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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407521
Report Date: 08/11/2022
Date Signed: 08/12/2022 03:24:54 PM


Document Has Been Signed on 08/12/2022 03:24 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:SANTOS FAMILY CHILD CAREFACILITY NUMBER:
197407521
ADMINISTRATOR:SANTOS, LORINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 433-4216
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:12CENSUS: DATE:
08/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lorina SantosTIME COMPLETED:
11:30 AM
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On 8/11/2022 Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection and was met by Lorina Santos.

Days and hours of operation are 7:30 a.m. 5:30 p.m. Monday through Friday. Facility provides care and supervision to children ages 3 months to 5 years old.

LPA toured the home inside and outside and a census was taken; 3 children and 1 adult with licensee were observed providing care and supervision.

Current facility sketch reviewed, and Licensee confirmed the back area of the home is where day care is being provided. Families access the day care through the side of the house and use the second entrance. Upon entering the home, you are led to the day care room. LPA observed all necessary posting by the entrance of the home. The bathroom that children use is located outside the kitchen. Licensee confirmed that children nap in the day care room area and eat in the kitchen/eating area. LPA observed 5 highchairs in the kitchen area that is used for meals.

The following areas are currently OFF LIMITS: main entrance of the home, living room, dining room area, bedroom 1-3 and bathroom 1 and bathroom 2. LPA observed all doors closed and reminded licensee that all doors need to be locked during the hours of operations.

Currently the backyard is OFF LIMITS to the children in care due to licensee looking to renovate the area. LPA informed licensee to make sure to notify Community Care Licensing when renovations area completed in order to be able to use the space for daycare.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SANTOS FAMILY CHILD CARE
FACILITY NUMBER: 197407521
VISIT DATE: 08/11/2022
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There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible and stored under the kitchen and bathroom cabinet. Cabinets were observed to have safety latches making the content inaccessible.

There is a working fire extinguisher mounted in the kitchen area, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort were observed. LPA did not observe any stairs in the home. The home does have two steps that led to the ktichen. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is 323-433-4216.

Licensee confirmed she has only 4 children enrolled in the program. Licensee is available to care for infants. LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.
Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete. Licensee’s Mandated Reporter Training was not available for review. Licensee agrees to complete online training and submit proof of completion by 8/25/2022. Licensee’s pediatric CPR/First Aid was taken on 8/11/2020. LPA reviewed the LIC311D with licensee and provided a sample packet of all necessary forms.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SANTOS FAMILY CHILD CARE
FACILITY NUMBER: 197407521
VISIT DATE: 08/11/2022
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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.

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.

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.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Lorina Santos.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
LIC809 (FAS) - (06/04)
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