197415481-12-11-2023-30-CC-SGAA-CYERTA-20231211121801

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197415481
Report Date: 12/11/2023
Date Signed: 12/11/2023 01:35:49 PM

Document Has Been Signed on 12/11/2023 01:35 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MADRIGAL FAMILY CHILD CARE		FACILITY NUMBER:	197415481
ADMINISTRATOR:	MADRIGAL, CLAUDIA I.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 200-1949
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90504
CAPACITY:	14	CENSUS: 7	DATE:	12/11/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:38 AM
MET WITH:	Licensee, Claudia Madrigal		TIME COMPLETED:	12:30 PM

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On 12/11/2023 at 9:38am, Licensing Program Analyst (LPA), Sarah Garcia conducted an unannounced Required Inspection at the above-mentioned facility. LPA was greeted by licensee, Claudia Madrigal. Present during today's inspection were licensee's husband and daughter who assist with the day care. During the initial inspection, LPA observed 7 children in care. Facility operates Monday through Friday from 7:00 a.m. to 5:30 p.m. Currently licensee is available to care for children 2 years old to 7 years old. Facility is Large Family Child Care Home with a max capacity of 14. Licensee provides transportation to children. LPA obtained a copy of driver's license from licensee and licensee's husband.

LPA toured the home inside and outside. The home is a single family home with 3 bedrooms and 1 bathroom, living room dining room, kitchen, laundry area, and garage. Licensee confirmed the following areas are designated for day care only: Living room as needed, bedroom #3, bathroom, and outdoor area. LPA inspected the living room and observed the space to be clean and orderly. LPA inspected the bedroom #3 and observed one play yard and cots to utilize for sleeping children. LPA observed age-appropriate toys, materials, and books. The bathroom that children use is located inside the hallway near the living room area. LPA inspected the bathroom and observed a safety latch under the sink to ensure medications, toxins or cleaning compounds are inaccessible to the children in care. LPA inspected the kitchen and observed the knives and sharp objects to be out of reach to the children. LPA observed the medications on the top cabinet with a safety lock making it inaccessible to children in care. LPA observed a safety latch under the kitchen sink cabinet to ensure all poisons, detergents, cleaning compounds, medications and other items which can pose a risk to children in care made inaccessible. Adjacent to the kitchen, LPA observed the laundry room with a safety gate making it inaccessible to children in care.

The following areas are OFF LIMITS to the children in care: Bedroom #1, bedroom #2, kitchen area, dining room, and garage.

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SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah Garcia	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MADRIGAL FAMILY CHILD CARE	FACILITY NUMBER: 197415481
	VISIT DATE: 12/11/2023

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LPA inspected the outdoor area and observed safe toys, play equipment, children's tables and chairs. The outdoor area is fenced and supervised at all times.

Per licensee, there is (1) dog in the home. LPA discussed the importance of making sure that parents know program has pets in the home. Dog remain locked on the side of the home.

All electrical outlets were observed to be covered. LPA reminded licensee to ensure all areas that have been designated as OFF LIMITS need to have doors closed, locked, and made inaccessible when children are present.

LPA observed licensee test the dual smoke detector and carbon monoxide detector in the home. One working fire extinguisher, 2A10BC was observed. LPA observed first aid kit with thermometer, Band-Aids, and gauze. Food is provided by parents. LPA reminded licensee that the food provided from the children's home shall be labeled and properly stored or refrigerated. LPA discussed the importance of maintaining a system where allergies and food restrictions are noted. When a child is ill licensee will isolate them in the bedroom #3 separate from the children.

No swimming pools or bodies of water were observed in the space. There are no firearms or ammunition on the premises.

Licensee currently does not administer medication. Adequate ventilation for safety and comfort were observed in the space. The home has working telephone service and LPA confirmed the phone number (310) 200-1949.

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 during today’s inspection.

LPA reviewed 6 children’s files and observed files to be complete. LPA discussed all necessary forms needed in each children’s file and provided licensee with the LIC 311D- Records to be maintain in the facility and provided licensee with a current copy to use as a reference when auditing files.

LPA reviewed Licensee’s Pediatric CPR and First certification and observed certification with an expiration date of 1/2024.

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SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah Garcia	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

LIC809 (FAS) - (06/04)

Page: 2 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MADRIGAL FAMILY CHILD CARE	FACILITY NUMBER: 197415481
	VISIT DATE: 12/11/2023

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days 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 webpage 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Claudia Madrigal, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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

A notice of site visit was given and must remain posted for 30 days.
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SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah Garcia	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

LIC809 (FAS) - (06/04)

Page: 3 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MADRIGAL FAMILY CHILD CARE	FACILITY NUMBER: 197415481
	VISIT DATE: 12/11/2023

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Exit interview conducted and report along with appeal rights was reviewed with the licensee, Claudia Madrigal.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

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SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah Garcia	TELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

LIC809 (FAS) - (06/04)

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