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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014422
Report Date: 06/09/2021
Date Signed: 06/09/2021 01:45:34 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:DIAZ FAMILY CHILD CAREFACILITY NUMBER:
198014422
ADMINISTRATOR:DIAZ, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 693-3530
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:14CENSUS: 11DATE:
06/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Laura DiazTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced annual inspection to the above facility. LPA met with Laura Diaz, Licensee who guided analyst on a tour of the facility indoors and outdoors. Also present during this inspection, was Alfredo Romero, Licensee’s brother/Assistant. Per Licensee, there are 14 children that are currently enrolled. A current children’s roster was available for review. There were 11 children present upon arrival. Hours of operation are: Monday to Friday from 7:00 a.m. to 6:00 p.m. LPA observed staff and children wearing face masks, keeping a distance of 6 feet social distance, extra PPE, digital thermometer and sanitizer upon entry, and labeled cubbies due to COVID-19 preventative measures.

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, daycare room, living room, laundry room, den, garage, enclosed patio, front yard and backyard (fenced). Daycare areas include: the bathroom in the bedroom hallway, living room, daycare room, laundry room, kitchen, and backyard.. LPA observed that there is a fireplace in the living room and is barricaded and secured to wall. Per Licensee, areas off limits to children and parents include: Garage, den, enclosed patio, all three bedrooms,one bathroom in the den, bedroom hallway closet/storage closet, front yard, and gated pool. The licensee provides fresh perishable and non-perishable food in the home in a quantity to meet the needs of the next 3 meals and between meal snacks.

The licensee states that 3 additional adults and 2 children currently live in the home. Per Licensee, she currently has 1 assistant, licensee's brother. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed Child Care home. Licensee states that there are no firearms, or firing pins, stored in the home. Home maintains appropriate fire clearance. The Licensee is within the conditions, limitations, and capacity specified on the license.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety,
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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DIAZ FAMILY CHILD CARE
FACILITY NUMBER: 198014422
VISIT DATE: 06/09/2021
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comfort, and cleanliness. There is telephone service via a cellphone that is used and the cellphone stays at the facility during operation hours. There is ventilation and heating (central). Each child has individual storage space. The following was observed and reviewed during this inspection.

Detergents, medications, and other items which could pose a danger to children were observed to be inaccessible to children, and stored in latched upper cabinet in laundry room. Cleaning compounds are stored under the sink and storage closet, and latched. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. The restroom that children use was observed to be safe and sanitary.
Fireplaces and open face heaters are inaccessible to children. The valve on the required 2A 10BC fire extinguisher indicates fully charged on current fire extinguisher. LPA advised the fire extinguisher needs to be serviced yearly or purchased yearly. Licensee purchased new fire extinguisher today, 6/9/2021. Smoke and carbon monoxide detectors were tested and are operable. All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. Last fire drill was documented on 5/9/2021, and earthquake drill was documented on 6/5/2021.

The home is observed to be clean and orderly. Where children less than five years old are in care, stairs are barricaded or fenced. Stairs located outside of enclosed patio were observed to be barricaded with a metal fence. LPA observed toys available to children. Children have individual cots, and also clean linens, blankets, and pillows that are in good condition located in individual cubbies.

Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor yard. LPA observed drinking water and shade available for children in care. The licensee states that supervision is always provided. LPA observed a pool to be inaccessible by fencing, key locked and latched, and gate swinging away from pool, specified by regulation, to children in care. LPA obtained a declaration.

The licensee and other personnel have completed training on preventive health practices including Pediatric CPR and First Aid. The licensee, and licensee's brother/Assistant's Pediatric CPR and First Aid
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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DIAZ FAMILY CHILD CARE
FACILITY NUMBER: 198014422
VISIT DATE: 06/09/2021
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expires on 4/10/2023. LPA observed first aid supplies located in laundry room. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

Children’s records were reviewed, including emergency information and were observed to be complete.
LPA observed that the Licensee and Licensee's brother/Assistant have proof of immunization record. Per Licensee, due to Licensee and Licensee's brother/Assistant receiving their COVID-19 vaccination, they were unable to receive their Influenza shots. LPA observed the Mandated Reporter Training (AB 1207) expired on 4/3/2020 for Licensee and Licensee's brother/Assistant, and is not compliant.

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

Licensee has 2 dogs on the premises and they stay in gated pool area during operating hours.


LPA 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.

Licensee states does not care for infants. LPA discussed infant requirements: Every infant in care needs to have a crib or play yard who is unable to climb out of the crib or play yard. All equipment must meet the US Consumer Product Safety Commission safety standards. Each crib and/or play yard must be free from loose articles and objects. There should be no objects hanging above or attached to the side of the crib. The cribs and play yards must not hinder the entrance or exit to and from the space they are sleeping in. Mattresses must be firm and covered with a fitted sheet that is appropriate to the mattress size. Each infant must have their individual bedding that is washed weekly as required. Soiled bedding is replaced when wet or soiled and is placed in an area inaccessible to infants. Pacifiers must not be attached to anything and need to be labeled. Licensee was advised that infants shall not be swaddled while in care and all infants up to 12 months should be placed on their back for sleeping. LPA advised the licensee to sleep infants where

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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
LIC809 (FAS) - (06/04)
Page: 3 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: DIAZ FAMILY CHILD CARE
FACILITY NUMBER: 198014422
VISIT DATE: 06/09/2021
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they can always be directly supervised and advised the licensee against sleeping infants in a separate room. Licensee states that if an infant is enrolled, the infant will sleep in the living room where they are constantly supervised. Licensee states that she is not currently caring for infants. LIC 9227 (Individual Sleeping Plan) for infants up to 12 months was explained and issued to the Licensee when/if an infant is enrolled. Title 22 Regulation Section 102425(j) Infant Safe Sleep was discussed with the Licensee, including but not limited to documentation that shall be maintained. LPA 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. LPA also consulted and explained Child Abuse Reporting, Never Shake a Baby, and Safe Sleeping practices.

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.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.ccld.ca.gov.


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

Based on the LPA’s observations, interviews, 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

Exit interview was conducted with Laura Diaz, Licensee at 1:15 p.m. LPA explained and provided a copy of this report (LIC 809), Appeal Rights, and Notice of Site Visit. 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.



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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
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: DIAZ FAMILY CHILD CARE
FACILITY NUMBER: 198014422
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/16/2021
Section Cited

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Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter ...proof of completion.(4)The department shall...(b)(1)On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider...or employee...shall complete
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renewal mandated reporter training every two years... (end of regulation)
This requirement is not met as evidenced by Licensee and Licensee's brother/Assistant did not renew their training, both expiring 4/3/2020. This is 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: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2021
LIC809 (FAS) - (06/04)
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