197414477-5-26-2023-30-CC-VWHY-CS82J9-20230526172559

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197414477
Report Date: 05/26/2023
Date Signed: 05/26/2023 05:26:06 PM

Document Has Been Signed on 05/26/2023 05:26 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:	ESPINOZA FAMILY CHILD CARE		FACILITY NUMBER:	197414477
ADMINISTRATOR:	ESPINOZA, SILVIA I.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 991-1924
CITY:	GARDENA	STATE: CA	ZIP CODE:	90248
CAPACITY:	14	CENSUS: 3	DATE:	05/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:35 PM
MET WITH:	Lianette Espinoza (Licensee's sister-in-law)		TIME COMPLETED:	05:25 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	On May 26, 2023, Licensing Program Analyst (LPA), V. Wheatley conducted an Annual Required Inspection and met with licensee's sister-in-law Lianette Espinoza at 3:35PM in the absence of the licensee Silvia Espinoza. LPA observed 3 day care children present. Days and hours of operation are Monday through Friday, 7:30am to 4:30PM. LPA toured the home inside and outside. Current facility sketch reviewed and confirmed that the family room is used for providing care accessible to children. LPA observed construction with the garage but it is not accessible to the day care children. The bedrooms are inaccessible to the children. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There is a working fire extinguisher, smoke detector, carbon monoxide detector. The home has a wall heater that is not being used at this time and a portable air conditioner. LPA observed age appropriate toys, play equipment, first aid kit, cots, fire drills, and roster. LPA reviewed children's records and Lianette Espinoza's file which is correct. LPA discussed Safe Sleep Regulations with Lianette E. There are no infants enrolled at this time. Cribs and play yards will be 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.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023

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 2

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: ESPINOZA FAMILY CHILD CARE	FACILITY NUMBER: 197414477
	VISIT DATE: 05/26/2023

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
26
27
28
29
30
31
32

PAGE 2

Licensee will ensure 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.

Licensee’s Mandated Reporter Training was completed 12/31/2021. Licensee’s sister-in-law pediatrc CPR/First Aid expires on January 2025. A review of records indicates that all employees and/or volunteers do not have immunization records on file for influenza, pertussis and measles.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. There is one pet (dog) kept on the premises.

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. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, there are no deficiencies cited.

This report shall be made available to the public upon request.

A copy of this report will be emailed to the licensee. The licensee will acknowledge via Read Receipt.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2