197493813-8-10-2021-54-CC-DGIS-C5RPXH-20210810114223

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493813
Report Date: 08/10/2021
Date Signed: 08/10/2021 11:42:39 AM

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:	LUNA FAMILY CHILD CARE		FACILITY NUMBER:	197493813
ADMINISTRATOR:	ALMA LUNA & MCKAYLA LUNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 423-8665
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90037
CAPACITY:	14	CENSUS: 8	DATE:	08/10/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Alma Luna, Licensee		TIME COMPLETED:	11:45 AM

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 Analysts (LPA's) Denise Gibbs and Steven Rodriguez conducted an unannounced annual required inspection at the above facility on 8/9/21 at 9:00 AM. LPA's met with Alma Luna, Licensee who guided analysts on a tour of the facility. There were eight children and two adults present when LPA's arrived. One child resides in the home and is over ten years old. This is a one-story home which consists of four bedrooms, two bathrooms, kitchen, dining room, living room, front yard and backyard (fenced). This is a duplex; back house has a separate address (606 W 42nd St). Main care is provided in the living room, front bedroom and dining room areas. The children use the bathroom in the back hallway behind the kitchen. LPA's observed that there is a fireplace and wall heater in the living room/dinning room (screened). Per Licensee, areas off limits to children and parents include: Three bedrooms (locked), one bathroom and backyard. Hours of operation are Mon-Fri 6:00 AM - 7:00PM. Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption. Licensee states that there are no firearms or weapons stored in the home. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is operable telephone service at the facility via cell phones. There is ventilation via fans and air conditioning unit and wall heater. The following was observed and reviewed during this inspection: LPA's observed that cleaning products are stored in the laundry area on a high shelf, inaccessible to children. The licensee states that there are no poisons stored in the home. Isolation area for sick children waiting to be picked up is located in the dinning room away from the other children.. ------------------Page 1

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021

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: LUNA FAMILY CHILD CARE	FACILITY NUMBER: 197493813
	VISIT DATE: 08/10/2021

NARRATIVE

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The valve on the required 2A 10BC fire extinguisher indicates fully charged and was last serviced on 6/29/21 as noted on the service tag. Smoke and carbon monoxide detectors were tested and are operable (dual).

The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. Children nap on cots in main care living room and playroom. The bathroom that children use was observed to be clean and free of hazards.

Infant Care: Currently licensee cares for one infant 23 months old. Older infant naps on a cot in the main care area. LPA's informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15 minute check documentation for infants 0-24 months, and provided PIN 20-24-CCP.

Currently, children are using the front yard for outdoor play. The outdoor play area was observed to be fenced. LPA's observed that the outdoor yard has toys and other materials for children to play with. LPA's did not observe any objects that could be hazardous to children in care. There are no pools or spas, or other bodies of water.

Children’s records were reviewed for emergency information and are complete.

The licensee and Staff Two (S2) do have proof of Pediatric CPR and first aid, expiration date 3/2022. Licensee and assistants do have proof of immunization against influenza/declination, pertussis, and measles, and Mandated Reporter AB 1207 compliant Child Care Training Certificate on file, exp-4/2023.

LPA conducted COVID-19 Technical Assistance visit with licensee. LPA observed that licensee is still implementing COVID-19 precautions and procedures.

Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information ------Page 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021

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: LUNA FAMILY CHILD CARE	FACILITY NUMBER: 197493813
	VISIT DATE: 08/10/2021

NARRATIVE

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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.

Health and Safety Code 1596.7996 Effective January 1, 2019, Child Care Centers and Family Child Care Homes are required to provide parents and guardians of children enrolled, enrolling or reenrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations and options for locations of affordable blood lead tests. 2019 Lead flyer Provided.

Based on the LPA's observations and records review no deficiencies will be cited today 8/10/21.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Alma Luna, Licensee, including, but not limited to Appeal Procedures and Appeal Rights.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021

LIC809 (FAS) - (06/04)

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