197493650-8-28-2019-54-CC-CRES-BFGU52-20190828151602

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493650
Report Date: 08/28/2019
Date Signed: 08/28/2019 03:16:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	SALGADO FAMILY CHILD CARE		FACILITY NUMBER:	197493650
ADMINISTRATOR:	SALGADO, FLORENTINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 774-7994
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	14	CENSUS: 5	DATE:	08/28/2019
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	02:31 PM
MET WITH:	Florentina Salgado		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	An unannounced Case Management-Deficiencies Inspection was conducted on this date by Licensing Program Analyst (LPA) Cynthia Reyes. LPA met with Licensee daughter America who stated her mother was out with other children and when the LPA asked who the other lady was that the LPA observed America stated she is the helper. LPA observed 3 children at time of arrival and the other adult who was with two of the children and she then started washing dishes and LPA asked for her name and she would not answer and America stated her name is Amalia and when LPA asked for Amalia identification she would not give it and kept saying she will call Florentina. LPA had America ask Amalia for her identification and she said the same thing that she will talk to Florentina first and then America said she will have her sister Berenice, who was in another room, tell Amalia to give the LPA her Identification card. The phone rang and it was the licensee and she talked to Amalia and then Amalia gave LPA her visa card to look at and then she went and picked up the infant and was holding her. LPA Asked Berenice how long Amalia has been working here and she stated off and on for about a month and her mom only calls her if she needs her in the mornings or she will be the one helping her mom and that America is here. When licensee arrived LPA informed her that she will be cited for Amalia not being fingerprint cleared and she said she was told that if she had a ticket from visiting that she is exempt. LPA informed the licensee of the regulations on fingerprint clearance and informed the licensee about what her daughters said about her being a helper and been here on and off for a month and that you call her to help. Licensee said she does not know why they said that and that she thought is was ok because all she needed was a ticket from just visiting. Licensee stated she will try to have her fingerprint cleared with her visa and send her to her daughters house to stay until she is finger print cleared. The following is being cited in accordance to Title 22 of the California Code of Regulations. Please refer to 809D for documentation of deficiencies.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/28/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/28/2019 Section Cited	1 2 3 4 5 6 7	Criminal Record Clearance All individuals subject to a criminal record review as specified in Section 1596.871 prior to working, residing or volunteering in a licensed home, shall obtain a California clearance or a criminal record exemption as required by the Department. The requirement is not met as evidenced by LPA observed
	8 9 10 11 12 13 14	licensee mother n law Amalia in the home day care and helping care for the children and is not fingerprint cleared. Interviews with licensee and 2 daughters also stated that she helps with the children and is in the home off and on some times. This is an immediate risk to children in care. A civil penalty of $500 for Amalia is accessed.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
	VISIT DATE: 08/28/2019

NARRATIVE

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Upon receipt, Licensee shall post the Notice of Site Visit (LIC 9213) and the citation page of the licensing report 809D page and shall be posted for 30 consecutive days. Failure to maintain posting as required will result in the issuance of a citation and the assessment of a $100 civil penalty per day.

A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next 12 months. The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent

Exit interview was conducted with Licensee Florentina Salgado. Appeal Rights given and procedures explained.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

LIC809 (FAS) - (06/04)

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