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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012075
Report Date: 07/01/2019
Date Signed: 07/01/2019 04:24:09 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:OCHOA FAMILY CHILD CAREFACILITY NUMBER:
198012075
ADMINISTRATOR:OCHOA, ELPIDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 369-8560
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:14CENSUS: 11DATE:
07/01/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Maria OchoaTIME COMPLETED:
04:30 PM
NARRATIVE
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An unannounced random inspection was conducted on this date by Licensing Program Analyst (LPA) Jennifer Hua. Upon LPA's arrival, there were two adults present, Licensees Elipidia & Maria Ochoa, who were with fourteen (11) children.

Licensee's days and hours of operation are Mon.-Fri., 6:00 A.M.-6:00 P.M. There are fourteen (12) children currently enrolled. The family members residing at the facility are 5 adults and 0 minor. Co-licensee Maria Ochoa guided LPA on a tour of the residence, both inside and outside.

This is a two-story home with six bedrooms and four bathrooms. All child care areas identified on the Facility Sketch were inspected in the following order (inside): the family room, the "classroom," the "nap room" (which is a bedroom,) the kitchen, the bathroom used by the day care children, the backyard.

The areas designated as off-limits are: the living room, five bedrooms, three bathrooms, and the garage. The garage is detached. The living room, bedrooms and bathrooms are rendered off-limits by a baby gate which is placed between the kitchen and the part of the house which contains the living room and which leads to the second story. The off-limit areas were thus NOT inspected during today's inspection.

There are working smoke detectors in the areas which are used by the day care children: .
There is a carbon monoxide detector plugged into an outlet in the family room, at the door of the "nap room," There are age-appropriate toys and napping equipment on the premises. The children play outdoors in the backyard. All individuals present, working, or residing in the home have a criminal record clearance and are associated to the facility. The last earthquake/fire drill was run on 5/17/19.

Both licensees have current pediatric CPR/First Aid Certificate that will expire on 3/10/20.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
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 3
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: OCHOA FAMILY CHILD CARE
FACILITY NUMBER: 198012075
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/08/2019
Section Cited
HSC
1597.622(a)(1)
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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. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. The requirement is not met as evidenced by: LPA
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Per licensee, will locate copy of record and submit copy to LPA by the POC due date of 7/8/19
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observed co-licensee Elpidia does have record of the MMR. This poses a potential risk to the health and safety of children in care.
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Type B
07/02/2019
Section Cited
CCR
102417(g)(8)
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Operation of a Family Child Care Home. The home shall have a current roster. The requirment is not met as evidenced by: Per licensee, roster is not updated. This poses a potential risk to the health and safety of children in care.
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Licensee was updating roster during visit. Per licensee, roster will be updated as needed to ensure compliance.
Type B
07/02/2019
Section Cited
CCR
102421(a)
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Child'S Records. The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). The requirement is not met as evidenced by: LPA observed 1 child's file lack form LIC 627 & LIC 995A. This poses a potential risk to the health and safety of children in care.
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Per licensee will have parent sign at pick up and maintain forms in file.
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: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OCHOA FAMILY CHILD CARE
FACILITY NUMBER: 198012075
VISIT DATE: 07/01/2019
NARRATIVE
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During today's inspection, children files were reviewed for completeness. Child Care Liability insurance policy observed and will expire on 7/10/19. Licensee's Parent Board is directly in front of the entryway; all of the required postings were observed. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation (there is central heating and air-conditioning and a wall A/C and heater in the "classroom"), inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children.

Licensee Maria has completed the Mandated Reporter Training on 1/10/18. Certificate observed. Licensee was informed to have her Co-Licensee (Mom) to complete the Mandated Reporter Training on department website at http://www.mandatedreporterca.com/ when training is available in her language. Licensee Maria Ochoa has MMR/DTAP record. Co-Licensee Elpidia has record of DTAP but unable to locate the MMR record during this visit.

Licensee provides all food. Per Licensee, there are no firearms or weapons on the premises. There are no bodies of water on premise. There is a fire extinguisher, size 3-A:40-B:C, which is mounted on a wall in the family room; it was last serviced 1/16/19.

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) 514-0388 (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 is being cited in accordance to Title 22 of the California Code of Regulations and/or Health and Safety Code. Please refer to 809D for documentation of deficiencies.

An exit interview has been conducted with licensee, and a copy of this report has been signed by and provided to Licensee Maria Ochoa. Appeal Rights and procedures provided and explained to Licensee as well. Notice of Site Visit was provided and posted by entry way.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3