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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005762
Report Date: 03/18/2022
Date Signed: 03/18/2022 04:10:09 PM


Document Has Been Signed on 03/18/2022 04:10 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:RIVAS FAMILY CHILD CAREFACILITY NUMBER:
198005762
ADMINISTRATOR:RIVAS, IRMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 351-5536
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:14CENSUS: 4DATE:
03/18/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Irma Rivas, Licensee TIME COMPLETED:
04:35 PM
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 THIS INSPECTION WAS CONDUCTED IN SPANISH
Licensing Program Analyst (LPA) Rita Ramos conducted a Plan of Correction visit on 03/18/22 that commenced at 3:50PM. LPA met with Licensee, Irma Rivas, who guided LPA on a tour of the facility. There were 4 children present upon arrival.

The purpose of the visit was to ensure that the deficiencies that were cited on 03/10/22 have been cleared.

LPA observed the following during the inspection:

-The carbon monoxide detector was observed to be operable. LPA and Licensee tested the carbon monoxide detector to ensure that it operates.

-Licensee has taken the AB 1207 Mandated Reported Training certificate and has a copy of the certificate on file and available for review.

-Licensee provided a written plan and report detailing their reasons for the construction and how they will ensure that construction will take place on the weekends when no children are in care.

-Licensee and assistant have taken the pediatric first aid and cpr training and have copies of their certification on file for review.

LPA provided Licensee with copies of correction clearance letters during this inspection.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee, Irma Rivas.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2022
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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