192004394-8-24-2022-54-CC-AMOY-CHLVRY-20220824164042

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 192004394
Report Date: 08/24/2022
Date Signed: 08/24/2022 04:40:55 PM

Document Has Been Signed on 08/24/2022 04:40 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	LOZA & RODRIGUEZ FAMILY CHILD CARE		FACILITY NUMBER:	192004394
ADMINISTRATOR:	LOZA, G. & RODRIGUEZ, A.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 587-2041
CITY:	BELL	STATE: CA	ZIP CODE:	90201
CAPACITY:	14	CENSUS: 3	DATE:	08/24/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Gloria Loza, Licensee		TIME COMPLETED:	05:00 PM

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Licensing Program Analyst (LPA) Alicia Mooberry conducted a Required Annual Inspection in Spanish on this date. Upon arrival at 2:30pm LPA met with Gloria Loza and Alejandro Rodriguez, Licensees, who provided tour of facility. LPA explained the purpose of inspection and provided the inspection Entrance Checklist, LIC 126. LPA inspected rooms/areas on the facility sketch in which child-care services are provided and to which children have access, as well as off limit. Per licensee the hours of operation are Monday-Sunday 3:45am - 12:30am. Licensee offers overnight care and understands that care should not be provided for more that 24 hours at a time. There were 3 children present. Also present was Alejandra Rodriguez, licensee's daughter/assistant. All adults present have been cleared and associated. Individuals residing in the home were discussed and noted.

This is a one story home that consists of 2 bedrooms and 2 bathrooms. There is detached unit in the back yard of the home, that is used as laundry and storage room.

Per licensee, the areas used by children include: Living room, dining room, kitchen, den, 2 bedrooms, bedrooms, two bathrooms, front and backyard.

Off limit areas are: Backyard detached unit.

Areas that are used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating. The licensee does understand that licensing staff may have access to off-limit areas during inspection visit if necessary.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection:

LPA observed the facility license posted in the living room. Publication (PUB) 394- Notification of Parent Rights and Licensing Form

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOZA & RODRIGUEZ FAMILY CHILD CARE	FACILITY NUMBER: 192004394
	VISIT DATE: 08/24/2022

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LPA observed completed facility records including; LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan. Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicated fully charged and a purchase receipt was observed. Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via land line phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. LPA observed that cleaning compounds are in overhead kitchen cabinet inaccessible to children. The bathroom that children use is located in the hallway by the bedrooms and was observed to be clean and free of hazards.

Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children.

Per Licensee there are no firearms or weapons stored in the home. There are no bodies of water on the premises. Per licensee, there is a family dog that is present on occasion.

Isolation area for sick children waiting to be picked up is in the bedroom, away from the other children.

The licensee provides food for children in care.

Infant Care: Licensee has no infants enrolled. LPA informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months, and provided PIN 20-24-CCP.

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.

Currently, children are using the back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with including a basketball court. LPA did not observe any objects that could be hazardous to children in care. LPAs observed shading and tables where children eat. Facility does not have a pool or similar bodies of water.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOZA & RODRIGUEZ FAMILY CHILD CARE	FACILITY NUMBER: 192004394
	VISIT DATE: 08/24/2022

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Licensee, Staff and Children's record were reviewed and found complete. LPA observed that licensee is implementing current COVID-19 recommendations, precautions and procedures.

During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

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

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.

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/inspection-process.

Based on the LPA's observations and records review, no deficiencies will be cited today in accordance with California Title 22 Regulations.

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

Exit interview conducted and report was reviewed with the Licensee, Gloria Loza and

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

LIC809 (FAS) - (06/04)

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