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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011174
Report Date: 07/19/2019
Date Signed: 07/19/2019 05:34:51 PM

COMPREHENSIVE INSPECTION
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:FIALLOS FAMILY CHILD CAREFACILITY NUMBER:
198011174
ADMINISTRATOR:FIALLOS, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 232-3292
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:14CENSUS: 12DATE:
07/19/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Rosa Fiallos, LicenseeTIME COMPLETED:
05:45 PM
NARRATIVE
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 THIS INSPECTION WAS CONDUCTED IN SPANISH
Licensing Program Analysts (LPAs) Rita Ramos and Denise Gibbs conducted an unannounced annual random inspection to the above facility. LPAs met with Rosa Fiallos, Licensee, who guided analysts on a tour of the facility.

Upon entering the facility LPAs observed a Female Adult and a Male adult in the home with the children in care. LPAs asked the Licensee who the adults in the home were. Licensee stated that the female adult was "Veronica Oliva." LPAs asked "Veronica" for their identification, however, "Veronica" stated that they did not have one. LPAs asked "Veronica for their date of birth and "Veronica did not know their date of birth and admitted that their name is not Veronica Oliva it is actually Aura Magali Godoy. There is no Aura Magali Godoy associated to the facility. This poses an immediate health and safety risk to children in care. A $500 civil penalty is being assessed during today's visit. Per Aura Magali Godoy, they have been working at the facility for 2 months and the Licensee had instructed them that if Licensing were to visit the facility, they are to give a false name of Veronica Oliva.

The adult male that was present upon arrival immediately left the facility from the back door when LPAs entered the home. LPAs asked Licensee who the adult male in the home was. Per Licensee, the male adult in the home is Deandre Fiallos, Licensee's nephew. Licensee then changed their answer and stated it was their grandson. There is no one by the name of Deandre Fiallos associated to the facility. This poses an immediate health and safety risk to children in care. A civil penalty of $100 is being assessed during today's visit.

LPAs inspected the backyard and noticed that another female adult was present. The identification of the second female adult indicates that they are Magaly Montenegro. Per Magaly Montenegro, they are an Assistant. LPAs observed that Magaly Montenegro is associated to the facility. ----Page 1 of 5
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
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 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2019
Section Cited
CCR
102370(d)(1)
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Criminal Record Clearance
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption
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Per Licensee, Aura Magali Godoy will be fingerprinted and will not be present until they are cleared.
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as required by the Department. This requirement is not met as evidenced by LPAs observing that Assistant Aura Magali Godoy does not have a criminal record clearance. This poses an immediate health and safety risk to children in care. A $500 civil penalty is being assessed.
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Type A
07/19/2019
Section Cited
CCR
102370(c)
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Criminal Record Clearance
(c) All individuals subject to a criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury.
This requirement is not met as evidenced by LPAs observing that adult male was
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Per Licensee, Deandre Fiallos will be fingerprinted and will not be present until cleared.
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present with children in care and ran off. Per Licensee, the male adult is Deandre Fiallos and does not have a criminal record clearance. This poses an immediate health and safety risk to chidlren in care. A $100 civil penalty is being assessed.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 6 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
VISIT DATE: 07/19/2019
NARRATIVE
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There were 12 children present during the inspection. Per Licensee, there are 14 children currently enrolled. A current children’s roster was not available for review. This poses an potential health and safety risk to children in care.

This is a two-story home which consists of 3 bedrooms, 1.5 bathrooms, kitchen, dining room, living room, front yard and backyard (fenced). Main care is provided in the living room and dining room areas. When inspecting the home, LPAs observed that 5 children were sleeping in both the living room and the dining room. However, LPAs observed that there was 7 children in one of the bedrooms. LPAs advised the Licensee that according to records submitted to the Department, Licensee 3 bedrooms are suppose to be off-limits. This poses a potential health and safety risk to children in care. LPAs inspected the Licensee's bedroom since it was left open and unlocked. LPAs advised the Licensee to lock or latch the bedrooms to ensure that they are inaccessible to children in care. LPAs inspected the third bedroom located upstairs to ensure that there were no other unclear adults in the home. The facility operates Monday through Saturday 6:30AM to 6:30PM.

Per Licensee, the children use the bathroom located downstairs. Upon LPAs inspecting the bathroom, LPAs observed cleaning compounds and personal hygiene products accessible to children in care. When LPAs asked Licensee what chemical was inside a bottle of spray, Licensee stated that it was just an "aroma" spray. LPA Ramos informed Licensee that an aroma spray can still be considered a chemical. LPA Ramos opened the bottle of "aroma" spray, smelled it, and sprayed their hand to confirm that it was indeed a cleaning compound. LPA Ramos informed the Licensee that the spray is not an "aroma" spray. Licensee then admitted that yes it is a cleaning compound.

LPAs observed that there is no fireplace. The licensee provides food for children in care.

The licensee states that 2 adults and no children currently live in the home. Per Licensee, she currently has two assistants. Licensee admitted that they previously had an assistant by the name of Veronica Oliva, however, her two new assistant are Aura Magali Godoy and Magaly Montenegro. Licensee states that there are no firearms or weapons stored in the home.

LPAs observed that the bedroom in which the children were in was not clean and orderly. LPAs further observed that there is a closet that is accessible to children in care because it is missing ---Page 2 of 5
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 2 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/02/2019
Section Cited
HSC
1596.7995(a)(1)
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Employees or volunteers at day care center; immunization requirements; records; exemptions
(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and
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Per Licensee, copies of immunization records will be submitted by POC due date of 08/02/19.
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measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by LPAs observing that the Licensee does not have proof of measles vaccine and the two assistant do not have proof pertussis, measles, and influenza. This poses an immediate health and safety risk to children in care.
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Type B
08/02/2019
Section Cited
CCR
102417(g)(8)
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Operation of a Family Child Care Home
(g)(8)Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
This requirement is not met as evidenced by LPAs observing that the facility roster was not current and 7 children were missing
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Per Licensee, a copy of an updated roster will be submitted by POC due date of 08/02/1.
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from the roster. This poses a potential health and safety risk to children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 9 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/02/2019
Section Cited
CCR
102417(g)(1)
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Operation of a Family Child Care Home 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 Marshal.
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Per Licensee, the fire extinguisher will be serviced and a copy of the receipt will be submitted by POC due date of 08/02/19.
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This requirement is not met as evidenced by LPAs observing that the fire extinguisher has not bee serviced. This poses a potential health and safety risk to children in care.
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Type B
08/02/2019
Section Cited
CCR
10241(b)
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Child's Records
(b)The licensee shall maintain, in each child's record, a copy of the emergency information card required in Section 102417(g)(7).

This requirement is not met as evidenced
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Per Licensee, the files will be reviewed and completed.
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by LPAs observing that children's files are not complete and are missing emergency information. This poses a potential health and safety risk to children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 10 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
VISIT DATE: 07/19/2019
NARRATIVE
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LPAs issued a Confidential Names List (LIC 811) to the licensee which documents staff and children’s files reviewed during this inspection. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. Last drill documented was conducted on 01/26/19. LPAs advised the Licensee to make sure that they conduct a fire and disaster drill within the next few days.

There are no pets on the premises.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

LPAs did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that fall into these categories are not permitted in a family child care facility.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

LPAs provided the licensee with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS. LPAs also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, and Safe Sleeping practices.

Incidental Medical Services (IMS):
The licensee states that she does not provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.
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. -----------Page 4 of 5
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 4 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/02/2019
Section Cited
CCR
102417
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Operation of a Family Child Care Home
(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.
This requirement is not met as evidenced by LPAs observing that children were in a bedroom that was not clean and orderly.
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Per Licensee, the home will be cleaned, the bedroom will be cleaned and organized.
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Children also have access to a closet that is open and accessible because it has no door and it is not orderly. The living room has baskets of clothes and a box of empty containers that are stacked up. This poses a potential health and safety risk to children in care.
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Type B
08/02/2019
Section Cited
CCR
10236(b)(9)
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Application for Initial License
Evidence of a current tuberculosis clearance, not more than one year prior to or seven days after initial presence in the home, for any adult in the home during the time that children are under care.
This requirement is not met as evidenced by
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Per Licensee, the assistant will obtain records of tuberculosis. A copy of the records will be submitted by POC due date of 08/02/19.
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LPAs observing that Assistant does not have proof of tuberculosis clearance. This poses a potential health and safety risk to children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 8 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
VISIT DATE: 07/19/2019
NARRATIVE
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a door. The closet was observed to not be orderly and there were more hygienic products stored at the bottom on the floor. The living room was observed to have baskets of clothes laying around and a box of plastic containers stacked up. This poses an immediate health and safety risk to children in care.

Upon inspecting the kitchen, LPAs observed that the Licensee stores Raid (roach killer) in an unlocked cabinet. This poses an immediate health and safety risk to children in care (pictures were taken). The valve on the required 2A 10BC fire extinguisher indicates fully charged however, has not been serviced for the 2019 year. It was last serviced on 07/10/18. This poses a potential health and safety risk to children in care. Smoke and carbon monoxide detectors were tested and are operable.

There is a child safety gate which keeps stairs inaccessible to children. There are toys and other age appropriate material available for children. Children nap on mats in the living room and in the dining room. An infant was observed to be sleeping in a crib.

Currently, children are using the front yard for outdoor play. The outdoor play area was observed to be fenced. LPAs observed that the outdoor yard has toys and other materials for children to play with. LPAs did not observe any objects that can pose a danger to children on the outdoor yard. There are no pools or spas, or other bodies of water. LPAs did observed to apartments located in the backyard. Per Licensee, the two apartments in the backyard have a different address than the facility. Per Licensee that two apartments have addresses of 822 and 822 1/2 W. 42nd Street, Los Angeles, A 90037.

The Licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 09/29/20. There are first aid supplies available.

Children’s records were reviewed, including emergency information and were observed to be incomplete. This poses a potential health and safety risk to children in care.

The licensee does not have proof of immunization against measles and the two assistants do not have proof against measles, pertussis, and influenza. In addition, one assistant, does not have proof of tuberculosis. This poses a potential health and safety risk to children in care.
--------------Page 3 of 5
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 3 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
VISIT DATE: 07/19/2019
NARRATIVE
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LPAs advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

Capacity Handout (Small & Large) was provided during this inspection.

Based on the LPAs observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency 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 & safety.

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

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the Licensee.

Exit interview was conducted with Rosa Fiallos, Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights. Appeal Rights and Acknowledgement forms given in English and Spanish.

----------Page 5 of 5

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
Page: 5 of 10
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: FIALLOS FAMILY CHILD CARE
FACILITY NUMBER: 198011174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2019
Section Cited
CCR
102417(g)(4)
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7
Operation of a Family Child Care Home
(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.
This requirement is not met as evidenced
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Per Licensee, the poison will be locked and the cleaning products and hygienic products will be removed.
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by LPAs observing cleaning compounds in the restroom and unlocked Raid (roach killer) in the kitchen cabinet. Hygienic products were also accessible in the restroom and at the bottom of an open, doorless closet. This poses an immediate health and safety risk to children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
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