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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015349
Report Date: 10/20/2022
Date Signed: 10/20/2022 01:20:36 PM

Document Has Been Signed on 10/20/2022 01:20 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SALMERON FAMILY CHILD CAREFACILITY NUMBER:
198015349
ADMINISTRATOR:SALMERON, SILVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
3238673929
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 3DATE:
10/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:Silvia Salmeron, LicenseeTIME COMPLETED:
01:35 PM
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On Thursday, October 20, 2022 at 10:38 a.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with Licensee Silvia Salmeron who guided LPA Rivera on a tour of the facility.

During the inspection, 3 preschool children were present and assistant. Family members residing in the home has been discussed with licensee and have obtained a criminal record clearance or exemption. Operating hours are Monday to Friday, 8:00 a.m. to 6:00 p.m and care for children ages 0 to 13 years.

This facility is a one-story home that consists of one bedroom, one bathroom, kitchen, living room, and front/side yard and backyard (fenced and gated). Areas that are accessible to children and identified on the facility sketch were inspected by LPA Rivera; living room, bathroom, kitchen, and front/side yard. Areas off limits to children include- bedroom and backyard.

At approximately 10:59 a.m., LPA Rivera inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone/land line). For ventilation, LPA Rivera observed ceiling fans, AC and one wall heater located in the living room. LPA observed the wall heater with a screen protector. LPA observed the furniture and children materials to be in good condition and age appropriate. LPA obtained a copy of the children's roster.

At approximately 11:13 a.m, LPA Rivera entered the restroom and observed a toilet, hand washing sink, hand soap and paper towels. LPA did not observe any hazards and observed the restroom and hand washing sink area to be in good condition.

During the visit, a head start coach from Crystal Stairs arrived to conduct coaching session with licensee.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SALMERON FAMILY CHILD CARE
FACILITY NUMBER: 198015349
VISIT DATE: 10/20/2022
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At approximately 11:17 a.m., LPA observed cleaning compounds items stored inside the bottom kitchen sink cabinet with a child proof lock making it inaccessible for children to open. Knives and sharp objects, LPA observed the items inside the kitchen drawer with child proof lock making it inaccessible for children to open the drawers. For drinking water, LPA observed a water dispenser and disposable cups. Licensee is currently enrolled with California Adult Child Care Food Program. Currently the facility does not have any children with food allergies or medication.

LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has no pets, no body of waters, no firearms, no weapons or poisons. LPA did not observed, pets, firearms, weapons, poisons nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.



At approximately 11:26 a.m., LPA Rivera observed the correct 2A10BC fire extinguisher located in the kitchen and the valve on the green area indicating fully charged and serviced on 9/10/21. LPA informed the serviced tag has expired. LPA observed the smoke detector in the living room and the carbon monoxide in the hallway. Both detectors were tested and are operable. LPA observed the first Aid complete with band aids, gauzes, adhesive bandages and antiseptic wipes and located in the living room. LPA observed the fire/earthquake drill log and last drill conducted on 8/26/22.

At approximately 11:37 a.m., LPA Rivera inspected the outdoor area (front and side yard) used by children for safety, comfort and cleanliness. LPA observed the equipment to be age appropriate and in safe condition, free of sharp, no loose or pointed parts. LPA observed the front gate closed.

LPA observed licensee Pediatric First Aid/ CPR certification dated 7/8/21, Health and Safety (8 hour) certification dated 6/28/2009 and has completed the AB 1207 Child Abuse Mandated Reporting training on 11/19/2020. Licensee has proof of immunization against Pertussis, MMR and Influenza declination. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

At approximately 12:05 p.m., LPA reviewed child #1 file. LPA observed child #1 file to be complete. LPA also reviewed licensee and staff files and observed the files to be complete.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SALMERON FAMILY CHILD CARE
FACILITY NUMBER: 198015349
VISIT DATE: 10/20/2022
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Safe Sleep: LPA discussed the safe sleep regulations with licensee Silvia Salmeron and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Silvia of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at also explained to licensee that car seat, stroller are only and only for https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA Rivera also reviewed Sudden Infant Death Syndrome (SIDS), Never Shake A Baby, and Lead Exposure information with licensee. Car seats are only used for transportation, highchair is only and only for feeding and stated items cannot be misused. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, and any other item that falls into this category are not permitted in a family child care facility.



Medication: 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

Criminal Record Statement: Licensee Silvia Salmeron was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



Licensee has been given a Technical violation for having the fire extinguisher service tag expired.

A notice of site visit was given and posted and must remain posted for 30 days.

Exit interview conducted and report was reviewed with licensee Silvia Salmeron.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
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