198008935-1-28-2020-33-CC-LGOZ-BL9VAG-20200128151554

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198008935
Report Date: 01/28/2020
Date Signed: 01/28/2020 03:16:02 PM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	AVILA FAMILY CHILD CARE		FACILITY NUMBER:	198008935
ADMINISTRATOR:	AVILA, REBECA & CIRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 342-9325
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90065
CAPACITY:	12	CENSUS: 9	DATE:	01/28/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Rebeca Avila		TIME COMPLETED:	03:31 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 Analysts (LPAs) Lissete Gonzalez and Alanna Gontarek conducted an unannounced Annual Random site inspection in Spanish to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Rebeca Avila, who guided LPAs on a tour of the facility. Licensee’s Assistant, Maria Macias, was also present during this visit. Additional individuals residing in the home include Licensee’s husband (fingerprint clearance on file). There were 9 children present, 1 being an infant. The facility roster was reviewed and is current. Licensee’s operating hours are from 6:00 a.m. to 5:00 a.m. from Monday through Sunday. This is a one story home which consists of 4 bedrooms, 2 bathrooms, kitchen, living room, garage and back & side yards (fenced). The children use one bathroom, living room, kitchen area and 3 bedrooms and side yard for play. Per licensee, areas off limits to children and parents include: 1 bedroom, licensee's bathroom and detached garage. The LPAs toured all areas used by children during this visit. There are no firearms, poisons, or bodies of water present on the premises as stated by Licensee. LPAs inspected the living room used by children. There is proper ventilation through the home provided through central air and heat. The kitchen used by the children was inspected. Knives, sharp objects, detergents, and cleaning compounds are stored in the kitchen and are inaccessible. The bedrooms used by the children were inspected for safety and cleanliness. LPAs inspected the bathroom used by the children. No hazards or violations observed. There were safe toys, play equipment and materials observed for children. There are electrical outlet covers throughout and a First Aid supplies are available. The side outdoor side yard (fenced) was observed to have age appropriate toys available. The licensee does understand that poison must be locked with a key or combination lock. Licensee has the Parent’s Rights poster and other appropriate forms posted on a board in the living room. REPORT CONTINUES ON NEXT PAGE: 1 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: AVILA FAMILY CHILD CARE	FACILITY NUMBER: 198008935
	VISIT DATE: 01/28/2020

NARRATIVE

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Licensee, Rebeca Avila’s First Aid/Infant CPR certificates are valid through 02/2021. Licensee's disaster drilllog notes last drill conducted on 9/25/19. Licensee has a working telephone.

LPA observed the 2A10BC fire extinguisher located in the bedroom to be fully charged and was purchased on 9/25/2019. There is an operational smoke detector and an operational carbon monoxide detector in the home. Licensee has one dog that is maintained outside in the back yard (fenced).

Staff file was reviewed and found to be complete. Children’s files were reviewed for proper documentation. Child #7 did not have an immunization record on file.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting. LPA reviewed LIC 311D with licensee, reminding her of required forms. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Lead Exposure handout provided to Licensee.

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

A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing
website at: www.ccld.ca.gov
REPORT CONTINUES ON NEXT PAGE: 2 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: AVILA FAMILY CHILD CARE	FACILITY NUMBER: 198008935
	VISIT DATE: 01/28/2020

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Based on this information, the following deficiencies listed on the attached LIC 809d are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Exit interview was conducted with Licensee, Rebeca Avila. The Licensee was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

A copy of the LIC 9213 was given to licensee—Notice of Site Visit. The Notice of Site Visit (LIC 9213) – must
remain posted for 30 days during the hours of operation after each site visit by a licensing representative.
Failure to maintain posting as required will result in a civil penalty of $100.00.

END OF REPORT PAGE: 3 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: AVILA FAMILY CHILD CARE	FACILITY NUMBER: 198008935
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/28/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/14/2020 Section Cited	1 2 3 4 5 6 7	Immunizations Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement was not met as evidenced by: Child #7 did not have an immunization record on file. This poses a
	8 9 10 11 12 13 14	potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

LIC809 (FAS) - (06/04)

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