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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008700
Report Date: 02/09/2023
Date Signed: 02/09/2023 04:47:21 PM


Document Has Been Signed on 02/09/2023 04:47 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:NAVARRO FAMILY CHILD CAREFACILITY NUMBER:
198008700
ADMINISTRATOR:NAVARRO,RITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 741-1091
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:14CENSUS: 5DATE:
02/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Rita Navarro, LicenseeTIME COMPLETED:
04:57 PM
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On Thursday, February 9, 2023, at 2:01 p.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Rita Navarro who guided LPA Rivera on a tour of the facility.
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During this inspection, 5 children (one infant and four preschoolers) an assistant were present. LPA Rivera observed 4 children doing gross motor activities with the assistant and infant sitting in highchair eating a snack. Family members residing in the home was discussed with licensee and are cleared. Operating hours are Monday to Friday, 7:00 a.m. to 5:00 p.m., and care for children ages 0 to 13 years.

This facility is a two-story home that consists of four bedrooms, three full bathrooms, kitchen, living room, dining area, front yard (gated), and backyard (fenced and gated). Areas that are accessible to children and identified on the facility sketch were inspected by LPA Rivera; playroom, kitchen, dining room, restroom (by the kitchen) and backyard.

Areas off limits to children include: all second floor, bedroom next to the front entrance, bedroom by the kitchen and front yard. At 2:06 p.m., LPA observed the door that leads to the second floor closed and locked with a dead bolt lock.

At approximately 2:08 p.m LPA Rivera, inspected the facility for safety, comfort, cleanliness, ventilation and working phone (land line phone). LPA observed the off-limits rooms closed and locked with a deadbolt lock. For ventilation, LPA observed central AC/heater and the vents located on the ceiling walls. LPA observed the temperature on the thermostat 69 degrees. At 2:12 p.m., LPA Rivera entered the daycare room and observed the furniture and children materials to be in good condition and age appropriate. LPA observed two playpens with a fitted mat and sheet. LPA observed the cots stored in the daycare room. For ill isolation, children utilize the front living room.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2023
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NAVARRO FAMILY CHILD CARE
FACILITY NUMBER: 198008700
VISIT DATE: 02/09/2023
NARRATIVE
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At 2:15 p.m, LPA Rivera entered the restroom and observed the toilet, running water, hand soap and paper towels. Inside the bottom cabinet, LPA observed cloth towels and did not observe items that can pose a potential hazard to children. LPA observed the restroom to be in good condition.

At 2:20 p.m., LPA observed cleaning compounds items stored inside the top cabinet above the refrigerator making it inaccessible for children to reach. Also, LPA observed kitchen knives stored inside top kitchen cabinet making it inaccessible to children to reach. Licensee provides the meals and currently does not have children with food allergies nor on medication. For drinking water LPA observed water bottles and cups.



LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has no pets, firearms, or weapons nor water bodies of water. LPA did not observe firearms or weapons, pets, poisons, nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.

At approximately 2:26 p.m. LPA Rivera observed the required 2A10BC fire extinguisher located in the kitchen and living room with the valve on the green area indicating fully charged and serviced on February 9. 2023. LPA observed carbon monoxide detector and the smoke detector located in the dining area. Licensee tested the carbon monoxide and the smoke detector. Carbon and smoke detectors are operable. LPA observed the first aid kit complete with band aids, gauzes, adhesive bandages and antiseptic wipes and located in the den. LPA observed the earthquake and fire drill log dated January 17, 2023.

At 2:33 p.m., LPA inspected the outdoor area used by children for safety, comfort and cleanliness, LPA observed backyard to be fenced all around and the side gates closed and locked with a keypad lock. LPA observed two cars parked on the side of the yard and two all the way in the back. The doors of the four cars were lock making it inaccessible to children to open the doors. LPA observed two sheds and observed the sheds to be closed and lock with a keypad lock. LPA observed the AC compressor with a barrier and a mesh on top where the fan is located. LPA observed the cushion padding to be lifting, and LPA advised licensee to replace the padding due to tripping hazard.

Children’s roster, children’s and licensee files were reviewed during the inspection.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NAVARRO FAMILY CHILD CARE
FACILITY NUMBER: 198008700
VISIT DATE: 02/09/2023
NARRATIVE
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Licensee Rita Navarro was reminded that all adults 18 and over, 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 Family Child Care Center. 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 Rita Navarro 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 Rita Navarro 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



Technical violatiosn was given during this inspection for not having the LIC 9227 Safe Sleep Plan, Sleep Log and Child #1 immunization record incomplete. No citations given during this visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with licensee Rita Navarro.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
LIC809 (FAS) - (06/04)
Page: 8 of 8
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NAVARRO FAMILY CHILD CARE
FACILITY NUMBER: 198008700
VISIT DATE: 02/09/2023
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LPA observed licensee Rita Navarro Pediatric First Aid/ CPR certification dated May 1, 2021, Health and Safety certification dated March 14, 2004. Licensee has proof of immunization against Pertussis, MMR and Influenza declination. Licensee has completed the mandated reporter (AB 1207) training dated May 12, 2022. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

LPA observed the required postings LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, LIC 999 Facility sketch, and child car seat law poster.

The following was also discussed with licensee:
1. In the absence of the licensee a qualified adult must be present, supervising the children; a qualified adult is an individual who has a valid and current Pediatric first aid/ CPR-adult-child- infant certification and a valid criminal record clearance associated to the facility license.

2. A current roster of children enrolled must be available and maintained for a period of 3 years, even after children are no longer attending the facility.

4. Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the license shall be terminated.

5. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.

6. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.

7. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing (refer to LIC 624B). Mandated reporter requirements were reviewed and explained.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
LIC809 (FAS) - (06/04)
Page: 6 of 8
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NAVARRO FAMILY CHILD CARE
FACILITY NUMBER: 198008700
VISIT DATE: 02/09/2023
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8. Fire and safety drills must be performed every six (6) months and documented for review by the Department.

9. Smoking is prohibited in the family childcare home.

10. Children and staff records must be maintained and updated as needed and be available for review by the Department.

11. Dog(s) and/or pets are recommended to be isolated from children in care.

LPA Rivera also reviewed Sudden Infant Death Syndrome (SIDS), Never Shake A Baby, and Lead Exposure information with licensee. LPA also explained to licensee that car seat, stroller are only and only for transportation, highchair is only for feeding and stated items cannot be misused No infant walkers, No Johnny jumpers, No saucer chairs, and any other item that falls into this category are not permitted in a family child care facility.

Medication: 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

To improve the quality and value of the new inspection process, a survey will 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 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/inspection-process

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
LIC809 (FAS) - (06/04)
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