197408673-2-21-2020-30-CC-VWHY-BLZSTD-20200221130920

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408673
Report Date: 02/20/2020
Date Signed: 02/21/2020 01:09:29 PM

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:	DIAZ MARTINEZ FAMILY CHILD CARE		FACILITY NUMBER:	197408673
ADMINISTRATOR:	SANDRA DIAZ MARTINEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 782-2803
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90501
CAPACITY:	14	CENSUS: 11	DATE:	02/20/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Sandra Diaz Martinez		TIME COMPLETED:	04:30 PM

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	Licensing Program Analyst, V. Wheatley conducted a random inspection and met with the licensee at 2:30PM. LPA observed 11 children (3 infants and 8 preschool) on the premises with Staff #1 and Staff #2. The staff are fingerprint cleared. The licensee was gone to pick up one child. The licensee arrived at 3PM. LPA toured the areas of the child care which are the living room, dining room, one bedroom, kitchen and detached day care room adjacent to the garage. The bedrooms are off-limits. The home is comfortable and well ventilated. LPA observed a working smoke detector, carbon monoxide detector, charged 2A10BC fire extinguisher and telephone. There are several age appropriate toys, cots and playpens for napping. LPA observed electrical outlets are inaccessible. Per the licensee, there are no firearms on the premises. The licensee and assistants do not have proof of CPR and first aid certification. LPA discussed discipline policies, personal rights, civil penalties and appeal rights. LPA reminded licensee about reporting unusual incidents and injuries. In addition, licensee was reminded that all adults 18 and over living or working in the home and visiting on a frequent basis must be fingerprint cleared prior to being on the premises. A civil penalty will be assessed if this regulation is violated. Licensee was informed that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). LPA reminded licensee regarding SafeSleep. Brochures were provided during last inspection. Never shake a baby to prevent Shaken Baby Syndrome. Only children eating may be in high chairs. Provider is required to wash hands after every diaper change. No smoking is allowed on a day care premises.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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: DIAZ MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 197408673
	VISIT DATE: 02/20/2020

NARRATIVE

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LPA discussed Incidental Medical Services. According to the licensee there are no children enrolled that are receiving I.M.S.

LPA inspected the large backyard which is fenced. The licensee understands the yard must be safe at all times. The play structure has slides and is secure. LPA informed the licensee to have the children ride bikes in one direction away from the play structure when in use. There are no pets the premises. There are no bodies of water.

LPA inspected the detached room and observed several age appropriate toys and equipment. The room has a separate fire extinguisher and smoke detector. LPA observed a bathroom inside of the detached room. The licensee understands that children may not eat or sleep in this room. Licensee was reminded that children are to be supervised while inside and outside of the home.

LPA reviewed children's records at 4PM which are complete. Immunization records shall be provided to the licensee prior to the care provided to children.. LPA observed required adult immunizations. Child Care Quarterly updates and Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov

The required documents (license, parent's rights poster, personal rights, emergency disaster plan, car seat law) shall be posted on the parent board. LPA recommends a board in the dining room area and in the detached building.

Exit interview and copy of the report provided to the licensee.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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: DIAZ MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 197408673
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/20/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/27/2020 Section Cited	1 2 3 4 5 6 7	Personnel Requirements-The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
	8 9 10 11 12 13 14	The licensee and assistants do not have proof of current CPR/first aid. This is a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

LIC809 (FAS) - (06/04)

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