198016840-4-21-2023-54-CC-MRIA-CR4SKC-20230421135631

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016840
Report Date: 04/21/2023
Date Signed: 04/21/2023 01:56:42 PM

Document Has Been Signed on 04/21/2023 01:56 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:	CONTRERAS FAMILY CHILD CARE		FACILITY NUMBER:	198016840
ADMINISTRATOR:	CONTRERAS, ELSA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 233-7154
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	14	CENSUS: 6	DATE:	04/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Elsa Contreras, Licensee		TIME COMPLETED:	02:10 PM

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	On Friday, April 21, 2023, at 10:32 a.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Elsa Contreras who guided LPA Rivera on a tour of the facility. During this inspection, LPA Rivera observed 6 preschool children present with two assistant present. Family members residing in the home and assistants was discussed with licensee and are background cleared. Operating hours are Monday to Friday, 7:00 a.m. to 6:00 p.m., and care for children ages 0 to 13 years. This is a two-story home which consists of 4 bedrooms, 2 bathrooms, kitchen, living room, garage, front and backyard (fenced). Day care is provided on the first floor and children utilize the restroom located on the first floor. Per licensee, areas off limits to children and parents include: all second floor, kitchen, side yard (left) and backyard. LPA observed an installed safety gate between the kitchen and living room, and below the stairs to prevent children access to off limit areas LPA observed the side yards gated and with side latches locks. The licensee understands that licensing staff may have access to off-limit areas during inspection visit if necessary. At approximately 10:42 a.m., LPA reviewed children’s roster, licensee and staff files. LPA observed the files to be complete. At approximately 11:03 a.m., LPA Rivera, inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone and land line). For ventilation, LPA observed central heater and the vents on the ceiling walls. LPA Rivera entered the daycare area and observed the furniture, children materials, playpens and mats to be in good condition and age appropriate.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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: CONTRERAS FAMILY CHILD CARE	FACILITY NUMBER: 198016840
	VISIT DATE: 04/21/2023

NARRATIVE

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At approximately 11:18 a.m., LPA observed cleaning compounds items stored inside the bottom kitchen sink cabinet with a child proof lock in place making it inaccessible for children to open. Knives, sharp objects are stored inside top cabinet making it inaccessible for children to reach. LPA observed two water dispenser and children personal water cups. Licensee provides the meals and is enrolled in the food program. During this visit licensee stated she has no children with food allergies or prescribed or non-prescribed medication. For ill/isolation children utilize the play room.

LPA Rivera observed the required 2A10BC fire extinguisher located near the kitchen and the valve on the green area indicating fully charged and serviced on 8/30/33. LPA observed carbon monoxide and smoke detector located in the living room. At approximately 11:24 a.m., LPA tested the carbon monoxide and smoke detector and is operable. LPA observed the first aid kit complete with band aids, gauzes, adhesive bandages and located in the kitchen. LPA observed the earthquake and fire drill log dated 3/20/23.

LPA Rivera entered the restroom and observed the toilet, running water, and hand soap. LPA did not observe items that can pose a potential hazard to children. LPA observed the restroom to be in good condition. LPA reminded Licensee any personal items must be removed or add a childproof lock.

LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has one dog; no bodies of water, no poisons solutions and no firearms or weapons. LPA did not observe the dog, bodies of water, poisons or firearms nor weapons. 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 11:32 a.m., LPA inspected the outdoor area used by children for safety, comfort and cleanliness. LPA observed the front yard to be fenced all around and the side gates closed and locked. LPA observed the play equipment to be age appropriate, in safe condition, free of sharp, no loose or pointed parts. LPA did not observe items that can pose a potential hazard to children. LPA observed the front gate to have two side lock latches.

At approximately 11:49 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.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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: CONTRERAS FAMILY CHILD CARE	FACILITY NUMBER: 198016840
	VISIT DATE: 04/21/2023

NARRATIVE

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At approximately 12:14 p.m., LPA observed children files and observed files to be missing LIC 282 Affidavit Regarding Liability Insurance.

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.

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.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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: CONTRERAS FAMILY CHILD CARE	FACILITY NUMBER: 198016840
	VISIT DATE: 04/21/2023

NARRATIVE

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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

Licensee Elsa Contreras 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.

LPA discussed the safe sleep regulations with licensee Elsa Contreras 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 Elsa Contreras 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.

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 has been given a technical violation for children files missing LIC 282 Affidavit Regarding Liability Insurance.

A notice of site visit was given and posted and must remain posted for 30 days. Exit interview conducted and report was reviewed along with appeal rights with the licensee Elsa Contreras.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC809 (FAS) - (06/04)

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