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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192010660
Report Date: 08/16/2019
Date Signed: 08/16/2019 03:20:34 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:GALANG FAMILY CHILD CAREFACILITY NUMBER:
192010660
ADMINISTRATOR:GALANG, MARIDONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 251-9001
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY:12CENSUS: 5DATE:
08/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:43 PM
MET WITH:Maridon GalangTIME COMPLETED:
03:35 PM
NARRATIVE
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Licensing Program Analysts (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, Maridon Galang who provided LPA a tour of the facility. The Licensee’s husband Patrick Galang and daughter Patricia Galang were also present. There were 5 children present including 3 infants. Licensee states there are 12 children enrolled, the children’s roster was reviewed and is current. Licensee’s operating hours are from 7:00 a.m. to 6:00 p.m. from Monday through Friday.

This is a one story home which consists of 1 bedroom, 1 bathrooms, kitchen, living room, and backyard (fenced). The children use the bathroom, living room, kitchen area. Per licensee, areas off limits to children and parents include: 1 bedroom and backyard.

LPA toured all areas used by children during this visit. LPA inspected the living room. There are adequate age appropriate toys, books, and games. No hazards or violations were observed. There is proper ventilation through the home. The kitchen area of the home used by the children was inspected. Cleaning compounds and detergents are stored in a latched kitchen cabinet and are inaccessible to the children. Knives and sharp objects are stored in a kitchen cabinet drawer. LPA did not observe a latch on the drawer where knives are stored. The bathroom was inspected for safety and cleanliness. LPA observed a bottle of rubbing alcohol and mouth wash stored in a cabinet without a latch. There are electrical outlet covers throughout and a First Aid Kit is available.

Licensee has the Parent’s Rights poster and other appropriate forms posted on a board in the living room. Licensee, Maridon Galang’s First Aid/Infant CPR certificates are valid through 02/10/2020. Licensee's disaster drill log notes last drill conducted on 05/08/19. Licensee has a working telephone.

REPORT CONTINUES ON NEXT PAGE: 1 OF 3
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 5
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: GALANG FAMILY CHILD CARE
FACILITY NUMBER: 192010660
VISIT DATE: 08/16/2019
NARRATIVE
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LPA observed the 2A10BC fire extinguisher located in the kitchen was serviced on 07/29/2019 and is fully charged. 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. Currently there are no pets.

Staff files were reviewed. The Licensee has incomplete immunization documentation. Children’s files were reviewed. Upon file review, Licensee stated Child #5 does not have a file with required forms.

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 th,e facility in a large family child care home.

Based on this information, the following deficiencies listed on the attached LIC 809d are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

REPORT CONTINUES ON NEXT PAGE: 2 OF 3
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: GALANG FAMILY CHILD CARE
FACILITY NUMBER: 192010660
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2019
Section Cited
CCR
102417(4)
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Operation of a Family Child Care Home
Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement was not met as evidenced by: LPA observed rubbing alcohol and mouthwash in the
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Per Licensee, latches will be installed to the bathroom cabinet. A latch will also be installed in the kitchen cabinet drawer where the knives are stored. Photographs will be emailed to LPA as proof of correction.
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bathroom used by the children. In addition, LPA observed knives stored in a kitchen drawer that does not have a latch to prevent access. This poses a potential risk to the health and safety of children in care.
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Type B
09/06/2019
Section Cited
HSC
1597.622(c)
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Employees or volunteers at family day care home; immunization requirements; records; exemptions
The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person’s personnel record that is maintained by the family day
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Licensee will schedule an appointment with her doctor to update immunizations and obtain documentation. A photograph will be emailed to LPA as proof of correction.
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care home. This requirement was not met as evidenced by: The Licensee has incomplete immunization documentation. This is a potential risk to the health and safety of children in care.
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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: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: GALANG FAMILY CHILD CARE
FACILITY NUMBER: 192010660
VISIT DATE: 08/16/2019
NARRATIVE
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Exit interview was conducted with Licensee, Maridon Galang. 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: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: GALANG FAMILY CHILD CARE
FACILITY NUMBER: 192010660
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2019
Section Cited
CCR
102421
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Child's Records:
The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). The licensee shall keep the signed and dated notice form for at least three years following termination of service to the child. The licensee shall maintain, in each child's record, a copy of
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Per Licensee, the forms will be provided to child #5's authorized representative today. Photographs will be submitted to LPA via email as proof of correction.
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emergency information. This requirement was not met as evidenced by: There is no file with required forms for child #5. This poses a potential risk to the health and safety of children in care.
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CCR
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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: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5