198018429-4-12-2023-54-CC-MRIA-CQTTX3-20230412150629

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018429
Report Date: 04/12/2023
Date Signed: 04/12/2023 03:06:49 PM

Document Has Been Signed on 04/12/2023 03:06 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:	TAPIA FAMILY CHILD CARE		FACILITY NUMBER:	198018429
ADMINISTRATOR:	TAPIA, HORTENCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 231-0503
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	14	CENSUS: 2	DATE:	04/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Victoria Tapia, Licensee		TIME COMPLETED:	03:13 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 Wednesday, April 12, 2023, at 11:35 a.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Victoria Tapia who guided LPA Rivera on a tour of the facility. During this inspection, 2 children were present. LPA Rivera observed 2 children playing inside the accessory dwelling unit (ADU) with licensee Hortencia. Family members residing in the home was discussed with licensee and are background cleared. Operating hours are Monday to Friday, 6:00 a.m. to 5:00 p.m., and care for children ages 0 to 13 years. At approximately 11:35 am., LPA observed licensees Hortencia and Victoria Tapia, Pediatric First Aid/ CPR certification for both issued 7/24/21, Health and Safety certification dated for both 9/25/16, AB 1207 Child Abuse Mandated Certificate issued for Hortencia 7/24/21 and for Victoria 7/25/21. Licensee Victoria was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com Licensees have proof of immunizations against Pertussis, MMR and Influenza declination. All areas identified on the facility sketch were inspected by LPA Rivera. This is a one single story home which consists of two bedrooms, dining room, one bathroom, kitchen, living room, front and back yard. Areas that are accessible to children and identified on the facility sketch are living room, dining room, bathroom (located in the house) backyard and ADU unit. There is a ½ address that is separated from the facility and has own door entrance. The tenants are not affiliated or associated to the facility. There is no common space shared between the facility and tenants.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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: TAPIA FAMILY CHILD CARE	FACILITY NUMBER: 198018429
	VISIT DATE: 04/12/2023

NARRATIVE

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Areas off limits to children include- kitchen, two bedrooms, shed, basement, garage, and front yard. LPA observed the bedrooms and garage doors closed and locked (key door), shed with a self-side latch (top), basement keypad lock, and kitchen safety gates installed.

At approximately 11:45 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.

At approximately 11:51 a.m LPA Rivera, inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone and land line). For ventilation, LPA observed ceiling fans, AC wall unit and media console with the electric fireplace with fire screen cover. LPA Rivera entered the daycare area and observed the furniture, children materials, crib and mats to be in good condition and age appropriate.

At approximately 12:01 p.m., LPA observed cleaning compounds items stored inside the bottom kitchen sink cabinet with a child proof lock in place making it inaccessible to children to open. Knives and sharp objects are stored on top of the kitchen counter. Children present during today’s inspection, can’t reach but LPA reminded licensee Victoria that knives and sharp objects need to be made inaccessible to all age group children. For drinking water, LPA observed a water dispenser and children personal water cups. Licensee provides the meals and is enrolled in for food program. During this visit licensee has no children with food allergies or prescribed or non-prescribed medication. For ill/isolation children utilized the living room.

LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has one Chihuahua dog, and poisons solutions stored in the basement. At approximately 12:33 p.m.,LPA observed the basement screen door closed and locked (keypad lock). LPA did observe the Chihuahua dog, and LPA did not observe firearms, or weapons nor water bodies of water. 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.

LPA Rivera observed the required 2A10BC fire extinguisher located in the living room and ADU and the valve on the green area indicating fully charged and serviced on 11/3/22. LPA observed carbon monoxide/smoker detector combo located in the living room and ADU. Licensee tested both carbon monoxide/smoker detector combos and are operable. LPA observed the first aid kit complete with band aids, gauzes, adhesive bandages and located in the living room and ADU. LPA observed the earthquake and fire drill log dated 3/27/23.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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: TAPIA FAMILY CHILD CARE	FACILITY NUMBER: 198018429
	VISIT DATE: 04/12/2023

NARRATIVE

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Licensee Victoria Tapia 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 Victoria Tapia 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 Victoria Tapia 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.

Licensee has been given technical violation for missing sleep log and child #2 and # immunization records and technical assistance for 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 Victoria Tapia

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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: TAPIA FAMILY CHILD CARE	FACILITY NUMBER: 198018429
	VISIT DATE: 04/12/2023

NARRATIVE

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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.

At approximately 12:44 p.m., LPA inspected the outdoor area used by children for safety, comfort and cleanliness, LPA observed the backyard to be fenced all around and the side gates closed and locked. LPA observed one shed (laundry room) closed and with a side self-latch. LPA observed the basement door closed and locked. LPA observed the play equipment to be age appropriate, in safe condition, free of sharp, no loose or pointed parts. LPA observed the garage door closed and locked (door key). LPA observed the ADU with a half bathroom, kitchenette and children furniture, toys and children materials. LPA did not observe any signs of eating or sleeping in the ADU and reminded licensee Victoria no eating or sleeping in the ADU.

Children’s roster, children’s and licensee files were reviewed during the inspection. LPA observed child #2 and #3 missing their immunization record and LIC 282 Affidavit Regarding Liability Insurance for Family Child Care Home.

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.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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: TAPIA FAMILY CHILD CARE	FACILITY NUMBER: 198018429
	VISIT DATE: 04/12/2023

NARRATIVE

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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.

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

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

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

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