198010957-9-4-2019-33-CC-JHUA-BFPN2N-20190904100502

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198010957
Report Date: 09/04/2019
Date Signed: 09/04/2019 10:05:12 AM

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:	AGUIRRE FAMILY CHILD CARE		FACILITY NUMBER:	198010957
ADMINISTRATOR:	AGUIRRE, ROSALVA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 693-4413
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90605
CAPACITY:	14	CENSUS: 5	DATE:	09/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:22 AM
MET WITH:	Rosalva Aguirre		TIME COMPLETED:	09:31 AM

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	An Annual Random inspection was conducted by Licensing Program Analyst, Jennifer Hua. LPA met with licensee. LPA toured child care areas. This is a single story home. Residing in facility are 3 adults and 0 children. Child care areas were inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Day care days & Hours: M-F 630 AM-6 PM. Assistant Nadia Torres was also present and was with 2 children upon LPA's arrival. Licensee arrived about 10 minutes later. Assistant Olivia Marquez arrived during visit. Areas used by children were inspected as follows: Day care room, Bathroom, and Back Yard Per licensee, there are NO weapons, firearms, swimming pool or spa on the premises. The backyard is adequately fenced. There are age appropriate toys and equipment on the premises. The smoke detectors, carbon monoxide and fire extinguisher (2A 10BC) are in operable condition. Fire extinguisher was purchased on 5/1/19 as observed on the receipt. Licensee is current in Pediatric CPR/First Aid. Certificate expires on 8/21/20. Assistant Nadia's certificate expires on 10/31/19. Areas off limits include: Kitchen, living room, dining room, 2 bedroom, master bed with/bath, 1 bath room, and front yard.Rooms that are off-limits need to be made inaccessible during operating hours. Child Care Roster, Disaster Plan, Emergency Disaster Drill and Children's Records were reviewed. Drills were conducted on 8/21/19 as observed on drill log. Children/staff records and required licensing forms were discussed as well as mandated child abuse reporting and criminal records clearance (finger prints and child abuse clearance) requirement. Affidavit Liability Insurance form in files reviewed.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

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: AGUIRRE FAMILY CHILD CARE	FACILITY NUMBER: 198010957
	VISIT DATE: 09/04/2019

NARRATIVE

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The following was discussed: Individuals who are 18 years of age or older living/working in the home must be finger print cleared prior to being on the premise. Individuals within one month of their 18th birthday must be fingerprinted immediately. The existing, immediate $100 per individual Civil Penalty has been increased to an immediate $100 per day Civil Penalty, for a maximum of five days for the first violation and a maximum of 30 days for subsequent violations. If an individual has a clearance with the Department a criminal record clearance may be transferred. LIC 9182 Criminal Background Clearance Transfer Request may be used.
No smoking, No infant walkers, Johnny jumpers, exersaucers and any other item that falls into that category, earthquake – fire, disaster drills and safety, posting requirements, children records requirements, mandated child abuse and injury/ death reporting, criminal records, child abuse clearance and criminal records transfer requirements, SIDS, Never Shake A Baby. Per licensee, no infants enrolled.
· Dog(s) and or pets should be isolated from children in care. A medium size dog is gated away from day care
· It is recommended that a First Aid kit be available on premises.
---100% Outdoor supervision is required at all times.
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
AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/ Licensee stated she completed training but unable to locate certificate.
--INTERNET ADDRESS: http://www.ccld.ca.gov – To access licensing forms, updates and Title 22.
An exit interview conducted with licensee, appeal rights,Notice of Site Visit was posted during this visit. Notice of Site Visit must be posted for 30 days. Failure to post required visit reports for 30 consecutive days will result in immediate civil penalty assessment of $100.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

LIC809 (FAS) - (06/04)

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