198014746-2-19-2020-33-CC-CGRN-BLXQJA-20200219111226

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198014746
Report Date: 02/19/2020
Date Signed: 02/19/2020 11:12:35 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:	ORTEGA FAMILY CHILD CARE		FACILITY NUMBER:	198014746
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 2	DATE:	02/19/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Gladys Oretga		TIME COMPLETED:	11:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs) Crystal Green and Bardo Baluyot conducted an unannounced case management licensee initiate inspection today. Upon arrival licensing staff met with Yesenia Urbina, Licensees’ Assistant, until Licensee Gladys Ortega arrived shortly after. Due to licensee primary language being Spanish the licensee assistant assisted with translation. The licensee is requesting a capacity increase from a small family child care home license to a large family child care home license. The licensee states that she currently has 9 children enrolled. A current children’s roster is available and is current. Licensee also has a Foster License (197806197). This is a single story, four bedroom, two bathroom home. Currently residing in the home are three adults (licensee, adult daughter Yesenia Urbina, and adult son Osvaldo Sanchez) and 1 minor child. Areas accessible to children were inspected as follows: Living room, dining area, one bathroom, one bedroom, den area, and back yard (fenced). Areas off limits include: Kitchen, three bedrooms, one bathroom, front yard and attached garage. There are 2 pet parrots (caged) located outside in the off-limit area and 3 dogs which are kept in the off-limit area indoors. Licensee states that she currently has only one assistant. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible in all areas of the home. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock. Per licensee, there are no weapons, firearms or bodies of water on the premises. There were safe toys, play equipment and materials observed for children. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are observed to be posted. Children’s records were reviewed to ensure that each child has an Identification and Emergency form and Consent for Medical Treatment on file.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

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: ORTEGA FAMILY CHILD CARE	FACILITY NUMBER: 198014746
	VISIT DATE: 02/19/2020

NARRATIVE

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The valve on the required 2A 10BC fire extinguisher indicates fully charged (last serviced on 02/05/2020). Smoke detector and carbon monoxide detector were tested and are in operable condition. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. Last drill documented was conducted on 02/03/2020. The licensee has current Pediatric First Aid and CPR, which will expire 08/2021. There are first aid supplies available.

Incidental Medical Services (IMS) policy was discussed. Per Licensee, there are no children on medication. 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

H&S 1597.622: 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. The licensee and licensee’s assistant do have proof of immunization against influenza, pertussis, and measles.

AB1207 Mandated Child Abuse Reporting(www.mandatedreporterca.com) – At this time the Licensee is currently exempt from completion due to currently only being offered in English.

Infant Care: Licensee states that she is currently caring for infants. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room. The licensee stated the following as a supervision plan for infants: Licensee states that infants always sleep in the living room with visual supervision. LPA provided Licensee with “A Caregiver Provider’s Guide to Safe Sleep”, Capacity Handout (Small & Large) and AB2370 Lead Bill flyer during this inspection.

Facility is currently in compliance with the Title 22 regulations. The licensee has an approved fire clearance on file from the LA County Fire Department. Upon return to Monterey Park Regional Office this facility will be submitted for approval for a large family child care license. LPA reminded applicant to adhere to capacity limitations and conditions listed on the license.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

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: ORTEGA FAMILY CHILD CARE	FACILITY NUMBER: 198014746
	VISIT DATE: 02/19/2020

NARRATIVE

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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.

Exit interview was conducted with Licensee and Licensee Assistant. Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

LIC809 (FAS) - (06/04)

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