198010667-3-20-2024-54-CC-FWHE-D3JRUR-20240320132022

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198010667
Report Date: 03/20/2024
Date Signed: 03/20/2024 01:20:29 PM

Document Has Been Signed on 03/20/2024 01:20 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ROSA FAMILY CHILD CARE		FACILITY NUMBER:	198010667
ADMINISTRATOR:	ROSA, ROSA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 582-2577
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90002
CAPACITY:	14	CENSUS: 0	DATE:	03/20/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:21 PM
MET WITH:	Rosa Rosa, Licensee		TIME COMPLETED:	01:45 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 Analyst (LPA) Franchesca White arrived at the above facility for the purpose of a Random - Annual inspection. LPA White announced the purpose of the visit and was granted entry into the facility by Licensee Rosa Rosa. There are ten (10) children enrolled, and zero (0) children present at the time of inspection. There are seven (7) adults associated to the facility. Rosa Rosa was the only adult present during today's inspection. Hours of operation 24 Hours / 7 Days a week. Licensee understands that one child can not state longer than 23 hours a day. Parent board was observed to have the Facility License, Parent's Rights, Emergency Disaster Plan, and Disaster drill log was available during today's inspection. Per Licensee the last Earthquake Drill was conducted 2/6/2024, and the last Fire Drill was conducted 2/12/2024. Current Facility Roster was available during today's inspection. This is a two-story home which consists of five bedrooms, three bathrooms, kitchen, living room, dining room, and den. Main Care Areas used by the children include the living room (located upon entry), Bathroom 1 (located downstairs through a doorway in between Living Room and Kitchen), Dining Room (next to Living Room), and Licensee states Kitchen is accessible only for access to drinking water (located up a step next to Dining Room). Per Licensee, areas off limits to children and parents include entire upstairs which contains five bedrooms and two bathrooms and back patio. LPA observed that there is an operable baby gate at the bottom of the steps, making this area off limits to children in care at time of inspection. All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. At 12:32 p.m., LPA observed A/C window unit hanging in window to the rear of the home in Dining Room. There is a working telephone maintained ...................................................................Report continues- Page 1 of 3......................................................

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ROSA FAMILY CHILD CARE	FACILITY NUMBER: 198010667
	VISIT DATE: 03/20/2024

NARRATIVE

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in the home. LPA observed large couches and entertainment center in Living Room, dining room table with eight chairs and child size table and chairs in Dining Room. At 12:45 PM, LPA observed dog carrier through sliding glass door leading to patio, Licensee states she has a dog kept in patio that children do not have access to. LPA observed sliding glass door to be closed and locked making area inaccessible to children in care at time of inspection. At 12:54,PM, LPA observed Kitchen to have operable child safety locks on bottom cabinets. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible and kept in the off limits garage located behind the home. At 9:46 AM, LPA observed sharp knives to be kept in high cabinet and detergents and cleaning solutions to be kept in under cabinet sink in the kitchen with operable child safety lock, making these items inaccessible to children in care at time of inspection. The Licensee states that there are no poisons in the home. The Licensee does understand that poison must be locked with a key or combination lock. At 9:50 AM, LPA observed Bathroom 1, which will be used by the children, to have operable toilet and sink, adequate hand washing supplies, and floor maintained and free of hazards at time of inspection.

Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPA observation did not see any bodies of water around the premises or firearms at time of inspection. Per Licensee, they provide food for children in care.

The valve on the required 2A 10BC fire extinguisher indicates fully charged,with current service tage dated: 11/16/2023. Smoke and carbon monoxide detectors are in operable condition. At 12:56 PM, LPA observed First Aid kit is kept hanging next to Bathroom 1 entry way, LPA observed a second first aid kit located by the glass sliding door.. The Licensee has current Pediatric First Aid and CPR. Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has also taken the Mandated Reporter Training.
—CPR Card valid until: 12/28/2023
—Mandated Reporter AB1207 Completed: 1/19/2023

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SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ROSA FAMILY CHILD CARE	FACILITY NUMBER: 198010667
	VISIT DATE: 03/20/2024

NARRATIVE

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The following were discussed:
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

Licensee (or facility representative) 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.

Rooms that are off-limits need to be made inaccessible during operating hours. NO smoking, NO infant walkers, NO Johnny jumpers, NO saucer chairs, NO incline sleepers and any other item that falls into that category are permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. A hard copy of PIN 20-24-CCP Safe Sleep Regulations in Effect, PIN 21-25-CCP Care Tools, and LIC 9227 provided at time of inspection.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 10/8/21.

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

Exit interview was conducted and report was reviewed with the Licensee Rosa Rosa. Report Ends - Page 3 of 3

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

LIC809 (FAS) - (06/04)

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