197494229-7-16-2021-30-CC-SPOL-C4YU7H-20210716151958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494229
Report Date: 07/16/2021
Date Signed: 07/16/2021 03:20:40 PM

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:	CORTEZ FAMILY CHILD CARE		FACILITY NUMBER:	197494229
ADMINISTRATOR:	SONIA CORTEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 880-8254
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90043
CAPACITY:	14	CENSUS: 7	DATE:	07/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:14 PM
MET WITH:	Sorayda Romero, Assistant and Sonia Rivera		TIME COMPLETED:	03:38 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 07/16/2021 Licensing Program Analyst (LPA) Shandra Powell, conducted an unannounced Annual Required Inspection at the initial start of the visit LPA was met by Assistant, Sorayda Romero caring for 7 napping preschoolers and school age children. Licensee was called on the cell phone by assistant. Around 30 minutes into the inspection the Mother of the Licensee came to facility (Ms. Sonia Rivera whom is a licensed child care provider). No Infants were present during the visit. The facility is open 24hours a day and 7 days a week. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed this is a two story home: · 3 bedrooms (off limits). · 2 bathrooms (1 on limits) (1 off limits) · 1 kitchen (off limits) · 1 dining room, (off limits). · 1 living-room (off limits), · 1 front yard (off limits). · 1 backyard (on limits) & (fenced). · 1 classroom separated from living area by doorway and archway with gate, the primary care area (on limits) · 1 office separated from living area (on limits).

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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

FACILITY NAME: CORTEZ FAMILY CHILD CARE	FACILITY NUMBER: 197494229
	VISIT DATE: 07/16/2021

NARRATIVE

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Areas that are accessible to children are as follows: Downstairs Classroom, Office, Downstairs Bathroom and Backyard. There are no firearms or ammunition on the premises. All poisons are kept in a locked storage area. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.
There fireplace is located in living room (off limits). There is a fire extinguisher, smoke detector, carbon monoxide detector (tested during inspection) and adequate heating and ventilation for safety and comfort. There are stairs located at the back of the home that leads upstairs. The stairs are barricaded with a Iron door with lock. licensee have safety gates at the entrance of the kitchen and living room. The home has working telephone service and LPA confirmed the phone number is (323) 880-8254.
LPA discussed Safe Sleep Regulations with licensee. There is play yards and cribs available, play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.
Licensee ensures that children in care are supervised at all times and is aware children shall not
be left in parked vehicles.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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

FACILITY NAME: CORTEZ FAMILY CHILD CARE	FACILITY NUMBER: 197494229
	VISIT DATE: 07/16/2021

NARRATIVE

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Car seats are used for transportation purposes only and are not used for sleeping children. 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 and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on . Licensee’s pediatric CPR/First Aid expires on 02/2022. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. Assistant, Sorayda Romero CPR/First Aid expires 01/2023. Assistant has not complete the Mandated Reporter Training this is a potential health and safety risk to children in care. 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. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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

FACILITY NAME: CORTEZ FAMILY CHILD CARE	FACILITY NUMBER: 197494229
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/16/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/19/2021 Section Cited	1 2 3 4 5 6 7	Mandated Reporting Certificate On and after January 1, 2018, a person who applies for a license to be a provider of a child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years........
	8 9 10 11 12 13 14	This requirement is not met as evidenced by observation and records review conducted during today’s inspection, Assistant did not have Mandated Reporter Certificate. If not corrected, this poses a potential risk to the health and safety risk of children in care.	8 9 10 11 12 13 14
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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: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

LIC809 (FAS) - (06/04)

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