198011080-3-2-2021-54-CC-AJLO-BYR2QB-20210302163541

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011080
Report Date: 03/02/2021
Date Signed: 03/02/2021 04:36:21 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MONTERROSO FAMILY CHILD CARE		FACILITY NUMBER:	198011080
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 8	DATE:	03/02/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maria Monterroso, Licensee		TIME COMPLETED:	03:30 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	Tele-inspection Conducted in Spanish Due to COVID-19 precautions, this Case Management inspection was conducted by tele-inspection by the use of FaceTime. The tele-inspection was conducted with Licensee Maria Monterroso for the purpose of capacity increase of the Family Child Care Home application submitted to the department. LPA was taken on a tele-inspection tour of the home of both indoors and outdoors by licensee Maria Monterroso at 1:07pm. Family members residing in the home have been noted and have fingerprint clearances. During the inspection, LPA observed 8 children in care. Operating hours will be Monday to Friday, 6:00 AM to 6:30 PM as per the LIC 279 submitted with a signature dated 11/20/2020. The department received a granted fire clearance dated 01/14/2021. All areas identified on the facility sketch were inspected. This home is a one story home that consists of four (4) bedrooms, two (2) bathrooms, kitchen, living room, front yard, backyard (fenced) and garage. On-limit areas: 3 bedrooms (day care rooms), kitchen, dining area, one bathroom located in the hallway next to day care room (working toilet, paper towels, hand soap and running water available and hand-washing poster available), and backyard. Per licensee, children will utilize the backyard (fenced). Off-limit areas: Licensee's master bedroom which includes master bathroom and living room which was observed at 1:20pm to be blocked off to prevent access. The licensee was advised that areas that are off limits must be made inaccessible during operating hours. Areas that will be used by the children were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are placed in cabinets and are inaccessible to children by the use of child proof locks.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTERROSO FAMILY CHILD CARE	FACILITY NUMBER: 198011080
	VISIT DATE: 03/02/2021

NARRATIVE

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LPA observed at 1:40pm a un-used fire pit with a fencing and locking mechanism to prevent children from gaining access. Per licensee, there are no pets, firearms, weapons or bodies of water on the premises. LPA did not observe any bodies of water on premises.

LPA observed age appropriate toys and napping equipment for the children. Fire extinguisher located in the front day care room and the valve on the required 2A10BC fire extinguisher indicates fully charged and was serviced in December 2020 as per the tag. Smoke and carbon monoxide detectors were tested by licensee and are operable. First Aid kit is available; and located in a cabinet in day care room.

At 2:00pm, LPA requested for pediatric First Aid/CPR certification, but licensee could not provide at the time of inspection. The licensee has proof of immunization against influenza, pertussis, and measles. LPA also requested a copy of the Lead Training Certificate, however, licensee could not provide proof at the time of tele-inspection. LPA also requested a copy of the Mandated Reporter Training Certificate, however, licensee could not provide at the time of tele-inspection. The applicant was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com.

Licensee was advised that before the department can grant the requested capacity increase, licensee needs to submit the following documents by Close of Business (COB) March 12, 2021:

1. Proof of CPR/First Aid
2. Mandated Reporter Training Certificate
3. One-hour Lead Training Certificate

The following was discussed with licensee:
Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.

In the absence of the Licensee, a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTERROSO FAMILY CHILD CARE	FACILITY NUMBER: 198011080
	VISIT DATE: 03/02/2021

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A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility. Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License shall be terminated.

The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.

Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. Fire and safety drills must be performed every six months and documented for review by the Department. Smoking is prohibited in a family child care home. Children and Staff records must be maintained and updated as needed and must be available for review by the Department. Baby walkers, saucer chairs, bouncers or any similar items are prohibited. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed.

All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.

· Dog(s) and/or pets should be isolated from children in care.
· It is recommended that First-Aid kits be available on premises.
· Outdoor supervision required at all times. If outdoor area not adequately fenced, provider must be with children at all times when outdoors.

There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1. Upon receipt the Licensee shall post the Notice of Site Visit. This report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview was conducted with licensee, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Applicant via email with a read receipt or confirmation of receipt of email, which will act as the Applicants signature.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

LIC809 (FAS) - (06/04)

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