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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198010952
Report Date: 03/25/2022
Date Signed: 03/25/2022 03:48:44 PM


Document Has Been Signed on 03/25/2022 03:48 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
198010952
ADMINISTRATOR:GARCIA, NOEMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 945-4737
CITY:WHITTIERSTATE: CAZIP CODE:
90606
CAPACITY:14CENSUS: 6DATE:
03/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Noemi GarciaTIME COMPLETED:
04:00 PM
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Visit Conducted In Spanish

On 3/25/22, Licensing Program Analyst’s (LPA’s) Lilli Babcock and Roxana Lopez conducted an unannounced annual inspection to the above facility. At 8:30am, LPA’s arrived at the facility and door was answered by licensees’ husband to whom introductions were made and the purpose of the visit was explained. Husband stated that licensee was at the store and there were no children currently in care. At 8:47 am Licensee Noemi Garcia returned to the facility. LPA’s introduced themselves and the purpose of the visit was explained. A Covid Risk Assessment was done prior to entry into the facility. Also present during this inspection, was licensees’ husband. Licensee stated that she currently has 7 children enrolled, however there were no children in care at the beginning of the inspection. Licensee provided a children’s roster to LPA’s upon request. Licensee stated her hours of operation to be 6:00 am to 6:00pm Monday through Friday.

This is a one-story home which consists of 2 bedrooms and 1 bathroom. LPA’s observed a detached home located at the rear of the property. Licensee stated that 2 adults live in the detached 2-bedroom, 1-bath house located behind the pool. Both adults have fingerprint clearance and are associated to the facility.

________________Page 1 of 5_________________________________________
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022
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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Document Has Been Signed on 03/25/2022 03:48 PM - It Cannot Be Edited

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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198010952

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observations, the licensee did not comply with the section cited above in 2 out of 2 Fire Extinguishers were last serviced on 8/30/2020 as evidenced by the service tag, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/08/2022
Plan of Correction
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Per Licensee she will either replace or service extinguisher and submit proof by POC date.
Type B
Section Cited
CCR
102417(g)(4)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observations, the licensee did not comply with the section cited above by by having accessible a large knife/machete in an unlocked off-limits bedroom, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/08/2022
Plan of Correction
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During inspection Licenxee placed machete high up in the closet and locked the bedroom making it innacesible. Per Licensee, she will add an exta security know on the door.

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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/25/2022 03:48 PM - It Cannot Be Edited

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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198010952

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review by LPA, the licensee did not comply with the section cited above in 2 out of 2 Personnel Files which included missing Measles and Pertusis Immunizations which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/08/2022
Plan of Correction
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Per Licensee she will submit prrof of immunization for her and assistant by POC due date.
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 5 out of 7 childrens files missing LIC 700 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/08/2022
Plan of Correction
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Per Licensee, she will review files and have parents update all documents. Licensee will submit proof by POC date.

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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198010952
VISIT DATE: 03/25/2022
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Areas accessible to children include living room, dining area, kitchen, one bathroom, and one room located at the front of the home, as well as back patio and front yard which LPA’s observed to be fenced. Areas off-limits to children include 2 bedrooms located near bathroom, bedroom located outside home off of patio area, detached home located in rear of property, and side patio located near kitchen door. Swimming pool is used by children only under supervision by Licensee.
Licensee states that 2 adults (Licensee and husband) and no children currently live in the home. Both individuals have obtained a criminal record clearance or exemption. Licensee stated she provides breakfast, dinner and snacks for children in care.

LPA’s began a guided tour of the facility by Licensee. The tour began by the front entrance which leads right into the dining room. The kitchen is located to the right of the dining room. Knives were observed to be located in an upper cabinet and inaccessible to children. Kitchen door has a lock making the side yard inaccessible to children in care. At 9:00 am LPA’s were led to bedroom closest to the kitchen. The bedroom window leads directly to the pool area. There is an alarm on the bedroom window which is currently inoperable. LPA's observed the window to be open and the door unlocked. There are also metal grids on the window. This room is off-limits but was accessible and unlocked during the inspection. LPA’s advised that the alarm be made operable. The bedroom closest to the bathroom was inspected next. There is also a window that leads directly to the pool area with no fence in between, and there is no alarm and no metal grating on this window. LPA’s advised that an alarm needs to be installed on this window as well. Per Licensee, there are no weapons or firearms on the premises. At 9:10 am, LPA’s observed a large knife/machete in the bedroom closest to the bathroom. Although the bedroom is considered off-limits, it was not locked and was accessible during the inspection. Licensee immediately placed knife on a high shelf in the bedroom closet and locked the bedroom door with a hook and eye latch at the top of the door, making it inaccessible to children.
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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2022
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198010952
VISIT DATE: 03/25/2022
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The bathroom was inspected and found to be compliant with all regulations. The living room was inspected, and LPA’s observed a fireplace that has been made inaccessible to children in care with a screen bolted into the brick fireplace surround. A room located off the living room is also used as an activity space or an area for ill children. LPA observed the parent board with all required licensing documentation and a first aid kit in the entry area of the home.

LPA observed two 2A 10BC fire extinguishers. One is in the kitchen area and one is located in the living room. Both were last serviced on 8/31/2020 as indicated on service tag. Licensee was advised that fire extinguishers need to be serviced annually. Smoke and carbon monoxide detectors were tested and are operable at the time of the visit.
At 9:27am, LPA observed the back yard area. The outdoor play area was observed to be fenced. At this time, children are using the back yard for outdoor play time. There are age appropriate toys and equipment for the children to use. LPA’s observed a swimming pool in the back yard of the premises. LPA’s observed the gates to the swimming pool to be self-latching, self-close and gates swing away from the pool. Pool is surrounded by a fence that is 5’5” in height and meets licensing requirements. The backyard is adequately fenced. The licensee is observed to be operating within the license capacity limitations.

Per Licensee, she has not completed training on preventive health practices. The licensee and her assistant’s Pediatric First Aid and CPR is current and will expire on 3/2024. LPA’s observed that the Licensee and her assistant do not have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. LPA advised Licensee that the training is available in Spanish and English. LPA’s guided Licensee during the inspection as to how to access the training during the inspection. No proof of Measles or Pertussis Immunizations are on file for Licensee or her assistant and Licensee was unable to provide at time of inspections. File review shows licensee was cited for not being able to provide immunizations in 2016 as well.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2022
LIC809 (FAS) - (06/04)
Page: 10 of 11
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198010952
VISIT DATE: 03/25/2022
NARRATIVE
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At 10:26 am, 2 children arrived at the facility as well as licensee’s assistant.

All 7 children’s records files were reviewed including emergency information and were observed to be incomplete. During review of children's files, LPA observed that 5 out of 7 children were missing LIC700 Identification and Emergency forms. LPA also observed that 1 out of 7 children were missing LIC627 Consent for Medical Treatment forms. LIC 995A 3 of 7 children were missing and 3 of 7 children’s files were missing immunization records. 5 of 7 children are missing TB verification. LPA discussed with licensee the importance of making sure that these forms were kept and completed in each child's file.

4 additional children arrived at the facility at 1:14 PM.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

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.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2022
LIC809 (FAS) - (06/04)
Page: 9 of 11
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198010952
VISIT DATE: 03/25/2022
NARRATIVE
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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 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.

LPA's discussed TSP (Technical Support Program) with Licensee. Per Licensee, she would like to join the program. Though she is hesitant on when the services would be provided and the time would take away in assisting children in care.

Based on the LPA’s observations and records review, the deficiencies listed on the attached LIC 809D (deficiencies page) 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 and safety.

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 Noemi Garcia.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2022
LIC809 (FAS) - (06/04)
Page: 11 of 11