197416226-12-2-2024-58-CC-JLIY-DBKT5C-20241202132519

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197416226
Report Date: 12/02/2024
Date Signed: 12/02/2024 01:25:23 PM

Document Has Been Signed on 12/02/2024 01:25 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:	GARCIA FAMILY CHILD CARE		FACILITY NUMBER:	197416226
ADMINISTRATOR/ DIRECTOR:	GARCIA, TONI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 400-3752
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91406
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 3	DATE:	12/02/2024
TYPE OF VISIT:	POC	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:47 AM
MET WITH:	Licensee Toni Garcia		TIME VISIT/ INSPECTION COMPLETED:	01:35 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	On 12/2/24, @ 9:47am LPA knocked on the door and called licensee on the phone. Licensee disclosed she was not home and her staff would let LPA enter the home. LPA was let in at 10am. LPA Jeanine Lipsey met with Staff Angelina Rodriquez, who guided the LPA on a tour of the facility. There were 3 children being supervised by 1 staff. Licensee arrived at 12:05pm. During the Required - 3 Year inspection conducted on 11/8/24, the following deficiencies were issued: Physical Plant - Technical Violation: 102417(g) - bathroom missing electrical plug covers.Clear Physical Plant - Type B: 102417(g)(1) - incorrect size Fire extinguisher 1A10BC was present. 2A10BC was present. Clear Physical Plant - Technical Violation: 102417(g)(4) - Cleaning product in the restroom is not inaccessible if the step ladder is moved. Safety lock installed, Clear. Physical Plant - Type B: 102417(g)(9)(A) - Fire drills were stopped per fire dept advise. Drill performed on 11/12/24, Clear Physical Plant - Technical Violation: 102417(g)(10) - 3 Baby rockers were present, Licensee removed promptly. Clear Facility Administration - Type B: 1596.8662(b)(1) - Licensee and 1 staff are missing Mandated reporter training. Clear. Facility Administration - Technical Violation: 102416.1(a) - staff need personnel files maintained to include a copy of Drivers license if transporting children, birthday, date of employment, current address and phone number. Clear. Records - Type B: 1597.622(a)(1) - 1 staff missing proof of TB, MMR, Tdap & Flu/declination, Licensee missing Proof of MMR, 1 non-client resident missing TB. Clear.

Betty Bell	TELEPHONE: (424) 301-3063
Jeanine Lipsey	TELEPHONE: (424) 301-3077
	DATE: 12/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024

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: GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 197416226
	VISIT DATE: 12/02/2024

NARRATIVE

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Records - Type B: 102418(a) - 1 of 4 children missing proof of Immunization Clear.
Records - Type B: 102425(c) - 2 infants missing LIC 9227 Clear.
Records - Type B: 102425(j)(2)(D)(c) - 15 min checks not being documented for 2 infants. Clear.

The deficiencies noted above have all been cleared and no further action is needed.

Exit interview conducted and report was reviewed with Licensee Toni Garcia. A copy of this report and A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Jeanine Lipsey	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024

LIC809 (FAS) - (06/04)

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