<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493650
Report Date: 06/28/2022
Date Signed: 06/30/2022 05:01:03 PM


Document Has Been Signed on 06/30/2022 05:01 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:SALGADO FAMILY CHILD CAREFACILITY NUMBER:
197493650
ADMINISTRATOR:SALGADO, FLORENTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 774-7994
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:14CENSUS: 11DATE:
06/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Berenice Blanco, AssistantTIME COMPLETED:
05:00 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
This is an electronic copy of a written report

This is an unannounced Required Annual Inspection conducted by Licensing Program Analysts (LPAs) Alicia Mooberry and Austin Estrada. At 1:35pm LPAs arrived at the facility and met with Armani Duveau, assistant, who was alone with 11 children. At 1:42pm LPAs observed Child #1 a 9 month old infant strapped in car seat in the den/childcare area in the back, where 6 other children were laying on cots. This poses an immediate risk to the health and safety of children in care. LPA instructed Assistant to remove child from car seat. Assistant placed infant in crib in the living room..

At 2:20pm Rebecca Lozano and Berenice Blanco, arrived at the daycare bringing the facility in compliance for capacity limitations. Deficiencies are being cited in accordance with Title 22 regulations. Due to technical issues this inspection will be continued at later date. Deficiencies observed today will be cited at a later date.

A copy of this report shall be provided to the parent/guardian of children currently enrolled and for all children enrolled in a 12 month period.

Exit interview conducted with Berenice Blanco, Assistant.

Notice of Site Visit (LIC 9213) - must be posted for 30 days.

End of Report.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 06/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


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: 06/28/2022
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
26
27
28
29
30
31
32
p3
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: 06/28/2022
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
26
27
28
29
30
31
32
p4
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 06/30/2022 05:01 PM - It Cannot Be Edited

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: 06/28/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102425(h)


Car seats shall only be used for transportation purposes and shall not be used for sleeping.

This requirement is not met as evidenced by:This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in Child #1, a 9 month old infant was stapped in car seat in daycare room which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/28/2022
Plan of Correction
1
2
3
4
Daycare Assistant removed the infant from the car seat an placed child in a crib. Licensee was not in the facility. Deficiency cleared during inspection.
Type A
Section Cited
CCR
102416.5(a)(e)
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above due there being one (1) staff alone with eleven (11) children in care, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/28/2022
Plan of Correction
1
2
3
4
During inspection, Rebecca Lozano and Berenice Blanco arrived at the facility, bringing the facility in compliance for capacity limitations. Licensee was not present during inspection. Deficiency cleared during inspection.

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: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4