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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198010236
Report Date: 05/17/2023
Date Signed: 05/17/2023 01:22:53 PM


Document Has Been Signed on 05/17/2023 01:22 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:IBARRA FAMILY CHILD CAREFACILITY NUMBER:
198010236
ADMINISTRATOR:IBARRA, GISELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 263-7540
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:12CENSUS: 6DATE:
05/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Licensee - Gisela IbarraTIME COMPLETED:
01:38 PM
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced required one year inspection to the above facility on 05/17/23. LPA arrived at the facility at 11:50 AM and met with licensee,Gisela Ibarra, who guided analyst on a tour of the facility. Also present during this inspection was S2. Per Licensee, there are 9 children that are currently enrolled. There were 6 children present upon arrival.

This is a one-story home which consists of 3 bedrooms, 1 bathroom, kitchen, dining room, living room, laundry room, and front yard (fenced). The off limit areas include 2 bedrooms.

The main care area is located in the living room. LPA observed age appropriate toys, wooden storage cubbies, education posters, child sized tables, child sized chairs, children's musical instruments, and a wall mounted television. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted outside of the front door. One bedrooms has been converted to be used for the day care. LPA observed a twin sized bed, additional toys, and two wood cribs folded away. Per licensee, 3 children are under 2 years old however they are able to climb out of the crib. LPA observed children in care napping on cots in the main care area. The kitchen was observed to have an elevated dining table. Knives and other sharp or pointy objects were observed to be locked using a magnet lock in a drawer next to the stove. Licensee states that she provides food for children in care. Licensee understands that food brought from home must be labeled and properly stored or refrigerated. A first aid kit was observed to be mounted on the wall in the kitchen. Per licensee, all drawers and cabinets accessible to children have a magnetic lock. A box mounted in the hallway wall labeled "poisons" was observed to be closed with a lock that requires a key. The bathroom was observed to be sanitary with an operable sink, faucet and toilet. A lock was observed beneath the bathroom sink making the contents inaccessible. The outdoor play area is located in the front yard and was observed to have perimeter fencing. Shade is provided by pop up tents. LPA observed additional toys, and outdoor play equipment in the front yard. Per licensee, isolation area for children showing signs of
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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
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 3


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: IBARRA FAMILY CHILD CARE
FACILITY NUMBER: 198010236
VISIT DATE: 05/17/2023
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illness will be located in the bedroom while they await parent pick up. LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs. No bodies of water were observed in the back yard play area. There are no pets on the premises. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Individuals who reside in the home were noted and discussed. 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. Licensee states that there are no firearms stored in the home.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety,


comfort, and cleanliness. There is telephone service via a land line LPA observed a wall heater to be barricaded in the day care area. Per Licensee, when it is cold, she uses a portable electronic heater. LPA advised licensee that portable appliances must be made inaccessible while in use. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 05/18/22, as indicated on service tag. Smoke and carbon monoxide detectors were tested and are operable.

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.

The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 04/29/25 LPA observed that the Licensee has proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. File review was observed to have proper mandated immunization records. Children’s records were reviewed, including emergency information and were observed to be complete. A current children’s roster was available for review.


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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: IBARRA FAMILY CHILD CARE
FACILITY NUMBER: 198010236
VISIT DATE: 05/17/2023
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Incidental Medical Services (IMS):
IMS was discussed with licensee. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.cdss.ca.gov.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Gisela Ibarra.

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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3