198011668-7-3-2019-54-CC-DCHS-BDQNH3-20190703102805

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011668
Report Date: 07/03/2019
Date Signed: 07/03/2019 10:28:20 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	NOYOLA FAMILY CHILD CARE		FACILITY NUMBER:	198011668
ADMINISTRATOR:	NOYOLA, MARIBEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 235-0640
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	14	CENSUS: 3	DATE:	07/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Licensee		TIME COMPLETED:	11:00 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	Licensing Program Analysts (LPAs), Dayna Chambers and Tiffanie Tran conducted an unannounced annual random inspection to ensure the health and safety of Child Care according to regulations of the Department and Health and Safety codes. LPAs met with Licensee and her three minor children. About 9:30 am., LPA’s were guided on a tour, inside and outside of the home. Per licensee stated, she is currently not operating due to holiday, facility will resume on Monday July 8, 2019. LPAs did not observe any child care children. There are no changes to the home or to the off-limit areas of the family child care home. Licensee's hours of operation are 6:00am to 6:30pm Monday through Friday. All adults residing, working, and present in the home are fingerprint cleared and associated to the facility. The home is a one story, 3-bedroom, 1-bathroom home with a living room, dining room, kitchen, and enclosed back yard. The off-limit area is one bedroom located in the back. The rest of the home are accessible to children. LPAs inspected the home and observed no hazardous compounds that could pose a potential risk to children in care. Physical Plant During the inspection, LPA observed, the home neat and orderly. The home is clean, sanitary, and in good repair, no obvious hazards. For cooling, licensee uses portable AC as a source of cooling the indoor temperature. Home has a working telephone. LPA viewed safe age appropriate toys and play equipment in appropriate play areas. Licensee agrees that no baby-walkers, bouncers, jumpers, saucers and similar items will be used for children in care and are kept inaccessible. Licensee states they do not provide IMS services currently. There is appropriate napping/sleeping equipment within the napping area (dining room). Fire extinguisher and smoke detector are in operational condition. The home is equipped with a fully charged fire extinguisher which is a 2A:10BC. LPA and licensee tested the smoke detector and carbon monoxide detector which is working. First aid kit was observed. Electrical outlets are safe and appropriately covered. There are no stairs in the house. Per applicant, there are no, firearms, weapons or bodies of water on the premises.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: NOYOLA FAMILY CHILD CARE	FACILITY NUMBER: 198011668
	VISIT DATE: 07/03/2019

NARRATIVE

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UPDATE: Health and Safety Code 1596.7995: Beginning January 1, 2018, all licensed providers, applicants, directors and employees to complete training as specified on mandated reporter duties. Training is available at: www.mandatedreporterca.com
Infant Care: When Applicant states that they will care for infants. LPA advised the applicant to sleep infants where they can always be directly supervised and advised against sleeping infants in a separate room. The applicant states the following as a supervision plan for infants: Applicant states that infants will sleep in the dining room where she will be providing supervision.
LPA provided the applicant with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. Online copy can be downloaded at: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA reviewed and issued the Forms/Records to Keep in Your Family Child Care Home (LIC 311D)
Children’s Advocate:
You may contact the Child Care Advocate Program directly:
Phone number: (916) 654-1541
Email address: childcareadvocatesprogram@dss.ca.gov

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019

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: NOYOLA FAMILY CHILD CARE	FACILITY NUMBER: 198011668
	VISIT DATE: 07/03/2019

NARRATIVE

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Licensee was reminded it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations.
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. Civil Penalties will be assessed if not in compliance.
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 Pediatric First Aid and CPR certification and a valid criminal record clearance associated to the facility license.
Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License may be terminated.
Reporting Requirements: 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.
Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing.
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.
No infant walkers, No Johnny jumpers, no saucer chairs, no trampolines and any other item that falls into that category are not permitted in the facility. Smoking on the premises is prohibited.
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.
Licensees shall reveal each facility license number in all advertisements, publications or announcements with the intent to attract clients.
Liability Insurance: Per applicant, she will be obtaining liability insures. LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information.
UPDATE: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The licensee and all adults working with children have proof of immunizations.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019

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: NOYOLA FAMILY CHILD CARE	FACILITY NUMBER: 198011668
	VISIT DATE: 07/03/2019

NARRATIVE

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Kitchen Area
Kitchen area had a safety gate made inaccessible to children in care. Sharp Utensils, matches, lighters, cleaning compounds, poisons, in kitchen area are inaccessible. The cabinets in the kitchen and bathroom have safety locks. All poisons are locked in an inaccessible room.
BATHROOM
Shampoos, soaps, medications, perfumes, razors, cleaning compounds, air fresheners are not accessible and locked up in top shelf cabinets in bathroom area.
Outdoor
Outdoor play area is fenced in and free from defects or dangerous conditions. The yard was clean with age appropriate clean safe toys.
Records:
LIcensee stated the CPR was completed and will send LPA copy. Per licensee stated, Mandated Reporter training was not aware of the new exam online. I gave the licensee the website to complete the mandated reporter test online within two weeks July 15, 2019.
Children’s Forms/Records: Reviewed and completed
Following Items Discussed with Licensee:
Update on Incidental Medical Services: 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
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.
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
All adults living and working in the home must be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019

LIC809 (FAS) - (06/04)

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