198007023-10-25-2024-54-CC-ACAR-DADQGK-20241025120942

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198007023
Report Date: 10/25/2024
Date Signed: 10/25/2024 12:09:50 PM

Document Has Been Signed on 10/25/2024 12:09 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:	GALVEZ FAMILY CHILD CARE		FACILITY NUMBER:	198007023
ADMINISTRATOR/ DIRECTOR:	GALVEZ, CAROL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	5622292355
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	10/25/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Carol Galvez		TIME VISIT/ INSPECTION COMPLETED:	12:15 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	On October 25, 2024, at 9:00am Licensing Program Analyst (LPA) A. Carter conducted an Unannounced Required Annual inspection and met with licensee Carol Galvez. Also present was licensee’s husband, sister and assistant. LPA disclosed the purpose of the inspection and was granted entry into the facility. Licensee was provided a copy of the Facility Entrance Checklist. All adults associated to the home were found to have criminal record clearance. There were seven (7) daycare children present during today’s inspection. Licensee states that there are currently fourteen (14) children enrolled. The children's roster was reviewed and is current. Licensee reports that the facility’s hours of operation are Monday thru Friday from 7:00am to 5:30pm. Licensee does provide transportation but does not provide overnight care. The Parent Board had the following required documents posted: v License v Parent's Rights v Earthquake Preparedness v Emergency Disaster Plan The Disaster Drill log was current with the last drill conducted on October 17, 2024. All life saving devices such as Carbon Monoxide Detector, Smoke Detector, and Fire Extinguisher were observed by LPA. The carbon monoxide and smoke detectors were tested and operable at the time of inspection. The 2A10BC fire extinguisher was fully charged with last service date of September 25, 2024. This is a two story home which consists of six (6) bedrooms and three (3) bathrooms, kitchen, living room, den (used as main care activity area) front and backyard. Areas used by the children include the living room, kitchen, one (1) restroom located in the main care area, and napping room. Per Licensee areas off-limits to children and parents include two (2) bedrooms, and one (1) bathroom upstairs, and one (1) bathroom and two (2) bedrooms downstairs. LPA observed that there is a baby gate separating areas used by children and off-limits area. Per licensee, off limit areas are also locked during operating hours, LPA observed doors to be locked making them inaccessible to children in care. --------------Page 1 of 4

Denise Gibbs	TELEPHONE: (323) 558-2794
Andrea Carter	TELEPHONE: 323-981-3350
	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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 4

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: GALVEZ FAMILY CHILD CARE	FACILITY NUMBER: 198007023
	VISIT DATE: 10/25/2024

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. Licensee states there is central air and heating throughout the home. There is a working telephone maintained in the home via cellphone. The isolation area for sick children waiting to be picked is In the living room, supervised away from the other children in care.
Main care activity area is located next to the kitchen. LPA observed age appropriate toys, and learning material available such as alphabet charts, circle time area, toddler size tables, chairs, and couches, books for reading, cars, Legos, puzzles, play kitchens, and a doll house free of loose and sharp parts. Per licensee children will have access to bathroom located in main care area. LPA observed the bathroom to be clean with an operable sink, faucet, and toilet. There is a changing table and steep stool to assist children in care. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are locked in the cabinet under the sink making them inaccessible to children in care. The Licensee states that there are no poisons in the home. The Licensee does understand that poison must be locked. The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.
Per licensee, food is provided for children in care. LPA observed kitchen to be free of hazards and refrigerator has been observed to be in good condition at time of inspection. Food was observed to be properly stored and refrigerated at time of inspection. Knives are kept in the upper cabinet next to the refrigerator making them inaccessible to children in care.
Per licensee, the children will have access to backyard for outside play. LPA observed yard has grass and adequate perimeter fencing through-out the property. LPA observed a playhouse, play structure with slide and rock climbing, swings, tricycles and riding cars for children. All play equipment has a soft cushioned surface perfect for absorbing falls. Play area is completely covered with a tent providing ample shading for children in care. Play area is free of loose and sharp articles or objects and all trees, shrubs, and plants are maintained.
Infant Care: Currently licensee has 1 infant enrolled. LPA observed two (2) play yards and six (6) green cots used for napping stored in napping room. Napping equipment does not block entrances or exits. Licensee was advised Infants shall not be swaddled in care. Car seats shall not be used for sleeping. Sleep log observed by LPA.

--------------Page 2 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea Carter	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: GALVEZ FAMILY CHILD CARE	FACILITY NUMBER: 198007023
	VISIT DATE: 10/25/2024

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

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, and documentation of 15-minute Infant Sleep Check (0-24 months). All required licensing forms are in file.
Licensee / staff records were reviewed: Licensee Pediatric First Aid/CPR expires on 8/2026 / assistants expire 8/2025. Staff had proof of required immunization's. All adults had proof of TB clearance. Licensee and assistant’s Mandated Reporter training was completed in 8/19/23. All adults had LIC 508 criminal record statement on file. Assistant had LIC 9052 on file.

Licensee stated they do not have any children that needs medication administer, or any children with allergies in care at this time.

Licensee stated that there are no smokers in the home.

Licensee stated there are no pets in the home. LPA did not observe any pets at time of inspection.

Licensee stated there are no weapons, or firearms in the home.

Licensee stated there are no bodies of water around the premises. LPA did not observe any bodies of water at time of inspection.

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.

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.

--------------Page 3 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea Carter	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: GALVEZ FAMILY CHILD CARE	FACILITY NUMBER: 198007023
	VISIT DATE: 10/25/2024

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

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 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 Carol Galvez, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Carol Galvez.

-------------Page 4 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea Carter	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC809 (FAS) - (06/04)

Page: 4 of 4