198016855-12-4-2024-58-CC-JLAO-DBMVPH-20241204153645

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016855
Report Date: 12/04/2024
Date Signed: 12/04/2024 03:36:53 PM

Document Has Been Signed on 12/04/2024 03:36 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	GUTIERREZ FAMILY CHILD CARE		FACILITY NUMBER:	198016855
ADMINISTRATOR/ DIRECTOR:	GUTIERREZ, ANGELICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 732-3631
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	12/04/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:15 PM
MET WITH:	Angelica Gutierrez, Licensee		TIME VISIT/ INSPECTION COMPLETED:	03:40 PM

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On 12/04/2024 Program Analyst (LPA), Judy Laureano conducted an unannounced Annual 3 year Required Inspection at above mentioned facility. LPA conducted the inspection in Spanish.

LPA arrived at facility and was greeted by Licensee Angelica Gutierrez and toured the home inside and outside. LPA observed 6 children in care with assistant present, O. Vicente.

Present during today’s inspection was licensee’s adult daughter.

The hours of operation are Monday through Friday from 7:00 a.m. to 5:00 p.m. Currently facility is available to take children 12 months to 13 years old. Licensee confirmed that home does not take in any children under the age of 12 months. Home is not available for overnight or weekend care.

Facility is licensed for a Large Family Child Care license with a max capacity of 14 children.

The home is a 3 bedroom 1 1/2 bathroom dwelling with a living room/dining room, kitchen area and detached garage. The home was observed with a gated side yard that is used for day care space.

Licensee confirmed the following OFF LIMITS AREAS: Bedroom 1, bedroom 2 and bedroom 3. Full bathroom in the home and kitchen area. Kitchen area is used a walkway to access the outdoor space. Children will eat in the dining room and nap in the living room space. Kitchen was observed with safety gates on both doorways, making the kitchen inaccessible to the children in care. Safety latches were observed making the area inaccessible to the children in care. LPA observed cleaning solutions stored in the bottom cabinet under the sink and knives and sharp objects were observed in the top cabinet, content inaccessible to the children in care.

Licensee confirmed the areas designated for day care use are the living room and dining room and outdoor side yard. LPA observed a barricaded fireplace in the living room.

LPA provided licensee with updated forms to update the parent board.

Claudia Escobedo	TELEPHONE: (424) 301-3044
Judy Laureano	TELEPHONE: 424-301-3060
	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GUTIERREZ FAMILY CHILD CARE	FACILITY NUMBER: 198016855
	VISIT DATE: 12/04/2024

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Bathroom that children use is located at the end of the hallway. LPA observed a changing table outside the ½ bathroom. The ½ bathroom used for day care was inspected. Currently bathroom is not being used due to children enrolled not fully potty trained.

The licensee was informed that any changes to ages, hours and days of operation shall be submitted to the department via signed LIC 279, for approval prior to initiation of changes.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection.

Licensee confirmed that home is not open to take in children that might need incidental medical services.

LPA observed licensee test the smoke detector and carbon monoxide in the home. A working fire extinguisher was observed outside the kitchen area.

Licensee confirmed that fire drills and earthquake drills are completed and LPA reviewed log located under the fire extinguisher. Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.

Licensee provides meals and snacks. LPA observed a menu in the kitchen area, Licensee confirmed that home participates in local food program. LPA discussed the importance of maintaining a system where allergies and food restrictions are noted. LPA encouraged licensee to contact their local resource and referral agency, Pathways LA, to inquiry about the different resources and professional development opportunities available.

Adequate heating and ventilation for safety and comfort were observed in the space. The home has a working telephone service and LPA confirmed the phone number and email address.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: 424-301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GUTIERREZ FAMILY CHILD CARE	FACILITY NUMBER: 198016855
	VISIT DATE: 12/04/2024

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Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

Capacity as specified on the license is being maintained during today’s inspection.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Safe Sleep regulations were discussed due to program enrolling children under the age of 24 months. LPA discussed the importance of maintaining a current sleep log for all children under the age of 24 months. LPA reviewed log that is currently being used by licensee.

Licensee’s Mandated Reporter Training was taken on 01/19/2023. LPA discussed the importance of making sure that all who provide care and supervision have a valid certification. Licensee and assistant were observed with valid Pediatric CPR and First Aid. LPA reminded licensee the importance of making sure all vendors providing Pediatric CPR and Pediatric First Aid need to be EMSA approved.

LPA reviewed 3 children’s file and observed files complete with proof of immunization record, emergency contact information and all the necessary CDSS forms.

LPA discussed all necessary forms needed in each staff file and children’s file. LPA provided licensees with a current copy of the LIC 311D SP and LIC 126 SP to use as a reference when auditing files; documents were provided during today’s inspection.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: 424-301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GUTIERREZ FAMILY CHILD CARE	FACILITY NUMBER: 198016855
	VISIT DATE: 12/04/2024

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee 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 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Angelica Gutierrez.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: 424-301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

LIC809 (FAS) - (06/04)

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