198003119-6-14-2023-54-CC-FWHE-CSSU44-20230614151431

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198003119
Report Date: 06/14/2023
Date Signed: 06/14/2023 03:14:49 PM

Document Has Been Signed on 06/14/2023 03:14 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	VIDES FAMILY CHILD CARE		FACILITY NUMBER:	198003119
ADMINISTRATOR:	VIDES, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 587-1266
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90002
CAPACITY:	14	CENSUS: 2	DATE:	06/14/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maria Vides		TIME COMPLETED:	03:30 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	Licensee speaks Spanish and inspection had to be done with the use of Google translate Licensing Program Analysts (LPA) Franchesca White conducted an Unannounced Required Annual inspection to the above facility on 06/14/2023 at 1:00 p.m. Upon arrival, LPA disclosed the purpose of the inspection and met with Licensee, Maria Vides, who guided the LPAs on a tour of the facility. Per Licensee, there are adults living in the home and all have criminal record clearance. There were two day care children present during today’s inspection. Licensee states that there are currently 12 children enrolled. The children's roster was reviewed and is current. Per licensee, the facility’s hours of operation are 24 hours and 7 days a week. LPA reminded Licensee that she cannot provide care for a child longer than 23 hours. Emergency Disaster Plan, License, and Parents’ Rights were posted at the time of inspection. Disaster drill log was also available during today’s inspection, last disaster drill conducted on 03/2/2023. This is a two-story home which consists of five bedrooms, four bathrooms, kitchen with eating nook, living room, dining room, back yard with laundry room, storage shed, and detached garage. Areas used by the children include the Dining Room, Kitchen, Living Room, Bedroom 1, Bedroom 2, Bathroom 1, and backyard. Per Licensee, areas off limits to children and parents include Bedroom 3 with Bathroom 2 located inside and Bedroom 4. Bedroom 4 contains the stairs that leads up to off limits upstairs area (Bedroom 5 and Bathroom 3). LPA White observed child proof door knob covers on entrance to Bedrooms 3 and 4 making it off limits to children in care. Licensee states laundry room, storage shed, and garage are off limits in the backyard, LPA observed these areas to be locked with a key at time of inspection making area off limits to children in care. Report Continued 1 or 4 Pages

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

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 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VIDES FAMILY CHILD CARE	FACILITY NUMBER: 198003119
	VISIT DATE: 06/14/2023

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
26
27
28
29
30
31
32

All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. At 1:30 PM, LPA White observe cooling and heating wall unit on the left wall of Living Room. There is a working telephone maintained in the home. Main Care Areas of the home are the Living Room, Dining Room, Kitchen, Bathroom 1, Bedroom 1, and Bedroom 2. Per Licensee, Bedroom 2 is only used for napping. Upon entry of the home you enter the Living Room-Dining Room area. At 1:45 PM, LPA White observed couches, cubbies with age appropriate toys, free of loose and sharp parts and to the right of Living Room is Dining Room with Dining Room table and chairs and China cabinet. At 1:48 PM, LPA observed Kitchen to the right of the home located through a doorway past the Dining Room. At 1:49 PM, LPA observed child safety lock on under cabinet sink and a drawer with key lock that contains sharp knives and other hazardous items. At 1:58 PM, LPA observed a wall heater in the hallway. Per Licensee, this wall heater is inoperable. LPA White confirmed that there is documentation on file with the department that wall heater is inoperable. At 2:00 PM, LPA entered Bedroom 1, located through a hallway in between Living Room and Dining Room, to have cubbies and plastic bins of age appropriate toys, bed, and carpet through out. Bathroom located at the end of the hall on the right was observed to be sanitary, free of hazards, and cleaning solutions at the time of inspection. At 2:10 PM, LPA observed Bedroom 2 to have a bed and napping child in the room, per Licensee this room is only used for napping. LPA observed electrical cover outlets all through the home. Per licensee, there are no pets and LPA did not observe any pets. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. The Licensee states that there are no poisons or medicines in the home. The Licensee does understand that poison must be locked with a key or combination lock.

Per Licensee, the children will have access to backyard area through a back door in the Kitchen. LPA White observed backyard has concrete floor and adequate perimeter fencing through-out the yard. At 2:18 PM, LPA Franchesca White observed backyard to have three plastic playhouses, bicycle, and other age appropriate toys free of loose and sharp parts available for the children in the backyard and all trees, shrubs, and plants are maintained at time of inspection. At 2:20 PM, LPA observed off limits areas of backyard to be locked with a key. At 2:25 PM, LPA White observed a fenced off side yard area making it off limits to children in care.

Report Continued 2 of 3 Pages

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

LIC809 (FAS) - (06/04)

Page: 2 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VIDES FAMILY CHILD CARE	FACILITY NUMBER: 198003119
	VISIT DATE: 06/14/2023

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
26
27
28
29
30
31
32

Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. During LPA White's inspection there were no bodies of water observed around the premises. Per licensee, they provide food for children in care.

At 2:25 PM, LPA observed the valve on the required 2A 10BC fire extinguisher indicates fully charged (Service Tag: Nov. 2022). At 2:35 PM, LPA observed smoke and carbon monoxide detectors to be in operable condition. Per Licensee, First Aid kit is kept in the Living Room, LPA observed First Aid kit and was inventoried for necessary supplies. The Licensee has current Pediatric First Aid and CPR. Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has also taken the Mandated Reporter Training
—CPR Card valid until: 12/29/2023
—Fire Extinguisher was last serviced on: November 2022
—Mandated Reporter AB1207 Certificate: 6/14/2023

The following were discussed:
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

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. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.

Report Continues - Page 3 of 4

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

LIC809 (FAS) - (06/04)

Page: 7 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VIDES FAMILY CHILD CARE	FACILITY NUMBER: 198003119
	VISIT DATE: 06/14/2023

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
26
27
28
29
30
31
32

NO smoking, NO infant walkers, NO Johnny jumpers, NO saucer chairs, NO incline sleepers and any other item that falls into that category are permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

LPA reviewed and issued the LIC 311D - Forms/Records to Keep in Your Family Child Care Home. Requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. Licensee was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: http://www.mandatedreporterca.com/www.mandatedreporterca.com

Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 06/14/2023.

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

Exit interview was conducted with Licensee Maria Vides, on 06/14/2023, a copy of this report was given and appeal rights were issued and discussed.
Report ends- Page 4 of 4

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

LIC809 (FAS) - (06/04)

Page: 3 of 7