197414559-2-1-2023-58-CC-LCLN-CNN35Y-20230201165730

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197414559
Report Date: 09/01/2022
Date Signed: 02/01/2023 04:57:50 PM

Document Has Been Signed on 02/01/2023 04:57 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	ROBLEDO & ORELLANA FAMILY CHILD CARE HOME		FACILITY NUMBER:	197414559
ADMINISTRATOR:	ROBLEDO & ORELLANA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 936-0190
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY:	14	CENSUS: 11	DATE:	09/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	GLORIA ROBLEDO, LICENSEE		TIME COMPLETED:	01:00 PM

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On 09/01/2022 Licensing Program Analyst (LPA), Lisa Clayton conducted an Unannounced Annual inspection. Present during the inspection was Licensee Gloria Robledo, her husband Agustin, and assistant Minerva, both fingerprint cleared and associated with the license. LPA Clayton observed 11 children in care, being supervised and care for appropriately. Operating hours are Monday – Friday, 7:30am – 5pm. Licensee will provide breakfast, lunch, and am/pm snacks, and dinner as needed.

LPA Clayton toured the home inside and outside for a Health and Safety inspection. The two-story home consists of the following: 3 bedrooms, 2 bathrooms, living room, family room, kitchen, and fenced backyard.

The ON-LIMIT areas are as follows: living room, family room (daycare play/napping area), kitchen (daycare eating area), ½ bathroom and fenced back yard.

The OFF-LIMIT areas are as follows: the entire upstairs floor, which consists of bedrooms 1, 2, and 3, and the full bathroom, all of which are made inaccessible by locked doors, child safety gates and supervision.

The day care area has a working carbon monoxide detector, 2 working smoke detectors, and a fully charged 2A10BC fire extinguisher. A Fire Clearance by the LACFPB was granted in December 2017. The home is neat and clean and has adequate heating and ventilation for safety and comfort. Safe toys and play equipment are observed.

The Per the licensee, there are no firearms in the home. Any detergents, cleaning compounds, medication, poisons and other hazardous items are made inaccessible to children.

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. Capacity as specified on the license is being maintained.

A review of records indicates that both Licensee’s and assistants Mandated Reporter Training and CPR/First Aid certificates will expire in December 2022. LPA Clayton advised Ms. Gloria to submit the updated certificates to CCLD/ESRO upon completion (address and email address provided). The Licensees and staff are in compliance with the immunization law which pertains to day care providers.

Children’s, employees and Facility files were reviewed and are current with all required documents. LPA Clayton reviewed the LIC 9227 for all infants in care. The facility roster was observed to be current and complete.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Lisa Clayton	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ROBLEDO & ORELLANA FAMILY CHILD CARE HOME	FACILITY NUMBER: 197414559
	VISIT DATE: 09/01/2022

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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

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 web page 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.

Per Licensee Gloria, her co-licensee no longer lives in the home. LPA Clayton provided her with a LIC 279, and instructed her to submit the complete form, along with a signed letter from both her and the co-licensee Jill Orellana requesting that she be removed from the license.

No deficiencies were cited today, Per Title 22, Division 12, Chapter 3, of the California Code of Regulations.

An exit interview was conducted, a copy of this report was read and provided to the Licensee Gloria Robledo. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Lisa Clayton	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

LIC809 (FAS) - (06/04)

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