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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015968
Report Date: 05/24/2019
Date Signed: 05/24/2019 01:26:03 PM

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:ESCALANTE FAMILY CHILD CAREFACILITY NUMBER:
198015968
ADMINISTRATOR:ESCALANTE, YESMINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 399-1291
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY:14CENSUS: 8DATE:
05/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Yesmin EscalanteTIME COMPLETED:
01:40 PM
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A RANDOM INSPECTION CONDUCTED IN SPANISH
Licensing Program Analysts (LPAs), Lissete Gonzalez and Ariel Cazares conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPAs met with Licensee, Yesmin Escalante and toured the facility indoors and outdoors. There were 8 children present, along with 3 assistants. Individuals residing in the home are the licensee, daughter, and minor son. Licensee’s operating hours are from 7:30 a.m. - 6:00 p.m. from Monday through Friday.

The home is a one story, 2-Bedroom, 2-Bathroom home. The following areas are used for day-care: Living room, dining room, 1 bathroom, kitchen, and back yard. Off limit areas include: 2 bedrooms, 1 bathroom, and the attic.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the hallway. Licensee’s First Aid/CPR pediatric certificate are valid through 03/2021. Licensee completed the mandated reporter training on 12/27/2017. Licensee's disaster drill log notes last drill conducted on 04/10/19. Licensee has a working telephone.

Licensee stated the 2A10BC fire extinguisher located in the hallway of the entrance was purchased on 11/14/2018. The fire extinguisher is fully charged however, the licensee did not have a receipt as proof of purchase. The licensee has a second 1A10BC fire extinguisher located in the kitchen that was last serviced on 11/14/2018 and is fully charged. There is an operational smoke detector and

REPORT CONTINUES ON THE NEXT PAGE 1 OF 3

SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: ESCALANTE FAMILY CHILD CARE
FACILITY NUMBER: 198015968
VISIT DATE: 05/24/2019
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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.

There were no deficiencies cited during today’s inspection.
LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during 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, Yesmin Escalante. A copy of this report and appeal rights were provided and explained.

*END OF REPORT PAGE 3 OF 3

SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: ESCALANTE FAMILY CHILD CARE
FACILITY NUMBER: 198015968
VISIT DATE: 05/24/2019
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carbon monoxide detector in the home. LPAs observed the wall heater in the living room to be screened with one screw on the top right of the screen missing. Licensee immediately corrected by placing a screw on the top right of the screen.

LPAs inspected the kitchen. No hazards or violations were observed. Knives are stored in a cabinet that is out of reach and inaccessible to children. Cleaning detergents and compounds are locked and inaccessible. LPAs observed the children’s changing room to be organized. No hazards or violations were observed. The bathroom used by the children was inspected. No hazards or violations were observed.

The home has electrical outlet covers throughout and 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. LPA inspected the backyard. LPAs observed age appropriate toys and there is shade available. There are no pools or spas, or other bodies of water. Currently there are no pets.

Children's Roster, Children’s Files and Staff files were reviewed and found to be complete.

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. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Information on how to access safe sleep concepts was provided to Licensee.





REPORT CONTINUES ON THE NEXT PAGE 2 OF 3
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3