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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017971
Report Date: 07/14/2021
Date Signed: 07/14/2021 02:56:23 PM

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:CERON FAMILY CHILD CAREFACILITY NUMBER:
198017971
ADMINISTRATOR:CERON, JUSTINO & ELVIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 581-0571
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY:14CENSUS: 10DATE:
07/14/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:48 AM
MET WITH:Elvira Ceron, LicenseeTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Annual inspection to the above facility. Upon arrival LPA was met by Daniela Ceron, Co-licensee, observed supervising 8 children in the enclosed front yard/patio. LPA entered the home and met with Elvira Ceron, Licensee. LPA observed two (2) infants in care. Licensee was holding Child #1 and Child #2 was sleeping in a play yard. Licensee guided LPA on tour of the facility. This inspection was conducted in Spanish. Hours of operation listed as 24/7.

This facility is located in the rear of a multiple unit complex, easily accessible from the street. This is a one story home which consist of three bedrooms, two bathrooms, attached garage, living room, dining room and kitchen area.

Areas used by the children include the living room, dining room, kitchen, bathroom (located in the hallway by living room) and front yard/patio.


Per Licensee, off limit areas for the children and parents are the three (3) bedrooms, one bathroom located in master bedroom, the backyard and attached garage. All areas identified on the facility sketch that children use were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating. The following was observed and reviewed during this inspection:

Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be in latched cabinets and drawers in the kitchen and bathroom making items inaccessible to children in care. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock.

The home has central air and heating, No fireplaces or open face heaters were observed by LPA.


The required 2A10BC Fire extinguisher was observed in the kitchen with service tag dated 3/19/21, the smoke and carbon monoxide detectors were tested and found operable.
The home is clean and orderly, with safe toys, play equipment and materials available.
Page 1
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
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 4
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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 198017971
VISIT DATE: 07/14/2021
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The home maintains working telephone service via land line. Licensee was advised to inform the department of any changes or updates to facility information.

Currently, children are using the fenced front yard/patio for outdoor play time and activity time. The outdoor play area is also covered with tent. LPA observed tables and chairs, toys and other materials for children to play with. LPA observed napping equipment and play yards in the living room. The licensee states that supervision is always provided.

The licensee is observed to be operating within the license capacity limitations.

Licensee and co-licensees have completed training on preventive health practices including Pediatric First Aid and CPR. Elvira Ceron Pediatric First Aid and CPR expired on 02/22/20. There are first aid supplies available. LPA advised that if a child shows signs of illness he/she/they shall be separated from other children.

Children’s records were reviewed, including emergency information and all have the completed LIC 700 Identification and Emergency Information. LPA observed that the the facility files for Child #1 and Child #2, infants under 12 months old were missing the LIC 9227 and Sleep Log. Per licensee, they were unaware of new Safe Sleep requirement. LPA advised licensee on accessing forms and updated licensing information by going to: www.ccld.ca.gov

The licensee and co-licensees have proof of immunization against influenza, pertussis, and measles. Licensee and co-licensees have proof of the Mandated Reporter AB 1207 Child Care Training Certificate on 06/2021.

All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. The last drill conducted: 03/17/21

LPA did not observe any pools, spas, hot tubs, fish ponds, or similar bodies of water during the inspection.


Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted - LPA provided an updated PUB394 with current Regional Office information. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home. Per licensee, there are No firearms or weapons in the home. There is a dog in the facility observed to be in a locked bedroom. Licensee was reminded that dog(s) and or pets are recommended to be isolated from children in care. Per licensee, children use an area in the living room by the front door as isolation area when children are ill. Page 2
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 198017971
VISIT DATE: 07/14/2021
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All adults present during inspection have reviewed a criminal record clearance.

Each child receiving services from a family child care home shall have certain right to receive safe, healthful, and comfortable accommodations, furnishings, and equipment. No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. No were observed during inspection. Licensee was reminded that car seats and other equipment should be used for the intended purpose. Car seats are never to be used for sleeping infants.



The following items were also discussed with licensee during this visit.
· LPA consulted and explained the New Safe Sleep Regulation and provided PIN-20-24-CCP: LPA advised Licensee that infants are to be placed on their backs for sleeping. Infants should be checked on every 15 minutes and documented with child’s name and date. The LIC 9227 Individual Infant Sleeping Plan shall be completed for each infant up to 12 months of age. A copy of the LIC 9227 was provided to Licensee. Licensee states she was not aware of the required Infant documentation. LPA observed a facility infant care plan in the infant's files.
  • Overnight care discussed with licensee. Licensee understands that care provided during the day and overnight combined shall not exceed 24 from the time the child enters into care. Applicant states that she will care for children. LPA provided additional consult in the area of overnight care requirements.
  • Never le
  • Currently, there are no children enrolled that require IMS at this time. 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.


    • This facility is being cited in accordance with Title 22 Regulations. See 809D

    Exit interview was conducted with Elvira Ceron and Juan Ceron, Licensees, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.

    SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
    LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
    LICENSING EVALUATOR SIGNATURE:

    		DATE: 07/14/2021
    I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
    FACILITY REPRESENTATIVE SIGNATURE:

    		DATE: 07/14/2021
    LIC809 (FAS) - (06/04)
    Page: 4 of 4
    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: CERON FAMILY CHILD CARE
    FACILITY NUMBER: 198017971
    DEFICIENCY INFORMATION FOR THIS PAGE:
    VISIT DATE: 07/14/2021
    Deficiency Type
    POC Due Date /
    Section Number
    DEFICIENCIES
    PLAN OF CORRECTIONS(POCs)
    Type B
    07/19/2021
    Section Cited

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    		An LIC 9227 shall be completed for each infant up to 12 months of age...and included in the infant's file at the facility. Documentation shall be maintained in the infant’s file and be available to the Department ...shall include the following: Date, Infant's name, Time of each 15-minute check. This requirement is not met as evidenced by:
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    		Per file review, LPA found that Child #1 and #2 were missing the LIC 9227 and Infant sleep log. Per licensee, they were unaware of new Safe Sleep requirement.

    This poses a potential risk to the 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: Valarie CookTELEPHONE: (323) 513-3858
    LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
    LICENSING EVALUATOR SIGNATURE:
    		DATE: 07/14/2021
    I acknowledge receipt of this form and understand my appeal rights as explained and received.
    FACILITY REPRESENTATIVE SIGNATURE:
    		DATE: 07/14/2021
    LIC809 (FAS) - (06/04)
    Page: 3 of 4