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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014720
Report Date: 04/13/2023
Date Signed: 04/13/2023 04:12:16 PM


Document Has Been Signed on 04/13/2023 04:12 PM - It Cannot Be Edited

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:ALCANTAR FAMILY CHILD CAREFACILITY NUMBER:
198014720
ADMINISTRATOR:ALCANTAR, AMERICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 373-4091
CITY:SOUTH EL MONTESTATE: CAZIP CODE:
91733
CAPACITY:14CENSUS: 7DATE:
04/13/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Licensee, America Alcantar TIME COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analysts (LPA) Roxana Lopez conducted an unannounced poc (plan of correction) inspection to insured that the Type A deficiency, Type B's Deficiencies and Technical Violations cited on 3/30/2023 have been cleared and that the LIC 9224 Acknowledgment Form is on file. LPA met with America Alcantar, licensee who guided analysts on a tour of the facility. There were 7 children present- 3 being infants during this inspection. The following was observed:

- Infants sleeping in appropriate sleeping arrangements
- 3 playpens with appropriate bedding
- Updated Sleep log for infants- LPA advised Licensee that sleep log is from 0-24 months
- LIC 9227 on file
- LIC 9224 on file
- Missing immunizations on file
- LPA did not observe baby walker

LPA’s advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiencies on this date and issued POC clearance letter during the visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:
DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/13/2023
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: ALCANTAR FAMILY CHILD CARE
FACILITY NUMBER: 198014720
VISIT DATE: 04/13/2023
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A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, America Alcantar

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023
LIC809 (FAS) - (06/04)
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