197419986-1-4-2023-30-CC-JLAO-CMS93F-20230104220039

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419986
Report Date: 01/04/2023
Date Signed: 01/04/2023 10:01:48 PM

Document Has Been Signed on 01/04/2023 10:01 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:	MEJIA FAMILY CHILD CARE		FACILITY NUMBER:	197419986
ADMINISTRATOR:	MEJIA, CINTIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 557-5817
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90034
CAPACITY:	14	CENSUS: 10	DATE:	01/04/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Cintia Mejia		TIME COMPLETED:	12:00 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 1/4/2023 Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection and was met by Cintia Mejia. Inspection was conducted in Spanish. Licensee understands English but feels more comfortable communicating in Spanish. Present during today’s inspection was Assistant Ana Isela Mejia. Days and hours of operation are 8:00 am to 5:30 p.m., Monday through Friday. Currently applicant cares for children ages 20 months to 6 years old. Licensee confirmed that facility does not provide overnight care and/or weekend care. Licensee is open to care for children under the age of 12 months. LPA toured the home inside and outside and a census was taken; 10 children were present during the inspection. The home is a single-family home with 3 bedrooms and 1 bathroom,1/2 bathroom, a living room, dining room, kitchen area laundry room area. Home sits in a multi unit lot with three units in the back of the home- each with it’s own address. LPA observed children’s cribs and pack and plays in bedroom 1, used as a napping room. Licensee confirmed that children also nap in the living room space, designated as day care space. Licensee confirmed the following areas are used for day care: bedroom 1, living room, dining room area, ½ bathroom located outside the kitchen. Front yard and side yard have been designated as outdoor space. LPA observed a covered enclosed deck area, designated as day care space. The following areas are confirmed as OFF LIMITS: Bedroom 2, Bedroom 3 and full bathroom- doors to each area will remain closed during hours of operations. Kitchen is OFF LIMITS and a safety gate was observed making the area inaccessible. Kitchen is used as a walkway to access the ½ bathroom that children use. LPA observed did NOT observed any open face heaters or fire places in the home. A carbon monoxide and smoke detector were observed in all areas where children are present. LPA observed two fire extinguishers mounted in the outside day care space and outside the ½ bathroom.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

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: MEJIA FAMILY CHILD CARE	FACILITY NUMBER: 197419986
	VISIT DATE: 01/04/2023

NARRATIVE

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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 locked in the bottom cabinet of the kitchen. Sharp object and knives were observed in a locked drawers in the kitchen-content inaccessible to the children in care.

LPA discussed Safe Sleep Regulations with licensee and provided resources if facility decides to take in children under the age of 12 months in the future. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.

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 as 323-557-5817.

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 file and discussed the LIC 311D- Records to be maintain in the facility, with licensee. LPA provided a form and sample pack. Staff files were reviewed and LPA issued a Technical Advisory-current flu vaccine and/or waiver was not available for review.
Mandated Reporter Training was taken on 3/4/202. Licensee’s CPR and Pediatric First Aid was reviewed and observed to have an expiration date of 2/2024. Assistant’s Mandated Reporter Training was taken on 4/29/2022.
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.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

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: MEJIA FAMILY CHILD CARE	FACILITY NUMBER: 197419986
	VISIT DATE: 01/04/2023

NARRATIVE

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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/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 Cintia Mejia.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

LIC809 (FAS) - (06/04)

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