197414789-10-7-2019-30-CC-VWHY-BGQP87-20191007110500

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197414789
Report Date: 10/03/2019
Date Signed: 10/07/2019 11:05:08 AM

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:	VALDEZ FAMILY CHILD CARE		FACILITY NUMBER:	197414789
ADMINISTRATOR:	VALDEZ, MATILDE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 515-0379
CITY:	GARDENA	STATE: CA	ZIP CODE:	90247
CAPACITY:	14	CENSUS: 9	DATE:	10/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Matlde Valdez		TIME COMPLETED:	05:00 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), V. Wheatley conducted an annual inspection and met with the licensee at 3:50PM. The licensee is a provider with the Gardena Child Care Program. Licensee and assistant were observed supervising 9 children. The adults are fingerprint cleared. LPA toured the child care areas which are the living room, kitchen and rear bedroom. The rear bedroom is set up like a classroom. LPA observed a child proof gate at the entrance of the living room. The two bedrooms are off limits and will remain inaccessible. The home is orderly, comfortable and well ventilated LPA observed a working carbon monoxide, smoke detector, charged 2A10BC fire extinguisher and working telephone. The home has two wall heaters which are screened. There are several age appropriate toys and a first aid kit on the premises. The electrical heater in the bathroom is inoperable. All detergents, cleaning supplies, medications and sharp objects are inaccessible. LPA observed electrical outlets covered or inaccessible. LPA observed playpens and cots for napping. Per the licensee, there are no firearms on the premises. LPA observed CPR/first aid for licensee and staff which expires June 2021. Per the licensee, there are no children receiving Incidental Medical Services. Licensee understands if these children are enrolled a written plan must be submitted to the department.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

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: VALDEZ FAMILY CHILD CARE	FACILITY NUMBER: 197414789
	VISIT DATE: 10/03/2019

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LPA inspected the backyard. The yard is fenced. LPA observed several age appropriate toys and equipment. There is a cushioned material under the play equipment. The water tables and wading pools will be emptied after each use. There are no pets and no bodies of water on the premises. The patio area is off-limits to small children. Licensee was reminded that children are to be supervised inside and outside of the home.

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. LPA discussed discipline policies, personal rights, civil penalties and appeal rights. LPA informed licensee that Adult #1 cannot be on the premises and does not have a fingerprint clearance. Licensee will provide LIC 995B to parents informing them Adult #1 is not allowed on the premises during day care hours.

LPA reviewed children's records and staff records which are complete. LPA observed immunizations and Mandated Reporter Training. Immunization records are to be obtained from parent's prior to a child being left with provider. Immunization records shall be kept on blue cards from the local health department. Licensee is receiving child care quarterly updates. The additional information may be obtained at the department's website www.ccld.ca.gov The licensee conducts fire drills and earthquakes

LPA observed the required forms posted. The children's roster is accessible. There are no violations according to Title 22 Regulations.

Exit interview.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

LIC809 (FAS) - (06/04)

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