197493961-4-22-2022-30-CC-DMIA-CDQVAG-20220422161554

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493961
Report Date: 04/22/2022
Date Signed: 04/22/2022 04:16:28 PM

Document Has Been Signed on 04/22/2022 04:16 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	SALINAS YANEZ FAMILY CHILD CARE		FACILITY NUMBER:	197493961
ADMINISTRATOR:	SALINAS YANEZ, KATHY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 912-5475
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90405
CAPACITY:	12	CENSUS: 10	DATE:	04/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Kathy Salinas Yanez, Licensee		TIME COMPLETED:	04:20 PM

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On 4/22/2022 at 11:15 am Licensing Program Analyst (LPA), Denise Miranda conducted an unannounced Annual Required Inspection and was met by Licensee, Kathy Salinas. Also present were 2 licensee's assistants. An updated LIC279 Application form was provided to LPA showing the age group were changed from 18 months to 5 years old to 4 months to 5 years old. Days and hours of operation are Monday – Friday: 8AM to 5:30PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed.

Per sketch This is 2 bedrooms, 1 bathroom, classroom rom home with living room, small sleeping room, kitchen, front yard and backyard and detached garage. The following areas are designated as follows and Licensee confirmed the: Living room, classroom, infant sleeping room, bathroom and backyard and porch front area will be on limit. The detached garage area will be use only for small activities, no sleep, snack or eating will be provide this area. Declaration was provided.

The off-limit : **Bedrooms #1, #2, kitchen. .

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

No fireplace was observed on this location. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Safe toys are observed. Furniture was observed with no loose or sharp parts, clean and in good repair. The home has working telephone service and LPA confirmed the phone number is (310) 912-5475.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SALINAS YANEZ FAMILY CHILD CARE	FACILITY NUMBER: 197493961
	VISIT DATE: 04/22/2022

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There are currently 03 infants in care. LPA discussed Safe Sleep Regulations with licensee.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats were not observed at facility. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files observed files were complete. Licensee’s Mandated Reporter Training was completed on 03/15/2018, Mandated Reporter training is due for renewal on 4/15/2021 and Licensee was not able to produce proof of mandate report for herself and for the two assistants present during this inspection. Licensee’s pediatric CPR/First Aid expired on 07/22/2022. There 2 currently employees at the facility. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SALINAS YANEZ FAMILY CHILD CARE	FACILITY NUMBER: 197493961
	VISIT DATE: 04/22/2022

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inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

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.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

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.

Staff interview conducted and documented at 2:09pm

Exit interview conducted and report was reviewed with the licensee, Karhy Salinas Yanez.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/22/2022 04:16 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SALINAS YANEZ FAMILY CHILD CARE	FACILITY NUMBER: 197493961
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/22/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited


	Deficient Practice Statement
1 2 3 4	102417 (g) (9) (A) (1) Operation of a Family Child Care Home.(A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.1.The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. This requirement is not met as evidence by: 3/22/2022, LPA MIranda did not observe a fire Fire & Disaster Drill Log, per Licensee the last time she conduct was on 12/2019. This is a a type B citation and poses a potential risk of H&S.
	POC Due Date: 04/29/2022
	Plan of Correction
1 2 3 4	Licensee agreed to conduct a fire drill and will provide a copy of fire drill log via email to LPA Miranda.

Section Cited


	Deficient Practice Statement
1 2 3 4	§1596.8662 Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion. This requirement is not met as evidence by: 3/22/2022, LPA MIranda review files and obseved licensee's mandated report was expired on 3/21 and for the 2 assistant, licensee was unable to produce proof of completion of mandated reporter. This is a a type B citation and poses a potential risk of H&S.
	POC Due Date: 04/29/2022
	Plan of Correction
1 2 3 4	Licensee agreed to provide copies of mandated reporter of hers and the two assistants present today. Licensee will send an email to LPA Miranda.

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: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/22/2022 04:16 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SALINAS YANEZ FAMILY CHILD CARE	FACILITY NUMBER: 197493961
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/22/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited


	Deficient Practice Statement
1 2 3 4	102425 (j) (2). Infant Safe Sleep: (j) The provider shall supervise infants while they are sleeping and adhere to the following requirements: (2) The provider shall check and document. This requirement is not met as evidence by: 3/22/2022, based on files review LPA observe that 3 infants in care and per licensee no safe sleep log was documented. This is a a type B citation and poses a potential risk of H&S.
	POC Due Date: 04/26/2022
	Plan of Correction
1 2 3 4	Per licensee, she created a safe sleep log for the 3 infants present today. LIcensee will send a safe sleep log for the days 4/22, 4/25 and 4/26. Licensee agreed to submit via email copies of safe sleep log for the 3 infants. Licensee undersdant that all infants need to have a safe sleep log.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

LIC809 (FAS) - (06/04)

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