid kit was observed and complete. The required fire extinguisher (2A10BC) is in green and was last serviced 9/24/2019. The smoke and carbon monoxide detector are in operable condition (tested at 10:18 AM). Fire and disaster drills are conducted every six-month, last emergency drill was conducted on June 2019 at 9:30 AM. Licensee will conduct another emergency drill by the end of December 2019. Licensee's Pediatric CPR and First Aid certificate expires on 1/13/2020. According to Licensee CPR and First Aid will be renewed at Child Care Resource Center (CCRC) prior to expiring.

Licensee had all the required posted documents: Facility License (LIC 203, Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148)

The licensee and Assistant provided proof of immunization against pertussis (TDAP), measles (MMR), and influenza.

Licensee and Assistant demonstrated proof of Mandated Reported Training certificate dated 1/29/2018.

The LPA observed a current child roster. Child files were found to be complete.

The backyard is gated all around. The outdoor play area was inspected and was observed to be free of hazards, loose and sharp parts.

The following were discussed: No smoking, infant walkers, Johnny jumpers, exersaucers and any other item that falls into that category are permitted in the facility. The LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements and penalty.

The licensee was informed that all adults living in or having access to the home are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Index prior to having contact with children. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analysis of any person who will be visiting regularly or for longer than #1 week.
Safe Sleep new upcoming regulations were discussed with Licensee and referred to the CCL web site for additional information and PINS.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: ALONSO FAMILY CHILD CARE	FACILITY NUMBER: 192002900
	VISIT DATE: 12/27/2019

NARRATIVE

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Went over new immunization new regulations and requirements which were effective 7/01/2019. New Regulation regarding varicella(chickenpox) vaccination now due at 15 months month instead 18 months.

Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

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

Child Care Advocates:

To sign up for our Quarterly Updates please email the Child Care Advocates at
chilcareadvocatesprogram@dss.ca.gov & (916) 654-1541

The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000.

The facility was in compliance per Title 22 regulations, no deficiencies will be cited today 12/27/2019. An exit Interview was conducted, a copy of this Report, Appeal rights and a Notice of Site visit was provided to the licensee Josefina Alonso.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2019

LIC809 (FAS) - (06/04)

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