198010360-11-25-2019-33-CC-MGAA-BJ9UDL-20191125142943

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198010360
Report Date: 11/25/2019
Date Signed: 11/25/2019 02:29:56 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:	VELASCO & CASILLAS FAMILY CHILD CARE		FACILITY NUMBER:	198010360
ADMINISTRATOR:	VELASCO, A. & CASILLAS A.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 480-8156
CITY:	BALDWIN PARK	STATE: CA	ZIP CODE:	91706
CAPACITY:	14	CENSUS: 6	DATE:	11/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	Deserie Velasco, Licensee		TIME COMPLETED:	12:00 PM

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Licensing Program Analyst (LPA), Mireya García conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Deserie Velasco Licensee who guided analyst on a tour of the facility. Also present during this inspection, was Co-Licensee Angela Casillas, and Licensee’s eight (8) year old daughter. Per Licensee, there are fourteen (14) children that are currently enrolled. There were 6 children present upon arrival. Individuals residing in the home are the licensee, co-licensee, licensee’s husband and licensee's two minor daughters. Licensee’s operating hours are from 6:00 a.m. - 6:00 p.m. from Monday through Friday.

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, living room, front yard and backyard (fenced). The children use the bathroom in the hallway, living room and dining room areas. Per Licensee, areas off limits to children and parents include: three (3) bedrooms, one (1) bathroom and the garage.

Upon entering the home LPA observed Licensee Deserie removed infant child #1 from an baby walker. Per Licensee child#1’s mother brought the baby walker today so that child #1 can use. Licensee removed baby walker and placed baby walker in the garage and will give walker to parent (Declaration was obtained from Licensee). LPA advised Licensee and Co-Licensee that a baby walker shall not be kept or used on the premises of a family child care home.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the entry hallway. Licensee’s First Aid/CPR pediatric certificate are valid through 03/2020. Licensee completed the mandated reporter training on 1/19/2018. Licensee's disaster drill log notes last drill conducted on 10/01/19. Licensee has a working landline telephone.

REPORT CONTINUES ON THE NEXT PAGE 1 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

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: VELASCO & CASILLAS FAMILY CHILD CARE	FACILITY NUMBER: 198010360
	VISIT DATE: 11/25/2019

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The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 03/29/19, as indicated on service tag. Smoke and carbon monoxide detectors were tested and are in operable condition.

LPA inspected the kitchen. No hazards or violations were observed. Knives are stored in a cabinet that is out of reach and inaccessible to children. Cleaning detergents and compounds are inaccessible. LPA observed the children’s changing room to be organized. No hazards or violations were observed. The bathroom used by the children was inspected. No hazards or violations were observed.

The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. LPA inspected the backyard. LPA observed age appropriate toys and there is shade available. There are no pools or spas, or other bodies of water. Currently there are no pets.

Children's Roster, Children’s Files and Staff files were reviewed and found to be complete.

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 PIN 19-02-CCP Safe Sleep Awareness Campaign with Licensees and reviewed safe sleeping practices handouts. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. A copy of the English and Spanish PIN 19-02-CCP was provided to Licensee.

REPORT CONTINUES ON THE NEXT PAGE 2 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

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: VELASCO & CASILLAS FAMILY CHILD CARE	FACILITY NUMBER: 198010360
	VISIT DATE: 11/25/2019

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Incidental Medical Services (IMS): The licensee states that she will provide IMS. 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 on line at: www.ccld.ca.gov.

The following deficiency is being cited in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes. Please refer to LIC809D for documentation of deficiency cited.

Exit interview conducted with Licensee, Deserie Velasco. A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights.

A Confidential Names list (LIC811) was provided during this visit.

A copy of this report must be provided to the authorized representatives of all currently enrolled children and must also be provided to newly enrolled children for the next 12 months. The report shall be provided no later than the next business day or the next day the child is in care.

The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. Web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: www.ccld.ca.gov.

Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in a visible location for the authorized representatives of children.

*END OF REPORT PAGE 3 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

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: VELASCO & CASILLAS FAMILY CHILD CARE	FACILITY NUMBER: 198010360
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/25/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/25/2019 Section Cited	1 2 3 4 5 6 7	1596.846-Baby walkers:(b) A baby walker shall not be kept or used on the premises of a child day care facility.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by LPA observed Licensee Deserie removed infant child #1 from an infant walker. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Licensee and Co-Licensee will attend Family Child Care Home orientation on 12/11/19 from 8:30 am-12 pm at the Monterey Park Regional Office at 1000 Corporate Center Dr 2nd floor, Monterey Park, CA 91754. Licensee and Co-Licensee will submit proof of attendance certificate to LPA upon completion.
	1 2 3 4 5 6 7
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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: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

LIC809 (FAS) - (06/04)

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