197417566-11-8-2022-58-CC-DWHE-CKZ2KZ-20221108162847

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417566
Report Date: 11/08/2022
Date Signed: 11/08/2022 04:31:46 PM

Document Has Been Signed on 11/08/2022 04:31 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:	GALDAMEZ FAMILY CHILD CARE		FACILITY NUMBER:	197417566
ADMINISTRATOR:	GALDAMEZ, MIRIAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 294-3767
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90043
CAPACITY:	12	CENSUS: 2	DATE:	11/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:51 PM
MET WITH:	Mirian Galdez		TIME COMPLETED:	04:35 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	Licensing Program Analysts (LPA) Doris Whitmore conducted an unannounced 3-Year Required Inspection at the facility to ensure that health and safety standards are being met as required by regulations, statutes, and requirements governing California family child care homes. Upon arrival, LPA met with Licensee, Mirian Galdamez who guided a tour of the inside and outside of the home and LPA explained the purpose of the inspection. During the inspection there were two children in care. LPA checked to make sure all adults were fingerprinted and associated to the facility. Facility hours are Monday- Friday from 7:00a.m. to 6:00p.m. The following was observed and discussed with the Licensee during the inspection Home is a 1 story dwelling that includes the following: · 2 bedrooms (1 used as the primary care area) (1 off limits) · 1 bathroom off the kitchen (on limits). · 1 kitchen (on limits) · 1 living-room (on limits). · 1 front yard (on limits). · 1 back yard (off limits). Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541 Email Address: childcareadvocatesprogram@dss.ca.gov Page1

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GALDAMEZ FAMILY CHILD CARE	FACILITY NUMBER: 197417566
	VISIT DATE: 11/08/2022

NARRATIVE

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Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the inspection.

Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

Licensee was reminded of their responsibility to report suspected child abuse. Mandatory Forms for the children’s files and provider’s files were discussed. Licensee was referred to LIC 311D: Records To Be Maintained At The Facility - Family Child Care Home. Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation. Licensee was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. 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. Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.
Licensee was made reminded that it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations.The following was also observed by LPA during the inspection

1. All adults living in the home have submitted fingerprints and child abuse index check forms to Department of Justice.

2. Home is neat and clean.
3. Heat provided by electric space heaters (none present or operating at time of visit.

4. Home is equipped with a fully charged fire extinguisher which is at least a 3-A40B:C, Carbon Monoxide, Smoke Detector Page 2

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GALDAMEZ FAMILY CHILD CARE	FACILITY NUMBER: 197417566
	VISIT DATE: 11/08/2022

NARRATIVE

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5. Home is equipped with a working smoke alarm and a carbon monoxide detector.
6. Home has a working telephone.
7. All poisons are locked.
8. Hazardous materials are kept out of the reach of children (inaccessible):
Kitchen and bathroom cabinets equipped with childproof latches.
9. According to the licensee, there are no weapons or firearms at the home. None were observed by LPA.
10. Outdoor play area is free from defects or dangerous conditions.
11. Outdoor play area is fenced in.
12. No bodies of water were observed during the inspection.
13. Toys and playthings are safe, clean, and appropriate for the age of the children.
14. Licensee agrees that no baby walkers, bouncers, jumpers, and similar items will be used for children in care and are kept inaccessible.
15. LPA observed preventative health and safety training certificate(s). LPA also observed 1^st Aid and CPR card(s) for Licensee (expiration 8/2023 and Assistant Mandated Reporter Training Certificate 02/25/22.
16. The home is equipped with a first aid kit & 10 Children files were checked and two staff files all required documentation in files.
At this time, the facility does not provide Incidental Medical Services - IMS.

The following was thoroughly discussed with the licensee
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

At this time, the facility does not provide Incidental Medical Services - IMS.

The following was thoroughly discussed with the licensee
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: Page 3

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: GALDAMEZ FAMILY CHILD CARE	FACILITY NUMBER: 197417566
	VISIT DATE: 11/08/2022

NARRATIVE

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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: http://www.ada.gov/childqanda.htm

The facility is operating in substantial compliance with the Title 22 Regulations at time of visit.

No violations were cited. Copy of this report was provided to the facility via email. Exit interview was conducted with Licensee.

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SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022

LIC809 (FAS) - (06/04)

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