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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007738
Report Date: 08/03/2023
Date Signed: 08/03/2023 04:44:48 PM

Document Has Been Signed on 08/03/2023 04:44 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:HIDALGO FAMILY CHILD CAREFACILITY NUMBER:
198007738
ADMINISTRATOR:ESWIN & ANA HIDALGOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 839-5708
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/03/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Eswin Hidalgo, LicenseeTIME COMPLETED:
04:50 PM
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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced annual required inspection at the above noted facility on August 3, 2023. LPA met with Licensee Eswin Hidalgo, who guided analyst on a tour of the facility. There were four daycare children (four toddlers) when LPA arrived. Facility capacity is in compliance for a large Family Child Care Home. This is a one-story home that consists of three bedrooms, two bathrooms, living room, kitchen, dinning room, front yard (fenced) and back yard (fenced). Main care areas include living room,dinning room and front-yard. Per Licensee, off limit areas include kitchen, bedrooms and laundry room. Hours of operation are Monday-Friday from 7am-5:30pm. Currently Licensee only has children enrolled from 9am to 3pm. Food is provided by Licensee.

Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection:

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2023
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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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: HIDALGO FAMILY CHILD CARE
FACILITY NUMBER: 198007738
VISIT DATE: 08/03/2023
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LPAs reviewed required posted documentation located on the entrance door which included facility License, Publication (PUB) 394-Notification of Parental Rights and Licensing Form (LIC) 9148-Earthquake Preparedness form. Facility records were reviewed for LIC 9040-Facility Roster, LIC 610-Facility Disaster Plan and Disaster drill log, last drill was conducted on March of 2023. All documents were observed.

Smoke and carbon monoxide detectors located in the kitchen and livingroom were tested and are operable. Fire extinguisher indicated fully charged and was last serviced in February of 2023. The home maintains telephone service via cell phone. The home was observed to be clean and orderly. There are toys and other age-appropriate material available for children. LPAs observed that detergents, cleaning compounds and medication are stored in the laundry room and are inaccessible to children. There is a fire- place in the living room that is screened. Per Licensee, there are no firearms or weapons stored in the home.

The bathroom that children use is located off the hallway adjacent to the kitchen, was observed to be clean and free of hazards. LPAs observed cabinets under the sink had child locks, making contents inaccessible.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HIDALGO FAMILY CHILD CARE
FACILITY NUMBER: 198007738
VISIT DATE: 08/03/2023
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Currently, children are using the front yard for outdoor play. The outdoor play area was observed to be fenced. LPAs observed that the outdoor yard has toys and other materials for children to play with.

LPAs did not observe any objects that could be hazardous to children in care. There are no pools or spas, or other bodies of water.

Children’s records were reviewed for LIC 282-Affdavit Regarding Liability Insurance, Immunization Records, LIC 700-Identification and Emergency Information, LIC 627-Consent for Medical Treatment, and LIC 995A Notification of Parents’ Rights. All documents were observed.

Licensee records were reviewed for approved Pediatric First Aid and CPR certification, LIC 501: Personnel Record, LIC 508-Criminal Record Statement, Proof of Immunization against measles, pertussis, and influenza or influenza declination. TB clearance or risk assessment, LIC 9108-Statement Acknowledging Requirement to Report Child Abuse and current Mandated Reporter Training Certificate. All documents were observed.

During the inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HIDALGO FAMILY CHILD CARE
FACILITY NUMBER: 198007738
VISIT DATE: 08/03/2023
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Based on the LPA’s observations and records review no deficiencies will be cited today.

To improve the quality and value of the new inspection process, a survey will be sent to email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email 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/process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/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://cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resouces/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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and a copy of the report was issued.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC809 (FAS) - (06/04)
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