197419654-3-15-2021-30-CC-SGAN-BZ5PUW-20210315113812

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419654
Report Date: 01/28/2021
Date Signed: 03/15/2021 11:39:22 AM

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:	ORTEGA FAMILY CHILD CARE		FACILITY NUMBER:	197419654
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 1	DATE:	01/28/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Marlen Ortega/Licensee		TIME COMPLETED:	02:30 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 1/28/2021 at 1:00 p.m.. Licensing Program Analyst (LPA) Silva Garibyan conducted an announced Case Management tele-inspection via FaceTime due to the COVID-19 pandemic shelter-in-place orders in the state of California. The purpose of the meeting was to ensure that health, safety and personal rights as required by Title 22 Regulations governing California Family Child Care homes are met by the Licensee. LPA Garibyan met with Licensee, Marlen Ortega, who guided the analyst on a tour of the home. There were six children present during the inspection (including one infant). The licensee has an approved fire clearance ( Fire Clearance granted on 01/13/21 by LA City Fire Department). The licensee is Spanish speaking. Licensee's husband, Jose Ortega, helped with translations. Per the licensees there has been no noted changes to the home or occupants since their last visit (Required visit conducted on 02/08/19.). All areas identified on the Facility Sketch were inspected. Licensee's home consists of a single story home with 3 bedrooms, 2 bathrooms, living room, dining room and kitchen. Childcare will be primarily conducted in the living room; children will use the bathroom in the hallway upon entry to the home and will have access to the dining area for eating only. The laundry room off of the kitchen has direct access to the small opening to the front yard that leads to the detached garage. These areas will also be off limits. During hours of operation, the doors leading to the off limit areas will remain closed. The fireplace in the living room is covered. There is no pool, spa or other bodies of water on the premises. Children play in the back yard which is fenced. Family members residing at facility are: 3 adults (licensee, licensee's son and daughter). LPA observed the home is clean orderly and properly ventilated. Telephone service, heating, lighting and ventilation were evaluated. The required fire extinguisher (2A 10BC) and smoke/carbon monoxide detectors are in operable condition. The applicant has current pediatric CPR/First Aid training that will expire in February of 2022. Page 1 of 2

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2021

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: ORTEGA FAMILY CHILD CARE	FACILITY NUMBER: 197419654
	VISIT DATE: 01/28/2021

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Licensee states there are no firearms or weapons of any kind in the facility at this time. The First Aid kit was observed and complete.

Licensee has the following documents posted in the FCCH; Facility License (LIC 203), Notification of Parents' Rights Poster (PUB 394) , Child Care Facility Roster (LIC9040), Emergency Disaster Plan (LIC610a).

Applicant 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. Applicant was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation. Applicant was provided an informational pamphlet titled, "Safe Sleep For Your Baby" during the inspection. Applicant was also provided an informational sheet titled, "What Does a Safe Sleep Environment Look Like?" to review and post at the facility.

Capacity and Ratios: The licensee has applied for a capacity increase for a large family . The Maximum capacity is 12 with no more than 4 infants and a qualified assistant. Without a qualified assistant the license reverts back to the requirements for a small family childcare. Optional care may be provided for a maximum capacity of 14 children with no more then 3 infants, 2 school age children and a qualified assistant. School age children must be 1 age 6 yrs and 1 in Kindergarten.
Capacity increase is pending the following:
1) Provide a copy of Lead Poisoning Prevention training certificate
2) Provide a copy of Mandated Reporter training certificate

An exit interview was conducted and a copy of this report will be provided via email to licensees.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2021

LIC809 (FAS) - (06/04)

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