197493735-1-23-2023-54-CC-MRIA-CNCUT5-20230123145121

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493735
Report Date: 01/23/2023
Date Signed: 01/23/2023 02:54:15 PM

Document Has Been Signed on 01/23/2023 02:54 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:	VAZQUEZ FAMILY CHILD CARE		FACILITY NUMBER:	197493735
ADMINISTRATOR:	VAZQUEZ,DIEGO/VAZQUEZ ASHL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	3102454344
CITY:	COMPTON	STATE: CA	ZIP CODE:	90221
CAPACITY:	14	CENSUS: 3	DATE:	01/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:31 AM
MET WITH:	Silvia Avalos, Licensee		TIME COMPLETED:	03:20 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 Monday, January 23, 2023, at 11:31 a.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Silvia Avalos who guided LPA Rivera on a tour of the facility. During the arrival, LPA observed three preschool children present and having a snack. Family members residing in the home has been discussed with licensee and are cleared. This is a large license, operating Monday to Sunday from 12:00 a.m. to 11:59 p.m. and care for children ages 0 to 13 years. This facility is a one-story home that consists of 3 bedrooms, 1 bathroom, kitchen, dining area (daycare area), living room, garage, front yard and backyard. All areas identified on the facility sketch were inspected. Areas that are accessible to children and identified on the facility sketch include; living room, dining area, bathroom and front yard and backyard. Areas off limits to children include- all three bedrooms, kitchen, garage. LPA observed a safety gate anchored between the dining area and kitchen, between the dining area and master bedroom, and dining area and hallway prevent children access to the off-limit areas. For the garage, LPA observed the two doors closed and the keyed doorknob locked. At approximately 11:52 a.m LPA Rivera inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone). For ventilation, LPA Rivera observed a black BTU portable air heater/AC with child proof screen protector. LPA observed the furniture, children materials, to be in good condition and age appropriate. At approximately 11:57 a.m., LPA Rivera entered the bathroom and observed the toilet, hand washing sink, and soap. LPA observed the bottom sink cabinet closed and with a child proof lock. LPA did not observe hazard materials and observed the bathroom to be in good condition.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

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

FACILITY NAME: VAZQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 197493735
	VISIT DATE: 01/23/2023

NARRATIVE

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At approximately 12:06 p.m. LPA Rivera observed cleaning compounds items stored inside the bottom kitchen sink with a child proof lock making it inaccessible for children to open cabinet doors. LPA observed knives and sharp objects stored inside the kitchen drawer with a child proof lock making it inaccessible for children to open the drawer. For water drinking, licensee utilizes her filtered water and refills children’s water bottles. Licensee provides the meals and is currently enrolled in the California Adult Child Care Food Program. The facility currently does not have children with food allergies nor on medication.

LPA Rivera asked licensee if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she does not have pets, body of waters, firearms, weapons or poisons. LPA did not observe, pets, firearms, weapons, poisons nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.

At approximately 12:13 p.m. LPA Rivera observed the required 2A10BC fire extinguisher located in the dining area with the valve on the green area indicating fully charged and serviced on 5/12/22. LPA observed carbon monoxide detector and the smoke detector located in the dining area. Licensee tested the carbon monoxide and the smoke detector. Carbon and smoke detectors are operable. LPA observed the first aid kit complete with band aids, gauzes, adhesive bandages and antiseptic wipes and located in the den. LPA observed the earthquake and fire drill log dated 12/13/22.

At approximately 12:22 p.m., LPA Rivera inspected the outdoor front and back area that is utilized by the children for safety, comfort and cleanliness. LPA observed the front and backyard to be fenced all around and the equipment to be age appropriate, and good condition and free of sharp, no loose or pointed parts. LPA observed a garage and observed the doors closed and locked.

Children’s roster, children’s and licensee files were reviewed during the inspection.

LPA observed licensee and spouse Pediatric First Aid/ CPR certification dated 5/12/21 (licensee) 8/21/22 (spouse). Health and Safety (nutrition and lead component) certification dated 5/7/2017 and lead stand-alone 10/24/21.Licensee has proof of immunization against Pertussis, MMR and Influenza declination. Licensee and spouse have completed the mandated reporter (AB 1207) training dated 1/12/23. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

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

FACILITY NAME: VAZQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 197493735
	VISIT DATE: 01/23/2023

NARRATIVE

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LPA observed the required postings LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, LIC 999 Facility sketch, and child car seat law poster.

The following was also discussed with licensee:
1. In the absence of the licensee a qualified adult must be present, supervising the children; a qualified adult is an individual who has a valid and current Pediatric first aid/ CPR-adult-child- infant certification and a valid criminal record clearance associated to the facility license.

2. A current roster of children enrolled must be available and maintained for a period of 3 years, even after children are no longer attending the facility.

4. Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the license shall be terminated.

5. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.

6. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.

7. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing (refer to LIC 624B). Mandated reporter requirements were reviewed and explained.

8. Fire and safety drills must be performed every six (6) months and documented for review by the Department.

9. Smoking is prohibited in the family childcare home.

10. Children and staff records must be maintained and updated as needed and be available for review by the Department.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

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

FACILITY NAME: VAZQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 197493735
	VISIT DATE: 01/23/2023

NARRATIVE

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11. Dog(s) and/or pets are recommended to be isolated from children in care

12. No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, and any other item that falls into this category is not permitted in the facility.

Criminal Record Statement
Licensee Silvia Avalos was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Safe Sleep
LPA discussed the safe sleep regulations with licensee Silvia Avalos 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 Silvia Avalos 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.

This facility provides Incidental Medical Services – IMS. For IMS information , see PIN 22-02-CCP. A Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No citations given during this visit.

An exit interview was conducted; report and appeal rights were given and reviewed with licensee Silvia Avalos..

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

LIC809 (FAS) - (06/04)

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