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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016360
Report Date: 03/08/2022
Date Signed: 03/08/2022 04:14:03 PM


Document Has Been Signed on 03/08/2022 04:14 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:SANABRIA FAMILY CHILD CAREFACILITY NUMBER:
198016360
ADMINISTRATOR:SANABRIA, LEONORFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 758-7124
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:12CENSUS: 10DATE:
03/08/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:18 PM
MET WITH:Leonor SanabriaTIME COMPLETED:
04:25 PM
NARRATIVE
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Visit conducted in English and Spanish using Translation #14629
Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Case Management Incident inspection. This inspection is regarding incident/injury that took place on February 18, 2022. LPA initially met with Assistant Carolina Carasco who was caring for 10 children. Licensee Leonor Sanabria arrived at approximately 2:55pm from conducting a pick up.

Licensee Sabrina provided information and assistance for the inspection. At 2:25pm LPA observed Licensee's assistant caring for 10 children (7 preschool, 2 school age and 1 infant) with no other staff. LPA informed Licensee via translation assistance (from LPA R. Navarro over the phone) that the purpose of the visit is to inquire about an injury that took place, In addition, LPA informed Licensee via translation that the facility will be cited for being out of ratio when LPA arrived.

During the course of the inspection, LPA conducted interviews with first hand witnesses (children and staff) regarding the incident. Staff indicated that child #1 ran into a shelf causing an injury that required medical. LPA also reviewed internal incident reports provided by the facility. LPA observed the area to appear in generally safe normal condition with no hazards. There was no corroborated disclosure indicating a Title 22 violation occurred regarding the injury. LPA observed child #1 at the childcare playing with no restrictions.

Staff performed first aid immediately and the facility also reported the incident in a timely manner (within 24 hours or the next business day). Based on interviews and review of internal reports there were no violations of Title 22 requirements.

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 Sanabria.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2022
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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Document Has Been Signed on 03/08/2022 04:14 PM - It Cannot Be Edited

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: SANABRIA FAMILY CHILD CARE
FACILITY NUMBER: 198016360

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/08/2022
Section Cited

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If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

This requirement was not met as evidenced by
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LPA observed staff #1 caring for 10 children temporarily while Licensee conducted a pick up. This is an immediate risk to health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2022
LIC809 (FAS) - (06/04)
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