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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011705
Report Date: 03/13/2020
Date Signed: 03/13/2020 04:07:45 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:AVILES FAMILY CHILD CAREFACILITY NUMBER:
198011705
ADMINISTRATOR:AVILES,DELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 408-2124
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:14CENSUS: 10DATE:
03/13/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Delia Aviles and Cindy AvilesTIME COMPLETED:
04:15 PM
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On March 13, 2020 at 12:50 p.m. Licensing Program Analyst (LPA) Elka Chavez and Licensing Program Manager (LPM) Claudia Guangorena conducted an unannounced Annual inspection. LPA met with Delia Aviles, licensee, who guided licensing staff on a tour of the facility. Upon arriving to the home LPA and LPM observed construction taking place in the roof of the home. Licensee stated that solar panels were being installed. Also present during this inspection was Licensees Assistant, Cindy Aviles. There were 10 children present, 1 being an infant. Licensee states that there are currently 10 children enrolled, Children's roster was reviewed and is current. Per licensee operating hours are from 6:30 AM - 6:00 PM, Monday - Friday.

This is a single story home which consists of 3 bedrooms, 3 bathrooms, kitchen, dining room, living room, a fireplace which was observed to be inaccessible, attached garage and backyard fenced. LPA and LPM observed a properly barricaded pool. LPA and LPM observed a tear in one of the seams of the mesh fencing barricade. Licensee stated that she will repair the tear with a kit that came with the mesh fence. LPA and LPM observed two gates leading to the pool. LPA observed the entrance located on the left side of the backyard swings away from the pool. LPA and LPM did not observe the second door located on the right side of backyard not to swing away from the pool. The children use the living room, dining room, kitchen, attached garage, bathroom located inside the garage, guest bathroom adjacent to the kitchen and bathroom located near the main entrance. LPA observed a small dog inside the home in the attached garage. Licensee stated that the dog is usually kept outside but is inside due to the rain. Per licensee, areas off limits to children and parents include: 3 bedrooms, the front part of the garage adjacent to backyard. LPA and LPM observed wooden sliding doors preventing access to children in care to the other side of the garage which is used as a laundry room. The front yard is off limits.

The licensee provides food for children in care. The licensee states that 3 adults and 1 child live in the home.
Licensee states that she currently has one assistant. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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 4
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: AVILES FAMILY CHILD CARE
FACILITY NUMBER: 198011705
VISIT DATE: 03/13/2020
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Licensing staff toured all areas used by children during this visit. Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for safety and comfort. There is a working telephone service maintained in the home. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible in all areas of the home. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock.

Per licensee, there are no weapons or firearms on the premises. There were safe toys, play equipment and materials observed for children. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are observed to be posted. Children’s records were reviewed to ensure that each child has an Identification and Emergency form and Consent for Medical Treatment on file. The valve on the required 2A10BC fire extinguisher indicates fully charged. LPA and LPM did not observe a service tag but is fully charged.. Smoke detector and carbon monoxide detector were tested and are in operable condition. 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 03/02/2020. The licensee and assistant have current Pediatric First Aid and CPR, which will expire 02/2022.

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
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: AVILES FAMILY CHILD CARE
FACILITY NUMBER: 198011705
VISIT DATE: 03/13/2020
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AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com .

PROHIBITED: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that falls into these categories are not permitted in a family child care facility. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME.

Infant Care: Licensee states that she is currently caring for infants. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov

LPA issued a Confidential Names List (LIC 811) to the licensee which documents staff and children’s files reviewed during this inspection.

Based on the LPA's 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.

Exit interview was conducted with Licensee. The Licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: AVILES FAMILY CHILD CARE
FACILITY NUMBER: 198011705
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2020
Section Cited

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102417 Operation of a Family Child Care Home. All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence. ... This requirement was not met as evidenced by:
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LPA and LPM observed only one gate to swing away, self close and latch away from the pool.There are two gates that provide access to pool. The one gate that swings toward the pool needs to have the gate opening changed to swing away from pool. This poses a potential health and safety risk to children in care.
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Type B
03/13/2020
Section Cited

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102416.3 (a) Alterations to Existing Buildings or Grounds Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, ...
This requirement was not met as evidenced by:
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LPA and LPM observed solar panels being installed in the home and the attached garage has been divided into two sections by large wooden sliding doors. 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: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/13/2020
LIC809 (FAS) - (06/04)
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