<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016373
Report Date: 02/21/2020
Date Signed: 02/21/2020 10:46:50 AM

COMPREHENSIVE INSPECTION
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:ALVARADO FAMILY CHILD CAREFACILITY NUMBER:
198016373
ADMINISTRATOR:ALVARADO, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 286-8456
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY:14CENSUS: 8DATE:
02/21/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jennifer AlvaradoTIME COMPLETED:
11:00 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 (LPA), Seung Lee and Nolan Tcheng conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Jennifer Alavarado and toured the facility. There were 8 children present. The Licensee's spouse was observed in the home caring for children with the Licensee. Individuals residing in the home are the Licensee, Licensee's spouse, Licensee's two sons, and Licensee's daughter in law. Operating Hours are M-F 6AM-5PM.

This is a two story home consisting of 3 bedrooms and 3 bathrooms. The following areas are used for day-care: All of down stairs which includes an attached garage (not used for eating or napping) and living room, and 1 bathroom. Off limit areas includes: The Kitchen, all of upstairs, and the back yard.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the living room. First Aid/CPR certificate was observed but there was no expiration date observed. Licensee stated she has not conducted an emergency drill in the last month. LPAs advised the Licensee that an emergency drill must be conducted every month for a large family child care home. The lack of documented dates for the CPR card and emergency drills is a potential risk to children in care.

Fire extinguisher was observed in the kitchen and in operable condition. Licensee stated she purchased the extinguisher on 11/2018 but could not provide a receipt. There is an operational smoke detector and carbon monoxide in the home. 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. . There are no pools or spas, or other bodies of water. Currently there are no pets. .

SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020
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: ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 198016373
VISIT DATE: 02/21/2020
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
26
27
28
29
30
31
32
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.

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.

Deficiencies were cited on this inspection in accordance with title 22 regulation for family child care home. Please refer to the attached 809D page of this inspection report.

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs. LPA advised LIcensee to refer to Section 101173 and 101226 for further information on regulatory requirements. Regulation Interpretations and Procedures for Child Care Centers Section 102417. 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.



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. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020
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: ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 198016373
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2020
Section Cited

1
2
3
4
5
6
7
Operation of Family Child Care Home

The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. LPAs observed the Licensee has not conducted a drill in the last month. This is a potential risk to children in care
Type B
02/28/2020
Section Cited

1
2
3
4
5
6
7
Operation of a Family Child Care Home

The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. LPAs observed that the fire extinguisher has not been purchased or serviced in the last year.
This is a pontential risk to children in care.
Type B
02/28/2020
Section Cited

1
2
3
4
5
6
7
Personnel Requirements

The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
LPAs observed that the Licensee did not
8
9
10
11
12
13
14
have a CPR card with a date within 2 years. This is a potential risk to children in care.
8
9
10
11
12
13
14
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: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3