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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011774
Report Date: 05/10/2019
Date Signed: 05/21/2019 11:03:28 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ALAMO FAMILY CHILD CAREFACILITY NUMBER:
198011774
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 8DATE:
05/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Gabriel Alamo, Licensee's SpouseTIME COMPLETED:
04:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Carlos Gonzalez, conducted an Annual/Random inspection on this date. LPA met with Licensee's spouse, Gabriel Alamo, who guided Analyst on a tour of the facility. LPA observed three (3) children in care at the time of inspection. Licensee Bertha Alamo, arrived a few minutes later, with five (5) additional children, for a total census of eight (8).

This is a single story home consisting of 3 bedrooms, 2 bathrooms, formal living room, kitchen, dining room, family room, and laundry area. Off-limits to children in care, are all three (3) bedrooms, master bathroom, and laundry area. Home was inspected for comfort, cleanliness, ventilation, and telephone service (land line).

Currently residing in the home are Licensee, her spouse, and two adult children. Per Licensee, there are no firearms or weapons on the premises. There is one small dog and no bodies of water were observed.

LPA observed a 3-A:40-B:C fire extinguisher, however has not been serviced since 09/06/17, per the attached service tag. The smoke and carbon monoxide detectors were tested and are operable. Licensee was in possession of a First Aid/CPR card, which expires on 08/2019. Spouse, Gabriel Alamo, was not in possession of a First Aid/CPR card.

LPA determined during inspection that Licensee has not conducted a fire/or earthquake drill. A facility roster was provided, but not current. There are age appropriate toys for children.

Incidental Medical Services (IMS) policy was discussed. Per Licensee, there are no children requiring IMS at this time.
Report continues on next page 1 of 2
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
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 5
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALAMO FAMILY CHILD CARE
FACILITY NUMBER: 198011774
VISIT DATE: 05/10/2019
NARRATIVE
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No smoking, No infant walkers, No Johnny jumpers, No exersaucers, or any other item that falls into that category.

Deficiencies are being cited in accordance with California Code of Regulations, Title 22 requirements.

Notice of Site Visit (LIC 9213) must remain posted for 30 days. Failure to maintain posting will result in a $100.00 civil penalty.

Exit interview conducted with Licensee Bertha Alamo, and appeal rights provided and explained.
Report continues on next page 2 of 2
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALAMO FAMILY CHILD CARE
FACILITY NUMBER: 198011774
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/24/2019
Section Cited
CCR
102417(a)(8)
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Operation of a Family Child Care Home - 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 being met as evidenced by: Licensee was not in possession of a current roster. This poses

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Per Licensee, she will update the facility roster and submit a current copy to LPA by the POC due date.
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a potential risk to the health and safety of 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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALAMO FAMILY CHILD CARE
FACILITY NUMBER: 198011774
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/24/2019
Section Cited
CCR
102417(g)(1)
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Operation of a Family Child Care Home - The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. This requirement is not being met as evidenced by: fire extinguisher within the home has not been serviced since

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Per Licensee, the fire extinguisher will be serviced by the POC due date. Licensee will submit proof to LPA.
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09/06/2017. This poses a potential risk to the health and safety of children in care.
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Type B
05/24/2019
Section Cited
CCR
102417(g)(9)(A)(1)
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Operation of a Family Child Care Home - Each
family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. LPA determined at the time
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Per Licensee, she will conduct a fire/or disaster drill by the POC due date. Licensee will submit proof to LPA.
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of inspection, that Licensee has not conducted a fire/or disaster drill. This poses a potential risk to the health and safety of 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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALAMO FAMILY CHILD CARE
FACILITY NUMBER: 198011774
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/24/2019
Section Cited
CCR
102416(c)
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Personnel Requirements - The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not being met as
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Per Licensee, spouse will not be left alone with children in care, until a current First Aid/CPR card has been obtained. Spouse will obtain a First Aid/CPR card by the POC due date. Licensee will submit proof to LPA.
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evidenced by: Licensee's spouse was observed alone with three (3) children in care and without possession of a First Aid/CPR card. This poses an immediate risk to the health and safety of 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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5