197417161-9-16-2022-30-CC-JLAO-CJBP3Q-20220916105756

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417161
Report Date: 09/15/2022
Date Signed: 09/16/2022 10:58:17 AM

Document Has Been Signed on 09/16/2022 10:58 AM - 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:	DONA SANCHEZ FAMILY CHILD CARE		FACILITY NUMBER:	197417161
ADMINISTRATOR:	DONA SANCHEZ, JACQUELINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 920-4724
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90047
CAPACITY:	14	CENSUS: 4	DATE:	09/15/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:13 PM
MET WITH:	Dona Jacqueline Sanchez		TIME COMPLETED:	03:30 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 9/15/2022 Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection and was met by Jacqueline Dona Sanchez. Inspection was conducted in Spanish. Days and hours of operation are 7:00 am to 5:30p.m.., Monday through Friday. Currently applicant cares for children ages 4 months old to 12 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; 4 children were present with licensee providing care and supervision. The home is a single family home with 4 bedroom, 2 bathrooms, living room, dining room, kitchen. LPA observed a detached garage that is OFF LIMITS. The home has a front yard and back yard that are enclosed. Licensee confirmed the following areas are used for day care: living room, Bedroom 1 and bathroom close to the laundry room is used for the day care. The backyard is enclosed and designated as daycare space. Licensee confirmed the following areas are off limits: bedroom 2, bedroom 3 and bedroom/master and bathroom 2 located in the master bedroom. LPA observed the door to be locked and OFF LIMITS to the children in care. The laundry room areas located at the end of the hallway has been designated OFF LIMITS and LPA observed a locked gate making the washer and dryer unit inaccessible to the children in care. Garage is off limits and LPA observed a locked gate that leds to the garage. 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 locked in the laundry room area and medication and other hazardous items are made inaccessible to the children in care- top kitchen shelf.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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: DONA SANCHEZ FAMILY CHILD CARE	FACILITY NUMBER: 197417161
	VISIT DATE: 09/15/2022

NARRATIVE

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LPA observed two open face heaters, one in the living room and the second one at the end of the hallway. Both heaters have been barricaded to ensure the safety of the children in care. LPA did not observed any fireplace in the home. The home has two working fire extinguishers, one in the kitchen and in the hallways.

Adequate heating and ventilation for safety and comfort were observed in the space. LPA did no to observe any stairs in the home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is 323-920-4724 and mobile number 323-6163464. Licensee prefers to be contacted via mobile number.

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. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete. Licensee’s Mandated Reporter Training was not available for review and licensee was given a technical violation was issued. Licensee agrees to complete online training and submit proof of completion by 10/6/2022. Licensee’s pediatric CPR/First Aid was recently completed- 7/14/2021 and licensee agrees to submit proof of certification to LPA by 9/14/2022.

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.

LPA discussed the LIC 311D provided licensee with a sample of all necessary LIC forms and Lead Prevention Flyer.

LPA observed all electrical outlets covered and 3 working carbon monoxide and smoke detectors.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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: DONA SANCHEZ FAMILY CHILD CARE	FACILITY NUMBER: 197417161
	VISIT DATE: 09/15/2022

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Licensee has two small dogs that are kept away from the day care and Licensee confirmed dogs have updated vaccine records.

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.

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.

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 conducted and report was reviewed with the licensee Jacqueline Dona Sanchez.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

LIC809 (FAS) - (06/04)

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