198009009-2-24-2020-54-CC-MAYA-BM52WF-20200224164529

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198009009
Report Date: 02/24/2020
Date Signed: 02/24/2020 04:45:37 PM

COMPREHENSIVE INSPECTION

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:	VARGAS FAMILY CHILD CARE		FACILITY NUMBER:	198009009
ADMINISTRATOR:	EVA VARGAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 864-8475
CITY:	SANTA FE SPRINGS	STATE: CA	ZIP CODE:	90670
CAPACITY:	14	CENSUS: 4	DATE:	02/24/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Licensee, Eva Vargas		TIME COMPLETED:	04:55 PM

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On February 24, 2020 at 2:45 PM, Licensing Program Analyst (LPA) Monique Ayala and Licensing Program Manager (LPM) Brandi Van Oosten conducted an unannounced Annual/Random inspection to the facility noted above and met with Licensee, Eva Vargas. The licensee guided LPA Ayala and LPM Van Oosten on a tour of the facility. Also present during the inspection was Licensee's Husband/Assistant, Ernesto Vargas. Family members residing in the home is the licensee and her husband who both have clearances on file. The licensee currently has three (3) children enrolled and provides care for her infant grandchild.

The facility is a one-story home which consists of two (2) bedrooms, 2 bathrooms, kitchen, living room, dining room, den (day care area), garage, front yard, and backyard (fenced). Areas that are accessible to children is the den (day care area), one (1) bathroom (located in den area), and backyard (fenced). Per licensee, the backyard is utilized for outdoor activity.

Areas that are off limits to children in care include the 2 bedrooms, 1 bathroom (located near the bedrooms), living room, dining room, kitchen, and garage. Per licensee, the children sign-in and sign-out with their parents/guardians in the dining room area and are walked to the den (day care area). The licensee was advised that all rooms that are off-limits must be made inaccessible during operating hours.

All areas used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating (central). The licensee states that there are no poisons in the home. LPA advised the licensee that any poisons must be locked with a key or combination lock. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children were made inaccessible to children.

Per licensee, there are no weapons, firearms or bodies of water on the premises. LPA observed age appropriate toys and napping equipment for children. Required documents were observed to be posted at the time of inspection.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VARGAS FAMILY CHILD CARE	FACILITY NUMBER: 198009009
	VISIT DATE: 02/24/2020

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The valve on the required 2A-10BC fire extinguisher indicated fully charged and was serviced on 01/06/2020. Smoke and carbon monoxide detectors were tested and are in operable condition. The home has a First Aid kit with a thermometer that is located in the kitchen.

All adults residing in the home have obtained a criminal record clearance. The licensee and licensee's assistant has proof of current Pediatric First Aid/CPR (both expires on: 04/18/2020). LPA discussed Mandated Reporter roles and requirements. During the inspection, LPA reviewed 3 children's records for completeness.

LPA discussed the licensee’s plan for supervising sleeping infants. Licensee stated the following: Any infants in care will stay in the same area with the licensee. LPA advised the licensee to sleep infants where the infants can be directly supervised and advised against sleeping infants in a separate room. LPA reviewed Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, and safe sleeping practices.

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 Americans Disabilities Act (ADA) was provided: U.S. 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.

No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls in this category is not permitted in a family day care facility. LPA advised the licensee that car seats and strollers are only to be used for transportation, and that highchairs are only to be used for feeding.

LPA reviewed and issued the Forms/Records to Keep in Your Family Child Care Home (LIC 311D) to the licensee. LPA advised the licensee on how to access forms, regulations, quarterly updates, and Provider Information Notices (PINs) on the Department website at: www.ccld.ca.gov.

Any unusual incidents or injuries must be reported to the Monterey Park South West Child Care Regional Office within 24 hours via telephone and within seven (7) days in writing (refer to LIC624B for written report). Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

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: VARGAS FAMILY CHILD CARE	FACILITY NUMBER: 198009009
	VISIT DATE: 02/24/2020

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The licensee did not have on record completion of the Health, Safety, and Nutrition Child Care training (refer to Technical Violation (LIC 9102), dated 02/24/2020).

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.

An exit interview was conducted with the licensee. Appeal rights and a copy of this report was provided to the licensee.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

LIC809 (FAS) - (06/04)

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