197413277-5-16-2019-30-CC-MPIN-BC8T3Q-20190516142243

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413277
Report Date: 05/16/2019
Date Signed: 05/16/2019 05:42:44 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:	VALENZUELA FAMILY CHILD CARE		FACILITY NUMBER:	197413277
ADMINISTRATOR:	VALENZUUELA, Y. & R.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 895-8359
CITY:	PANORAMA CITY	STATE: CA	ZIP CODE:	91402
CAPACITY:	14	CENSUS: 2	DATE:	05/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Yollanda Valenzuuela		TIME COMPLETED:	02:50 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 (LPA), Marina Pilossian conducted an unannounced annual random inspection. LPA met with licensees, Yolanda and Roberto Valenzuela, who guided analyst on a tour of the facility on 5/16/19 at 1:00pm. LPA Pilossian observed licensee, licensee's spouse, and two children including licensee's own grand child. LPA and licensee's daughter Johana Valenzuueal who is also licensee's assistant translated for LPA Pilossian. Licensee is Spanish speaking. LPA Pilossian observed 2 children (one infant who is assistant Johana Valenzuueal child, and one pre school age child). LPA observed the pre school age child playing in the activity room. This is a two story 5 bedroom, 3 bathroom home with living room, dining room, kitchen, den, outside laundry room and attached garage, and in ground pool. LPA observed a small dog in the back yard in the run way separated from the day care children. Adults living in the home include licensee, licensee's spouse, licensee's daughter and son, and licensee's both parents. Minors living in the home include licensee's daughter's two minor children. All adults have clearances and are associated to the facility. Main care is provided in the day care room located along the right side of the home. Children have access to the bathroom in the hallway near the play room, and the living room. Off limit areas to the children are the family room, dining room, kitchen, second floor, garage, the back yard and the front yard.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina Pilossian	TELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 197413277
	VISIT DATE: 05/16/2019

NARRATIVE

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LPA discussed and provided the safe sleep for baby pamphlet. Each infant shall be constantly supervised and under direct visual observation by an adult person at all times. Under no circumstances shall any infant be left unattended. In order to visually observed and supervise sleeping infants there should be no obstruction to the view of the infants, which could include transparency walls and/or half walls. LPA recommend that infants sleep safest in crib with no bumpers, pillows, blankets, or toys, and on their backs, and every sleep time counts to reduce the risk of SIDS and other sleep related causes of infant death.

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com.

Exit interview and a copy of this report was printed and provided to the licensee during the inspection.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina Pilossian	TELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 197413277
	VISIT DATE: 05/16/2019

NARRATIVE

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Assembly Bill 633: Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility.

New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment

Update on Incidental Medical Services:

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

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina Pilossian	TELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 197413277
	VISIT DATE: 05/16/2019

NARRATIVE

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There is a pool in the back yard enclosed by a white wrought iron fence that forms around the pool on all sides except one curved section where the wall of the home encloses the pool area. There is 1 window with metal safety bars that gives access to the pool area; however, this room has its own entrance that is only accessible from a gated area along the right side of the home and there is no access to this room from inside the home where day care is conducted. There are 2 pool gates with padlocks on either end of the pool. LPA tested the pool gates and observed them to be self-closing and self-latching. The latch is within 6 inches of the top of the gate. Vertical beams were measured to be 4 inches apart. Horizontal beams were 45 inches apart. No furniture or items were positioned next to the fence that would render the pool fence to be climbable. The fence allows visibility of the pool. The back yard is off limits to the day care children. Day care children do not go outside (front yard, and the back yard) to play, children play inside of the home.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Per licensee, there are no weapons or firearms of any kind in the facility at this time. The LPA did not observe any weapons. Poisons are stored in a locked garage/cabinet. LPA observed safety latches on all kitchen and bathroom cabinets and drawers that contained hazardous items.

LPA observed the fire extinguisher mounted to the wall near the playroom and other in the kitchen, inaccessible to children yet ready for emergency use. The smoke detector, and the carbon monoxide in the day care room was tested and observed to be operational. The home is equipped with Central Air conditioning and heat. There are no wall heater units or a fireplace that needs to be screened.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina Pilossian	TELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 197413277
	VISIT DATE: 05/16/2019

NARRATIVE

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The home was observed to be clean and orderly. There are stairs leading to the second floor accessible from the kitchen that are properly barricaded. LPA observed a sufficient amount of safe, age appropriate toys, play equipment and materials.

Per the licensee, there are 2 school age children who arrive in the afternoon. Licensee picks up children from nearby elementary schools. Licensee ensures proper child seat restraints, maintains vehicle insurance and registration and current driver license for the driver. Licensee understands that at no time, shall a child be left in a parked vehicle.

LPA inspected the backyard and observed variety of toys, slide, tricycles.. Licensee stated that these toys have been here for a long time and they are not used. Licensee further stated that the day care children do not have access to the back yard.

Licensee has current pediatric CPR/First Aid certificate expires in 02/2020. Licensee has the following documents posted in the FCCH; Facility License (LIC 203), Notification of Parents' Rights Poster (PUB 394) , facility roster, Emergency Disaster Plan (LIC610a).

A review of the children's records was conducted and are found to have the following: LIC 282 Affidavit Liability Insurance, LIC 627/Consent for Medical Treatment, LIC 700/ID and Emergency Information, LIC 995A/Parent's Rights, LIC995E/Caregiver Background Check, LIC 9150/Parent Notification, LIC 9212/Parent's Responsibilities, PM 286/Immunization Card.

Senate Bill 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Marina Pilossian	TELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

LIC809 (FAS) - (06/04)

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