197493173-1-14-2022-12-CC-JDOY-CANRTJ-20220114121826

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493173
Report Date: 01/14/2022
Date Signed: 01/14/2022 12:18:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	TERRAZAS AND RUIZ FAMILY CHILD CARE		FACILITY NUMBER:	197493173
ADMINISTRATOR:	TERRAZAS, A & RUIZ, F		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 641-3900
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	14	CENSUS: 2	DATE:	01/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:42 AM
MET WITH:	Alfredo Terrazas & Florita Ruiz		TIME COMPLETED:	12:33 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 Analyst (LPA) Justin Dorsey met with Licensee, Florita Ruiz and Alfredo Terrazas, who guided analyst on a tour of the facility for the One Year Required Inspection. This is a one story 3 bedroom, 3 bathroom home with kitchen/dining, living room, and day care area. There is no pool/spa or body of water on the premises. Upon arrival LPA observed 2 children in care. Licensee currently does not have any infants in care but does understand the requirements. Per Licensee there is 1 infant currently enrolled at the home. Physical Plant: Main care is provided in the main care area which is a room towards the back of the home which has been built for the purpose of a day care. This room includes an area for children activities and a restroom for the children. Off limit areas include all areas of the home other than the main care area backyard and front yard. The off limit areas of the home are made inaccessible by a door in the main care area. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children. The home has no fireplace. Safe and age appropriate toys, play equipment and materials were observed by LPA. The smoke detector and carbon monoxide detector, Fire Extinguisher (2A10BC) are in operable condition. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment were observed on the premises. There is a designated area for ill children as necessary in the home. Per Licensee there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell). Fire/earthquake drills complete and maintained current. Roster complete and maintained current. . Bathroom: The children's bathroom is free of hazards. The following are inaccessible: Sharp items, mouthwash, shampoo, razor, nail polish. Toilet and faucet is clean and operable.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: TERRAZAS AND RUIZ FAMILY CHILD CARE	FACILITY NUMBER: 197493173
	VISIT DATE: 01/14/2022

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Kitchen: The kitchen is off-limits and made inaccessible to children in care. Per licensee she provides children with food while in the home, children do not bring any food to the home. No chemicals or cleaning supplies in the kitchen were observed to be accessible. Breakfast, lunch and PM snack are provided.

Outdoor: The backyard is safe for children .The backyard is completely fenced. There is no body of water. The backyard includes a turf area with play equipment for children to play. Per Licensees children do sometimes play in the homes front yard. LPA observed a concrete area with toys for children to play. The homes front yard is completely fenced.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expire 05/07/22. Mandated Reporter 03/09/22. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/play equipment were observed on the premises. The First Aid kit was observed. LPA observed cots and cribs for children and infants to nap.

Documents Provided and or Discussed: Safe Sleep PIN 20-24-CCP.

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 Ruiz.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022

LIC809 (FAS) - (06/04)

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