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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192004154
Report Date: 12/19/2023
Date Signed: 12/19/2023 04:35:30 PM


Document Has Been Signed on 12/19/2023 04:35 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:VIZCARRA FAMILY CHILD CAREFACILITY NUMBER:
192004154
ADMINISTRATOR:VIZCARRA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 604-8759
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:14CENSUS: 3DATE:
12/19/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee, Maria VizcarraTIME COMPLETED:
05:00 PM
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On December 19, 2023 at 2:00 pm, Licensing Program Analysts (LPAs) Angelica Wallin and Alicia Mooberry, conducted an unannounced Annual Required Inspection and was met by Licensee, Maria Vizcarra. Hours of operation are from Monday through Friday for 24 hours. LPAs advised licensee that hours of operation cannot exceed the full 24 hour period. LPAs toured the home inside and outside and a census was taken. Facility has a dual license RFA# 197805715. Per licensee, no foster children present at this time.

This one - story home consists of 5 bedrooms and 3 bathroom. Areas used by the children include: day care room, one restroom located in day care room, kitchen, living room, bathroom next to bedroom 1 and 2 and backyard and den. Per licensee, areas off limits to children include: 5 bedrooms, master bathroom and detached garage. There are 3 children present during time of inspection. Licensee Vizcarra states that there are currently 11 children enrolled in the facility.

All poisons are kept in a locked storage area. Detergents, cleaning compounds and other hazardous items are made inaccessible. There is a working smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. During inspection, LPAs observed fire extinguisher was serviced on January 2023. LPAs observed wall heater barricade located in living room not securely anchored to wall. Type B citation issued.

During inspection, safe toys and play equipment were observed. The home has a working telephone service. During inspection, LPAs observed non-sleeping infant placed in play yard during free play. Licensee informed LPAs that infant was placed in play yard to keep infant contained. LPAs informed licensee that play yard or cribs are to be used for sleeping only. Licensee expressed understanding and immediately had infant removed from play yard. A technical assistance violation issued.

The outdoor play area in the backyard is fenced. LPAs observed outdoor play structure not securely anchored to ground. Type B citation issued. LPAs observed no swimming pool or bodies of water.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 854-7636
LICENSING EVALUATOR NAME: Angelica WallinTELEPHONE: (626) 366-3613
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: VIZCARRA FAMILY CHILD CARE
FACILITY NUMBER: 192004154
VISIT DATE: 12/19/2023
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Per licensee, no firearms are kept on premises. LPAs observed kitchen the counter tops were clean and free of clutter or standing food. Per licensee, food service is provided. Per licensee, overnight care is not provided at this time. Per licensee, transportation service is provided. LPAs discussed with licensee supervision and safety when providing transportation services.

LPAs reviewed 3 children’s files. LPAs observed one children’s file missing complete immunization records. A technical assistance violation issued. LPAs observed one infant’s file missing LIC9227 infant sleep plan form. A technical assistance violation issued. A review of staff records indicates that licensee and two staff has the following updated certificates: updated pediatric CPR/First Aid certificates with expiration date of 12/2024 and updated mandated reporter certificates with expiration date of 12/2024. Per staff record review, LPAs observed updated immunization records on file for measles, pertussis, influenza and TB clearance for licensee and staff 1, but missing for staff 2. A type B citation issued. LPAs reviewed the following documentation to be kept in facility: facility license, LIC610A, facility fire drill logs, PUB 394, and LIC9040.



Licensee Vizcarra was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPAs reviewed with Licensee Vizcarra items prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs, and any other item that falls into that category are not permitted in the facility.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs discussed the safe sleep regulations with licensee Vizcarra and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPAs 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.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 854-7636
LICENSING EVALUATOR NAME: Angelica WallinTELEPHONE: (626) 366-3613
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC809 (FAS) - (06/04)
Page: 2 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: VIZCARRA FAMILY CHILD CARE
FACILITY NUMBER: 192004154
VISIT DATE: 12/19/2023
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This facility does not provides Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Exit interview conducted and report was reviewed with licensee, Maria Vizcarra. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 854-7636
LICENSING EVALUATOR NAME: Angelica WallinTELEPHONE: (626) 366-3613
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 12/19/2023 04:35 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: VIZCARRA FAMILY CHILD CARE

FACILITY NUMBER: 192004154

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(d)
Operation of A Family Child Care Home
(d) The home shall provide safe toys, play equipment and materials.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in outdoor play structure not securely anchored to ground which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023
Plan of Correction
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Licensee to anchor play structure to ground and submit picture proof via email.
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in wall heater barricade located in living room not securely anchored to wall which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/22/2023
Plan of Correction
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Licensee to anchor wall heater barricade to wall and submit picture proof 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: Karen ChambersTELEPHONE: (323) 854-7636
LICENSING EVALUATOR NAME: Angelica WallinTELEPHONE: (626) 366-3613
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2023
LIC809 (FAS) - (06/04)
Page: 4 of 8


Document Has Been Signed on 12/19/2023 04:35 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: VIZCARRA FAMILY CHILD CARE

FACILITY NUMBER: 192004154

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review , the licensee did not comply with the section cited above in one staff missing complete immunization records which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/26/2024
Plan of Correction
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Licensee to obtain completed staff immunization records and submit picture proof via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Karen ChambersTELEPHONE: (323) 854-7636
LICENSING EVALUATOR NAME: Angelica WallinTELEPHONE: (626) 366-3613
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2023
LIC809 (FAS) - (06/04)
Page: 5 of 8