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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011097
Report Date: 08/22/2024
Date Signed: 08/22/2024 04:44:40 PM


Document Has Been Signed on 08/22/2024 04:44 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:GUERRERO FAMILY CHILD CAREFACILITY NUMBER:
198011097
ADMINISTRATOR:GUERRERO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
5628033989
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:14CENSUS: 8DATE:
08/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Maria GuerreroTIME COMPLETED:
04:55 PM
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On August 22, 2024, at 3:45PM Licensing Program Analysts (LPAs) A. Carter and T. Tran conducted an Unannounced Required Annual Inspection and met with Licensee, Maria Guerrero. LPA disclosed the purpose of the inspection and was granted entry unto the facility by the licensee.

There are 7 adults living in the home. All adults in the home were found to have criminal record clearance. There were eight (8) day care children present during today’s inspection. Licensee states that there are currently eleven (11) children enrolled. The children's roster was reviewed and is current. Licensee reports that the facility’s hours of operation are Monday thru Friday from 6:30AM - 6:00PM.
The Parent Board had the following documents posted:
· License
· Parent's Rights
· Earthquake Preparedness
· Emergency Disaster Plan
The Disaster Drill log was current with the last drill conducted on May 14, 2024.
The valve on the required 2A 10BC fire extinguisher indicates fully charged with last service date of: 5/2024. LPAs observed smoke and carbon monoxide detectors to be in operable condition. Per Licensee, First Aid kit is kept in the bathroom cabinet under the sink, observed by LPAs.

This is a single story home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room and family room. LPA observed a fireplace in the maincare area per licensee it is not operable. Childcare is mainly conducted in the family room. Isolation area for sick children waiting to be picked up is in the living room area closest to the door, supervised and away from the other children. LPAs observed age appropriate toys and other age-appropriate material available such as blocks, leggos, baby dolls, and cars. LPAs observed age appropriate toys, free of loose and sharp parts.
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea CarterTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GUERRERO FAMILY CHILD CARE
FACILITY NUMBER: 198011097
VISIT DATE: 08/22/2024
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Children in care will have access to kitchen, both bathrooms, living room and family room. Per licensee, areas off limits to children and parents include all bedrooms. Per licensee, off limit areas are locked during operating hours making it inaccessible to children in care. Per licensee she provides breakfast, lunch, and snacks for children in care. 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. The home maintains telephone service via Landline. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible.

Per licensee, the children will have access to backyard area. LPAs observed age appropriate toys. LPAs observed backyard has grass and adequate perimeter fencing through-out the yard and all trees, shrubs, and plants are maintained.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, and documentation of 15-minute Infant Sleep Check (0-24 months)

Licensee records were reviewed for approved Pediatric First Aid and CPR certification, LIC-501: Personnel Record, LIC 508-Criminal Record Statement, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse and current Mandated Reporter Training Certificate.
—CPR Card valid until:07/21/24
—Mandated Reporter AB1207 Completed: 1/1/23
LPAs observed pets to be a house cat and a bird in the backyard inside a cage at time of inspection. Per Licensee, there are no weapons, or firearms in the home and there are no bodies of water around the premises. Per licensee, there are no bodies of water. LPA did not observe any bodies of water around the premises at time of inspection.
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea CarterTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
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: GUERRERO FAMILY CHILD CARE
FACILITY NUMBER: 198011097
VISIT DATE: 08/22/2024
NARRATIVE
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
LPAs discussed the safe sleep regulations with licensee [or facility representative] 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 [or facility representative] 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.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.
During the exit interview, the licensee Maria Guerrero, confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Maria Guerrero.
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Andrea CarterTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC809 (FAS) - (06/04)
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