198005762-3-10-2026-54-CC-ACAN-DS2UKS-20260310153937

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198005762
Report Date: 03/10/2026
Date Signed: 03/10/2026 03:40:02 PM

Document Has Been Signed on 03/10/2026 03:40 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	RIVAS FAMILY CHILD CARE		FACILITY NUMBER:	198005762
ADMINISTRATOR/ DIRECTOR:	RIVAS, IRMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(424) 351-5536
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 13	CENSUS: 5	DATE:	03/10/2026
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:46 PM
MET WITH:	Licensee / Irma Rivas		TIME VISIT/ INSPECTION COMPLETED:	03:50 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	Licensing Program Analyst (LPA) Ashley Calderon conducted an Unannounced Required – 3 Year inspection to the above facility. Upon arrival, LPA disclosed the purpose of the inspection and met with Licensee, Irma Rivas, who allowed entry into the facility. LPA conducted a tour of the facility alongside Licensee I.Rivas. There were 3 adults in the home, Licensee and 2 individuals who reside in the home, they were discussed, noted and all have criminal record clearance. The Licensee was caring for the children , 5 children present, due to no staff assistant at the time of the visit Licensee was in compliance and operating as a Small License during this time. The children's roster was reviewed and is current. The facility hours of operations are 24 hours of care Monday-Sunday 12am-11:59pm, does overnight care. Currently, no overnight care but available if needed and transportation available as needed. LPA Calderon informed Licensee a care for a child cannot exceed 24 hours. The home is Licensed as a Large FCC with a Capacity of 14. The required postings were observed at time of inspection located in the living room and the nap room. This is a single-story home which consists of three bedrooms and two bathrooms, Kitchen, Dining Room, Living Room, Den and converted garage (Nap room). On limits: Nap room, Living Room (located upon entry of the home), Dining Room (located to the left of entrance), Kitchen (located to the rear of the home) primarily used as walkway to access backyard. Off limits: three bedrooms, den (located towards the back of the home) and 1 Bathroom (located in the hallway) . Per Licensee, off limit areas are maintained locked during operating hours. LPA observed doors to be locked at time of inspection.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RIVAS FAMILY CHILD CARE	FACILITY NUMBER: 198005762
	VISIT DATE: 03/10/2026

NARRATIVE

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All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation (AC system) and heating (portable system stored in the locked shed when not in use) for the safety of the children. There is a working telephone maintained in the home.

LPA observed Living Room to have play pen that was used for a toddler, per licensee do to safety of other children and their behaviors it is bested for him to use a closed space. LPA stated to have permission in writing from parent to provide healthy and comfortable accommodations for the child's needs. Per Licensee, the fireplace facility once had is non existing, the chimney was removed, the gas parts and all the parts that go inside were removed and the only thing left is the brick mantle, located in off limit room #3. LPA observed age appropriate toys, materials and equipment for the children, free of loose and sharp parts. The nap room has 2 cribs with firm mattress and fitted sheets, per Licensee, currently has no infants in care. The home has 1 pet dog and a pet bird. The home has (2) guns, both located in off limit bedrooms, the 2 guns were observed locked, there are 2 boxes of ammunition, 1 was locked and 1 ammunition box (wooden) observed unlocked, picture taken, no lock observed, deficiency cited. Per Licensee, for sick children waiting to be picked up, sick child will be separated from other children in a separate on limit space that is not being used. Per Licensee, currently no children administered medication at the facility.

The Disaster Drill documentation was conducted, last drill 2/10/2026. Fire extinguisher serviced dated 1/21/26. LPA observed cleaning products locked in shed in the backyard and under the kitchen sink with a latch. Licensee stated there is poisons kept in the locked shed. Knives observed in the kitchen area in a cabinet with a child safety latch in place for inaccessibility. Smoke and Carbon monoxide detector is interconnected tested and found operable.

During today's visit LPA reviewed a total of 5 children files and 2 staff including licensee and 1 volunteer. Licensee's Pediatric 1st aid and cpr expires 3/2028 / Health and Safety conducted 2026/ Mandated Reporter expires 7/17/2027. Staff assistant not present during visit and per Licensee assists at the day care and is left alone with children at times like when Licensee does transportation for school age children, therefore file was reviewed- Certificate reads BLS (basic) cpr and first aid training, deficiency cited (picture taken of certificate ) as it is no the valid one per Title 22 regulations- The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. In addition, Mandated Reporter training is not recent and has an expiration date of 2/14/2026 picture taken of expired certificate and deficiency cited.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RIVAS FAMILY CHILD CARE	FACILITY NUMBER: 198005762
	VISIT DATE: 03/10/2026

NARRATIVE

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
During the exit interview, the Licensee Irma Rivas , confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During today's visit according to California Code of Regulations Title 22, the facility was given 3 deficiencies given.
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.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/10/2026 03:40 PM - It Cannot Be Edited

Created By: Ashley Calderon On 03/10/2026 at 03:05 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: RIVAS FAMILY CHILD CARE	FACILITY NUMBER: 198005762
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)(C)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (C) Ammunition shall be stored and locked separately from firearms. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA Calderon observation the home has (2) guns, both located in off limit bedrooms, the 2 guns were observed locked, there are 2 boxes of ammunition, 1 was locked and 1 ammunition box (wooden) observed unlocked, no lock observed, the licensee did not comply with the section cited above in [1] out of [2] inappropriate storage of ammunition without a lock which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/16/2026
	Plan of Correction
1 2 3 4	Licensee will get approrpaite storage and lock for ammunitions stored in the home and will send a picture to LPA Calderon by poc due date.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed 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 following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review Mandated Reporter training is not recent and has an expiration date of 2/14/2026 picture taken of expired certificate , the licensee did not comply with the section cited above in [1] out of [2] staff mandated reported found expired which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/23/2026
	Plan of Correction
1 2 3 4	Staff assistant will do 4 hr child care provider training and certificate will be sent to LPA Calderon by poc due date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Warren Birks
NAME OF LICENSING PROGRAM MANAGER:

	Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/10/2026 03:40 PM - It Cannot Be Edited

Created By: Ashley Calderon On 03/10/2026 at 03:05 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: RIVAS FAMILY CHILD CARE	FACILITY NUMBER: 198005762
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on reviewed of staff assistant current Certificate reads Heart Association BLS (basic) cpr and first aid training, the licensee did not comply with the section cited above in [1] out of [2] appropriate valid pediatric 1st and cpr certificate which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/23/2026
	Plan of Correction
1 2 3 4	Staff assistant was notified during visit via telephonically to conduct appropriate training, pediatric 1st and cpr certificate. Once conducted picture of certificate will be sent to LPA Calderon by poc due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Warren Birks
NAME OF LICENSING PROGRAM MANAGER:

	Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

LIC809 (FAS) - (06/04)

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