198014728-2-10-2020-33-CC-TRAO-BLNQB4-20200210110056

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198014728
Report Date: 02/10/2020
Date Signed: 02/10/2020 11:01:01 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:	VAZQUEZ FAMILY CHILD CARE		FACILITY NUMBER:	198014728
ADMINISTRATOR:	VAZQUEZ, SYLVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 454-5494
CITY:	EL MONTE	STATE: CA	ZIP CODE:	91732
CAPACITY:	14	CENSUS: 0	DATE:	02/10/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:11 AM
MET WITH:	Sylvia Vazquez, Licensee		TIME COMPLETED:	11:10 AM

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ANNUAL INSPECTION CONDUCTED IN SPANISH

Licensing Program Analysts (LPAs) Thelma Razo and Mireya Garcia conducted an unannounced annual inspection to ensure the health & safety standards are met as required by regulations governing family child care homes. Upon arrival, LPAs met with Licensee Sylvia Vazquez and toured the facility. Also present in the home is Licensee's mother. There were no children present. Per Licensee there are currently eight (8) children enrolled. Individuals residing in the home are the license, spouse and licensee's mother. Licensee’s operating hours are Monday-Friday from 3:00AM through 5:30PM.

The home is a one story, 4-Bed, 2-Bath home. The following areas are used for day-care: Living Room, Dining Room area, 1 bedroom, 1 restroom, daycare room/den the kitchen and back yard. Off limit areas include: 3 bedrooms, 1 restroom and garage.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the daycare room. First Aid/CPR certificate are valid thru 12/20/2021. Licensee's disaster drill log notes last drill conducted on 09/2019. Licensee has a working telephone. However, the phone number indicated in the Licensing database is no longer working and will update current phone.

Fire extinguisher has been serviced in the last year, card on extinguisher notes September 19, 2019. There is an operational smoke detector and carbon monoxide in the home. LPAs did not observe any exposed electrical outlets. The home maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. LPAs inspected the backyard and observed it to be safe and good repair and condition. There are no pools or spas, or other bodies of water. There is a bird cage in the backyard with 7 birds.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

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: VAZQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 198014728
	VISIT DATE: 02/10/2020

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Children's Roster and Children’s Files were reviewed and current. LPAs issued the Confidential Names List (LIC811) to the Licensee during this inspection. The LIC811 documents the staff names and children's files that were reviewed during this inspection.
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. LPAs discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.
* LPAs reviewed LIC 311D with licensee, reminding her of required forms. LPAs reviewed (Sudden Infant Death Syndrome) SIDS, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.
* 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
* 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.
* PIN 19-02 CCP (Spanish) Safe Sleep Awareness Campaign was discussed and handouts given to Licensee.
LPAs advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov.
No deficiencies were cited in accordance with California Code of Regulations Title 22 Division 12.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 daysduring 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 Sylvia Vazquez to include but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. Copy of the report was provided.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

LIC809 (FAS) - (06/04)

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