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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015824
Report Date: 04/06/2023
Date Signed: 04/06/2023 01:20:38 PM


Document Has Been Signed on 04/06/2023 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:SOSA FAMILY CHILD CAREFACILITY NUMBER:
198015824
ADMINISTRATOR:SOSA, MARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 235-0637
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:14CENSUS: 3DATE:
04/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Martha Sosa, LicenseeTIME COMPLETED:
01:33 PM
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On Thursday, April 6, 2023, at 10:15 a.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Martha Sosa who guided LPA Rivera on a tour of the facility.

During this inspection, 3 children were present. LPA Rivera observed 3 children playing outside. Family members residing in the home was discussed with licensee and are background cleared. Operating hours are Monday to Sunday, 12:00 a.m. to 11:59 p.m., and care for children ages 0 to 13 years.

All areas identified on the facility sketch were inspected by LPA Rivera. This is a one single story home which consists of three bedrooms, office room, dining room, two bathrooms, kitchen, living room, front and back yard. Areas that are accessible to children and identified on the facility sketch are living room, dining room, kitchen, bathroom (located in the kitchen) and backyard.

Areas off limits to children include: three bedrooms, office room and bathroom located in the master bedroom and front yard. LPA observed the bedroom doors closed locked and a child proof round ball on the doorknobs .

At approximately 10:23 a.m., LPA observed license, LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, LIC 999 Facility sketch, LIC 9148 Earthquake Preparedness Checklist posted on the wall near the main entrance.

At approximately 10:31 a.m LPA Rivera, inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone and land line). For ventilation, LPA observed ceiling fans and a portable fan heater. LPA Rivera entered the daycare area and observed the furniture, children materials, and mats to be in good condition and age appropriate.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2023
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SOSA FAMILY CHILD CARE
FACILITY NUMBER: 198015824
VISIT DATE: 04/06/2023
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At approximately 10:31 a.m LPA Rivera, inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone and land line). For ventilation, LPA observed ceiling fans and a portable fan heater. LPA Rivera entered the daycare area and observed the furniture, children materials, and mats to be in good condition and age appropriate.

At approximately 10:39 a.m., LPA observed cleaning compounds items stored inside the bottom kitchen sink cabinet with a child proof lock in place making it inaccessible to children to open. Knives and sharp objects are stored inside the kitchen drawer and LPA observed all drawers with child proof locks in place making it inaccessible to children to open the drawers. For drinking water, LPA observed a water dispenser and children personal water cups. Licensee provides the meals and is enrolled in for food program. During this visit licensee has no infants enrolled or children with food allergies or prescribed or non-prescribed medication.

LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has one Yorkie dog (indoor dog), and poisons solutions stored in the basement. At 11:08 a.m.,LPA observed the basement screen door closed and locked (deadbolt). LPA did not observe the Yorkie dog, firearms, or weapons nor water 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 10:45 a.m. LPA Rivera observed the required 2A10BC fire extinguisher located in the hallway near the kitchen and the valve on the green area indicating fully charged and purchased receipt dated 3/27/2023. LPA observed carbon monoxide detector and the smoke detector located in the dining room. At approximately 10:48 a.m. LPA Rivera tested the carbon monoxide and the smoke detector. Carbon and smoke detectors are operable. LPA observed the first aid kit complete with band aids, gauzes, adhesive bandages and antiseptic wipes and located in the living room. LPA observed the earthquake and fire drill log dated 4/3/2023.

At approximately 10:53 a.m, LPA Rivera entered the restroom and observed the toilet, running water, and hand soaps. LPA did not observe items that can pose a potential hazard to children. LPA observed the restroom to be in good condition.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
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: SOSA FAMILY CHILD CARE
FACILITY NUMBER: 198015824
VISIT DATE: 04/06/2023
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At approximately 11:03 a.m., LPA inspected the outdoor area used by children for safety, comfort and cleanliness, LPA observed the backyard to be fenced all around and the side gates closed and locked. LPA observed one shed (laundry room) closed and with a child proof round ball. LPA did not observe any hazards in the laundry room. LPA observed the basement door closed and locked. LPA observed the play equipment to be age appropriate, in safe condition, free of sharp, no loose or pointed parts.

Children’s roster, children’s and licensee files were reviewed during the inspection. LPA observed the files to be complete.

LPA observed licensee Martha Sosa, Pediatric First Aid/ CPR certification dated 1/8/2022, Health and Safety certification dated 10/1/2018. Licensee has proof of immunization against Pertussis, MMR and Influenza declination. Licensee has completed the mandated reporter (AB 1207) training dated 04/28/2021. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com
The following was also discussed with licensee:
1. In the absence of the licensee a qualified adult must be present, supervising the children; a qualified adult is an individual who has a valid and current Pediatric first aid/ CPR-adult-child- infant certification and a valid criminal record clearance associated to the facility license.

2. A current roster of children enrolled must be available and maintained for a period of 3 years, even after children are no longer attending the facility.

4. Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the license shall be terminated.

5. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.

6. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
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: SOSA FAMILY CHILD CARE
FACILITY NUMBER: 198015824
VISIT DATE: 04/06/2023
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7. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing (refer to LIC 624B). Mandated reporter requirements were reviewed and explained.

8. Fire and safety drills must be performed every six (6) months and documented for review by the Department.

9. Smoking is prohibited in the family childcare home.

10.Children and staff records must be maintained and updated as needed and be available for review by the Department.

11. Dog(s) and/or pets are recommended to be isolated from children in care.


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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Licensee Martha Sosa was reminded that all adults 18 and over, 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 Family Child Care Center. 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.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: SOSA FAMILY CHILD CARE
FACILITY NUMBER: 198015824
VISIT DATE: 04/06/2023
NARRATIVE
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LPA discussed the safe sleep regulations with licensee Martha Sosa 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 Martha Sosa of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

During this visit, the Licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee, Martha Sosa .

No technical violations or citations given during this visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with licensee Martha Sosa.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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