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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014471
Report Date: 05/21/2019
Date Signed: 05/23/2019 11:08:08 AM

COMPREHENSIVE INSPECTION
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:SOLANO FAMILY CHILD CAREFACILITY NUMBER:
198014471
ADMINISTRATOR:SOLANO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 291-5796
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY:14CENSUS: 5DATE:
05/21/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Maria Solano TIME COMPLETED:
02:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced random inspection. Upon arrival LPA met with Maria Solano, Licensee who guided analyst on a tour of the facility. Hours are Monday-Friday 8AM-6PM. Licensee provides care for children aged 0 months to 10 years old.

All areas identified on the facility sketch that children use, were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating. This is a one story home which consists of 2 bedrooms, 1 bathrooms, kitchen, dining room, living room, den/activity, garage, front yard (fenced) and backyard (fenced).

Areas used by children: Bathroom in the hallway, living room, dining room, den/activity room and front yard.
Off limits to children and parents: 2 bedrooms, garage, laundry room and backyard. The children will only use the front yard for outside play.

PHYSICAL PLANT- Detergents, cleaning compounds, medications, and other items which could pose a danger were observed to be inaccessible to children during this visit. Cleaning compounds and medication are inaccessible to children. The Licensee states that poisons will be locked in the laundry room.

There are no fire places and heating is central. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 10/28/18, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. LPA observed a smoke detector and carbon monoxide detector in the home. Per posting board Licensee's CPR is valid until 02/2021. Last disaster/emergency drill conducted with children was on 03/11/2019 per drill log observed. LPA observed no bodies of water. Licensee stated there are no firearms in the home. There are two dogs that reside in the off limits back yard.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
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: SOLANO FAMILY CHILD CARE
FACILITY NUMBER: 198014471
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2019
Section Cited
HSC
1597.622
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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. LPA observed licensee and assistant in the home
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Licensee stated she will make arrangements to obtain immunization records by the POC date.
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did not have immunization records available during the inspection. This is a potential 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: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
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: SOLANO FAMILY CHILD CARE
FACILITY NUMBER: 198014471
VISIT DATE: 05/21/2019
NARRATIVE
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The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting. During the inspection the Licensee and her assistant did not have proof of immunization records available. This is a potential risk to children in care.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.

Deficiencies were cited on this inspection in accordance with title 22 regulations. See 809D.

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs.

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit 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 Maria Solano. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
LIC809 (FAS) - (06/04)
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