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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415481
Report Date: 03/08/2021
Date Signed: 08/31/2021 07:39:41 PM

Document Has Been Signed on 08/31/2021 07:39 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:MADRIGAL FAMILY CHILD CAREFACILITY NUMBER:
197415481
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
03/08/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Claudia MadrigalTIME COMPLETED:
04:50 PM
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On March 8, 2021 at 3:50PM. Licensing Program Analyst (LPA) Veronica Wheatley conducted an announced Case Management Tele-inspection via Zoom due to the COVID-19 pandemic. The purpose of the meeting was to ensure that health, safety and personal rights as required by Title 22 Regulations governing California Family Child Care homes are met by the Licensees. LPA Wheatley met with Licensee, Claudia Madrigal, who guided the analyst on a tour of the home. LPA observed 3 children
present during the inspection. The licensee received an approved Fire Clearance granted by Torrance Fire Department. All areas identified on the facility sketch were inspected. The main care is provided in the rear bedroom and living room. Per the licensee, the facility sketch will be updated to add the living room for day care. Children have access to the bathroom in hallway and back yard. The off limits areas are: two bedrooms, front yard, kitchen, dining room and detached garage. There is no pool, spa or other bodies of water on the premises. Licensee and licensee's husband are fingerprint cleared.

LPA observed the home is clean orderly and properly ventilated. Telephone service, heating, lighting and ventilation were evaluated. The required fire extinguisher (2A10BC) is not appropriate. LPA smoke/carbon monoxide detectors are in operable condition. LPA reviewed the L.A. County Public Health Guidelines with licensee in regards to Covid-19. LPA observed the hand sanitizing station at the entrance. The parents do not enter the home. The children are kept 6 feet apart and wear masks. There are adequate age appropriate toys. Each child has there own individual container for their own toys. LPA observed disinfectant and cleaning materials. The toys and equipment are cleaned throughout the day and at the end of the day. LPA observed cots and bedding separate.

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SUPERVISORS NAME: Sharalyn Jenkins-Sweeten
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2021
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: MADRIGAL FAMILY CHILD CARE
FACILITY NUMBER: 197415481
VISIT DATE: 03/08/2021
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Licensee has the Covid-19 signs and the following documents posted at the front entrance in the FCCH; Facility License (LIC 203), Notification of Parents' Rights Poster (PUB 394), Emergency Disaster Plan (LIC610) and Child Care Facility Roster (LIC9040) is accessible.

Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Applicant was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation. Licensee was provided an informational regarding "Safe Sleep For Your Baby.

Capacity and Ratios: The licensee has applied for a capacity increase for a large family . The Maximum capacity is 12 with no more than 4 infants and a qualified assistant. Without a qualified assistant the license reverts back to the requirements for a small family childcare. Optional care may be provided for a maximum capacity of 14 children with no more then 3 infants, 2 school age children and a qualified assistant. School age children must be one in indergarten and one age 6 years old or older.



An increase in capacity will be granted when the following corrections are submitted:
1. The licensee will purchase the correct fire extinguisher and submit a picture of the correction.
2. Licensee will submit an updated facility sketch with the living room used for day care.

An exit interview was conducted and a copy of this report will be provided to the licensee via email with read receipt.
SUPERVISORS NAME: Sharalyn Jenkins-Sweeten
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2021
LIC809 (FAS) - (06/04)
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