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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003119
Report Date: 07/03/2019
Date Signed: 07/03/2019 02:11:14 PM

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:VIDES FAMILY CHILD CAREFACILITY NUMBER:
198003119
ADMINISTRATOR:VIDES, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 587-1266
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY:14CENSUS: 9DATE:
07/03/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:LicenseeTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA), Dayna Chambers and LPA Tiffanie Tran conducted an unannounced annual random inspection to ensure the health and safety of Child Care according to regulations of the Department and Health and Safety codes. LPAs met with Licensee and daughter in law supervising 7 children in care. At 12:15 pm. LPAs were guided on a tour, inside and outside of the family child care home by Name, licensee. There are no changes to the home or to the off-limit areas of the family child care home. LPA observed children in care during the time of the inspection, there were no infants present. There are no pets at the home. The home is a two level house. The second level is off limits to children. The house is a 5-bedroom (one bedroom available by living room for child use) (only one bedroom is accessible to children and used as a napping area. The other bedrooms are off-limits), 4-bathroom (one accessible for children by living room and the rest off-limits. The living room area is utilized as the playroom, arts and crafts area, and bedroom for napping area. The main entry door to the home is locked. Per Licensee, children play in the front yard and backyard. Licensee's hours of operation are 24 hours 7 days a week. All adults residing, working, and present in the home are fingerprint cleared and associated to the facility.
Physical Plant
During the inspection, LPA observed, the home neat and orderly. The home is clean, sanitary, and in good repair, no obvious hazards. Living Room has an air conditioner. Home has a working telephone.
LPA viewed safe age appropriate toys and play equipment in appropriate play areas.
Licensee agrees that no baby-walkers, bouncers, jumpers, saucers and similar items will be used for children in care and are kept inaccessible. Licensee states they do not provide IMS services currently. There is appropriate napping/sleeping equipment within the napping area is bedroom next to living room.
Fire extinguisher and smoke detector are in operational condition. The home is equipped two fully charged fire extinguishers--2A:10BC. LPA and licensee tested the smoke detector and dual carbon monoxide detector which is working. The fire extinguisher must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked, batteries replaced as needed. Home has working telephone.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
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 5
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: VIDES FAMILY CHILD CARE
FACILITY NUMBER: 198003119
VISIT DATE: 07/03/2019
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No infant walkers, No Johnny jumpers, no saucer chairs, no trampolines and any other item that falls into that category are not permitted in the facility. Smoking on the premises is prohibited.
All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.
Licensees shall reveal each facility license number in all advertisements, publications or announcements with the intent to attract clients.
Liability Insurance: Per applicant, she will be obtaining liability insures. LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information.
UPDATE: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The licensee and all adults working with children have proof of immunizations.
UPDATE: Health and Safety Code 1596.7995: Beginning January 1, 2018, all licensed providers, applicants, directors and employees to complete training as specified on mandated reporter duties. Training is available at: www.mandatedreporterca.com
Infant Care: When Applicant states that they will care for infants. LPA advised the applicant to sleep infants where they can always be directly supervised and advised against sleeping infants in a separate room. The applicant states the following as a supervision plan for infants: Applicant states that infants will sleep in the dining room where she will be providing supervision.
LPA provided the applicant with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. Online copy can be downloaded at: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA reviewed and issued the Forms/Records to Keep in Your Family Child Care Home (LIC 311D)Children’s Advocate:
You may contact the Child Care Advocate Program directly:
Phone number: (916) 654-1541
Email address: childcareadvocatesprogram@dss.ca.gov
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: VIDES FAMILY CHILD CARE
FACILITY NUMBER: 198003119
VISIT DATE: 07/03/2019
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 LPAs viewed safe age appropriate toys and play equipment in appropriate play areas.
Fire and safety drills must be performed every six months and documented for review by the Department and documented by licensee. There is a first aid kit located by hallway. Electrical outlets are safe and appropriately covered. Per applicant, there are no, firearms, weapons or bodies of water on the premises.
None were observed by LPAs. Per licensee, the children are always supervised, no transportation services provided.
Kitchen Area
Sharp Utensils, matches, lighters, cleaning compounds, poisons, in kitchen area are inaccessible. The cabinets in the kitchen and bathroom have safety locks. All poisons are locked in an inaccessible room.
The applicant states that they will provide food for children in care. If food is not provided and food is brought from the children’s homes; container shall be labeled with child’s name and properly stored or refrigerated.
BATHROOM
Shampoos, soaps, medications, perfumes, razors, cleaning compounds, air fresheners are not accessible and locked up in top shelf cabinets in bathroom area.
Outdoor
Outdoor play area is fenced in and free from defects or dangerous conditions.
The yard was clean with age appropriate clean safe toys. There are no pets at this home. There are no bodies of water.
Records
LPA observed current First Aid and CPR certificates for staff with an expiration date of 01/21/2020. Mandated reporter training not required at this time due to primary language in SPANISH.
Facility Forms/Records: LPA;s reviewed records are complete.
Information Posted in the Family Child Care Home: LPA's observed All required documents are posted.
Following Items Discussed with Licensee:
Update on Incidental Medical Services: 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 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
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: VIDES FAMILY CHILD CARE
FACILITY NUMBER: 198003119
VISIT DATE: 07/03/2019
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Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag. 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
All adults living and working in the home must be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.
Licensee was reminded it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations.
Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Civil Penalties will be assessed if not in compliance. 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 and CPR certification and a valid criminal record clearance associated to the facility license.
Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License may be terminated.Reporting Requirements: 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.
Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing.
Smoking is prohibited in a family child care home.
Children and Staff records must be maintained and updated as needed and must be available for review by the Department.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: VIDES FAMILY CHILD CARE
FACILITY NUMBER: 198003119
VISIT DATE: 07/03/2019
NARRATIVE
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No infant walkers, No Johnny jumpers, no saucer chairs, no trampolines and any other item that falls into that category are not permitted in the facility. Smoking on the premises is prohibited.
All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.
Licensees shall reveal each facility license number in all advertisements, publications or announcements with the intent to attract clients.
Liability Insurance: Per applicant, she will be obtaining liability insures. LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information.
UPDATE: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The licensee and all adults working with children have proof of immunizations.
UPDATE: Health and Safety Code 1596.7995: Beginning January 1, 2018, all licensed providers, applicants, directors and employees to complete training as specified on mandated reporter duties. Training is available at: www.mandatedreporterca.com
Infant Care: When Applicant states that they will care for infants. LPA advised the applicant to sleep infants where they can always be directly supervised and advised against sleeping infants in a separate room. The applicant states the following as a supervision plan for infants: Applicant states that infants will sleep in the dining room where she will be providing supervision.
LPA provided the applicant with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. Online copy can be downloaded at: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA reviewed and issued the Forms/Records to Keep in Your Family Child Care Home (LIC 311D)
Children’s Advocate:
You may contact the Child Care Advocate Program directly:
Phone number: (916) 654-1541
Email address: childcareadvocatesprogram@dss.ca.gov
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5