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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005569
Report Date: 06/26/2019
Date Signed: 06/26/2019 11:54:55 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:DURAN FAMILY CHILD CAREFACILITY NUMBER:
198005569
ADMINISTRATOR:ANA DURANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 662-8143
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:14CENSUS: 7DATE:
06/26/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Ana Duran, LicenseeTIME COMPLETED:
12:15 PM
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A RANDOM INSPECTION CONDUCTED IN SPANISH
Licensing Program Analyst, Janeth Chavez conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Ana Duran and toured the facility. There are 7 children (2 infants) present and two adults (licensee & Francisca Flores, assistant). Individuals residing in the home are the licensee, spouse and 2 adult sons and no children. Licensee’s operating hours are Monday-Friday 7am-6pm. All individuals present and living in the home have a Criminal Record clearance on file. Licensee’s Liability Insurance for a Family Child Care home expires on 03/14/2020.

The home is a one story, 3-Bed, 1 Bath home. The following areas are used for day-care: Living Room, Dining Room, 1 bedroom, hallway bathroom, and backyard (fenced). LPA observed a play structure with cushioning material to absorb a fall in the backyard (fenced). Off limit areas include: Licensee’s bedroom, back bedroom, kitchen, front yard (unfenced), detached garage, and dwelling adjacent to the garage. Licensee stated that the children nap in the living room area and eat in the dining room. LPA inspected the bathroom use by day care children and did not observe any hazards. Licensee was advised to keep all off-limit areas inaccessible to day care children. LPA observed a plastic safety gate to make the kitchen inaccessible.

LPA observed children’s napping beds in the living room. Licensee stated that the parents use the front door to drop off and pick up children. Licensee stated there are 4 infants enrolled in her family child care home. Report Continues on next page 1 of 3

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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 3
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DURAN FAMILY CHILD CARE
FACILITY NUMBER: 198005569
VISIT DATE: 06/26/2019
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· 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.

LPA provided PUB 271 (SP) to licensee and also provided Safe Sleeping practices poster.

No Deficiencies were cited on this visit
LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit 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, Ana Duran. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DURAN FAMILY CHILD CARE
FACILITY NUMBER: 198005569
VISIT DATE: 06/26/2019
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LPA observed 3 cribs in the bedroom that is accessible to children. LPA advised licensee that infants should sleep mouth up, on their backs, and free of clutter surrounding their sleeping space (cribs). LPA reviewed SIDS, Never Shake a Baby, and safe sleeping practices.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the dining room. First Aid/CPR certificate are valid thru 03/2021. Licensee's disaster drill log notes last drill conducted on 06/05/19. Licensee has a working telephone.

Detergents and cleaning supplies were inaccessible and are kept latched in a cabinet next to the pantry in the kitchen. Fire extinguisher has been serviced in the last year, card on extinguisher notes May 2019. There is an operational smoke detector (dining room) and carbon monoxide (living room) in the home. The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There is a weapon in the home and the ammunition is stored and locked in a separate room. LPA inspected the backyard and found the garage door locked. LPA did not observe any pools, spas or bodies of water. Currently there are no pets.

Children's Roster is readily available and updated. Children’s Files were reviewed.



The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

· A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.
Report Continues on next page 2 of 3
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3417
LICENSING EVALUATOR NAME: Janeth ChavezTELEPHONE: (323) 981-3376
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3