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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016429
Report Date: 05/26/2023
Date Signed: 05/26/2023 04:33:06 PM


Document Has Been Signed on 05/26/2023 04:33 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:OCHOA FAMILY CHILD CAREFACILITY NUMBER:
198016429
ADMINISTRATOR:OCHOA, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 846-8520
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:14CENSUS: 7DATE:
05/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Rosa Ochoa, LicenseeTIME COMPLETED:
04:43 PM
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On Friday, May 26, 2023, at 1:20 p.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Rosa Ochoa who guided LPA Rivera on a tour of the facility. During this visit LPA Rivera observed 2 toddlers and 5 preschool children napping.

Family members residing in the home has been discussed with licensee and are cleared. Operating hours are Monday to Friday from 7:00 a.m. to 5:30 p.m. and care for children ages 0 to 13.

This facility is a two-story duplex (back house) that consists of 2-bedrooms, 1.5- bathroom, kitchen, living room, and backyard. All areas identified on the facility sketch were inspected. Areas that are accessible to children and identified on the facility sketch include living room, kitchen, bathroom (1st floor) and backyard (fenced)

Areas off limits to children include- Second floor and LPA observed the door closed and locked (key lock).

At approximately 1:35 p.m. LPA Rivera inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone). For ventilation, LPA Rivera observed central AC/Heater and vents located on the ceiling. LPA observed the furniture, children’s materials, and sleeping mats to be in good condition and age appropriate. LPA also observed cubbies where children store their personal belongings. For ill/isolation area, children utilize a section of the living room (library area).

At approximately 1:43 p.m., LPA Rivera entered the restroom and observed the toilet, hand washing sink, hand soap, paper towels and did not observe sink cabinet. LPA did not observe hazard materials and 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: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/26/2023
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: OCHOA FAMILY CHILD CARE
FACILITY NUMBER: 198016429
VISIT DATE: 05/26/2023
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At approximately 1:52 p.m. LPA Rivera observed knives stored inside the kitchen drawer with a child proof lock making it inaccessible for children to open drawer. LPA observed cleaning compounds items stored inside the top kitchen cabinet above the kitchen sink, making it inaccessible for children to reach. For water drinking, LPA observed a water jug and licensee stated she refills children’s sippy cups. Licensee provides the meals for the children and is enrolled in the California Adult Child Food Program. LPA informed licensee food brought from the children's home, the container shall be labeled with child's name and properly stored or refrigerated. During this visit, licensee stated she currently has no children with food allergies nor on medication.

LPA Rivera asked licensee if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has no pets, no bodies of water, no firearms, weapons or poisons. LPA did not observe pets, firearms, weapons, poisons nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items that fall into that category), 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 2:10 p.m. LPA Rivera observed the required 2A10BC fire extinguisher located in the kitchen with the valve on the green area indicating fully charged and serviced on August 25, 2022. LPA observed dual carbon monoxide and smoke alarm in the living room. Licensee tested the detector and LPA heard the sound and is operable. LPA observed the first aid complete with band aids, gauzes, adhesive bandages and antiseptic wipes and located next to the main entrance. LPA observed the drill log and last drill conducted on May 23, 2023.

At approximately 2:23 p.m. inspected the outdoor play area for safety, comfort, and cleanliness LPA observed the outdoor play area to be safe, in good condition and equipment to be age appropriate, and free of sharp, no loose or pointed parts. LPA observed two side gates closed and locked with keypad lock and code lock. LPA observed three sheds closed and locked with a keypad lock. LPA observed a corner gated area closed and locked with a keypad lock. LPA observed the central AC compressor cover with mesh to prevent children placing their fingers inside the fan. LPA did not observe any hazards.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
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: OCHOA FAMILY CHILD CARE
FACILITY NUMBER: 198016429
VISIT DATE: 05/26/2023
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LPA observed licensee Rosa Ochoa Pediatric First Aid/ CPR certification dated September 3, 2022, and licensee has proof of immunization against Pertussis, MMR and Influenza declination. LPA did not observe the Health and Safety certification. Licensee has completed the mandated reporter (AB 1207) training dated February 2, 2022. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

LPA observed postings LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, and LIC 999 Facility sketch. During this visit LPA reviewed children files and children’s roster.



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.

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

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
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: OCHOA FAMILY CHILD CARE
FACILITY NUMBER: 198016429
VISIT DATE: 05/26/2023
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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. Immunization Requirement: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The licensee and all adults working with children have proof of immunizations.

12. Inspection Authority: All adults living and working in the home shall be made of aware of the Department’s right to inspection the home, which includes, but is not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.



13. The facility license number must be on all advertisements, publications or announcements with the intent to attract clients.

14. Isolation for Ill children: When a child is ill, he/she shall be separated from other children (reference 102417(e) Operation of a Family Child Care Home).

15. Liability Insurance was discussed; LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information.

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



14. No baby bouncers, no infant walkers, no Johnny jumpers, no saucer chairs, and any other item that falls into this category is not permitted in the facility.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC809 (FAS) - (06/04)
Page: 6 of 8
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: OCHOA FAMILY CHILD CARE
FACILITY NUMBER: 198016429
VISIT DATE: 05/26/2023
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During this visit, licensee Rosa Ochoa was given two technical violations for not having proof of Health and Safety Certification (8hrs) and documenting incorrectly the safe sleep log. No citations given during this visit.

LPA Rivera provided LIC 9227 Individual Safe Sleep Plan and LIC 9221 Parent Consent for Administration of Medications and Medication Chart. LPA explained the Safe Sleep regulations and how to document the sleeping log.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with licensee Rosa Ochoa.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC809 (FAS) - (06/04)
Page: 8 of 8
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: OCHOA FAMILY CHILD CARE
FACILITY NUMBER: 198016429
VISIT DATE: 05/26/2023
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15. Liability Insurance was discussed; LPA advised licensee to review Title 22 Regulation 102417(m)(1) for additional information.

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



14. No baby bouncers, no infant walkers, no Johnny jumpers, no saucer chairs, and any other item that falls into this category is not permitted in the facility.

Criminal Record Statement
Licensee Rosa Ochoa was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Safe Sleep
LPA discussed the safe sleep regulations with licensee Rosa Ochoa 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 Rosa Ochoa 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.

This facility provides Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC809 (FAS) - (06/04)
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