197415928-12-21-2022-30-CC-JLAO-CMC3EY-20221221171152

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197415928
Report Date: 12/21/2022
Date Signed: 12/21/2022 05:11:58 PM

Document Has Been Signed on 12/21/2022 05:11 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:	ROBAYO FAMILY CHILD CARE		FACILITY NUMBER:	197415928
ADMINISTRATOR:	LILIANA ROBAYO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 441-0209
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90025
CAPACITY:	14	CENSUS: 1	DATE:	12/21/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Lillian Robayo		TIME COMPLETED:	03:00 PM

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On 12/21/2022 Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection and was met by Liliana Robayo. Inspection was conducted in Spanish. Present during today’s inspection was licensee and licensee’s husband.

Days and hours of operation are 8:30 am to 5:00 p.m., Monday through Friday. Currently licensee cares for children ages 22 months to 5 years old. Licensee confirmed that she does not provide overnight care or weekend care.

LPA toured the home inside and outside and a census was taken; 1 child was present with licensee providing care and supervision. The home is a single-family home- with 3 bedroom, 2 bathrooms, den, living room, dining room, kitchen, kitchenette and laundry room. LPA observed a detached garage designated as OFF LIMITS.

LPA observed the 1^st floor dedicated to the day care. Licensee confirmed the following areas are used for day care: kitchenette where children eat, living room, dining room area, bedroom 1 used as a nap room, bathroom located in the 1^st floor, den area that is used as a walkway to access the back yard.

Licensee confirmed the following areas as OFF LIMITS: Bedroom 2/use as an office- door will remain close during hours of operations. Staircase that leads to the 2^nd floor- safety gate was observed at the bottom of the staircase. Bedroom 3 and bathroom located in the 2^nd floor.

LPA observed a barricaded fireplace in the living area and open face floor heater in the hallway and dining room area- barricaded. Areas are all made inaccessible to the children in care.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ROBAYO FAMILY CHILD CARE	FACILITY NUMBER: 197415928
	VISIT DATE: 12/21/2022

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There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents and cleaning compounds are kept in a locked cabinet under the sink- under sink cabinet observed to have a safety latch- making content inaccessible to the children in care. LPA observed additional cleaning supplies in the laundry room- designated as OFF LIMITS and door remains closed during hours of operations. Licensee stated she will be adding a safety latch to the top of the laundry room cabinet as an added precaution to ensure all content is made inaccessible to the children in care.

The home was observed having a working fire extinguisher mounted in the kitchen area. Carbon monoxide and smoke detector were observed in the space. LPA observed licensee test the carbon monoxide and smoke detector in the home.

Licensee confirmed she currently does not have any children under the age of 12 months and only takes in children 22 months to 5 years of age. LPA advised license to review Safe Sleep Regulations regulation when program is ready to enroll children under the age of 12 months.

Adequate heating and ventilation for safety and comfort were observed in the space. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number as 310-441-0209.

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.

LPA reviewed a sample of children’s files and observed files were complete. Program only has 3 children enrolled. LPA discussed the LIC 311D and all LIC forms with license.

LPA reviewed one staff file and licensee’s file. Mandated Reporter Training was taken on 1/22/2022. Licensee’s pediatric CPR/First Aid was reviewed and observed to have an expiration date of 5/2023.

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.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022

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: ROBAYO FAMILY CHILD CARE	FACILITY NUMBER: 197415928
	VISIT DATE: 12/21/2022

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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/process.

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.

Safe Sleep

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.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit Interview

Exit interview conducted and report was reviewed with the licensee Liliana Robayo.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022

LIC809 (FAS) - (06/04)

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