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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019529
Report Date: 06/08/2023
Date Signed: 06/08/2023 02:24:52 PM


Document Has Been Signed on 06/08/2023 02:24 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:BARRERA FAMILY CHILD CAREFACILITY NUMBER:
198019529
ADMINISTRATOR:OLGA BARRERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 503-8190
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY:14CENSUS: 3DATE:
06/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:32 PM
MET WITH:Olga BarreraTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Franchesca White conducted an Unnanounced Required Annual inspection to the above facility on 6/8/2023 at 12:32 p.m. Upon arrival, LPA met with Licensee Olga Barrera who guided the LPA on a tour of the facility. Also present was Gladys Galindo, who lives in the home and is also Licensee's Assistant. There are 4 adults living in the home and all have criminal record clearance. There were 3 day care children present during today’s inspection. Licensee states that there are currently 11 children enrolled. The children's roster was reviewed and is current. Per licensee, the facility’s hours of operation are 6am to 6pm, Monday thru Saturday. Emergency Disaster Plan, License, and Parents’ Rights were posted at the time of inspection. Disaster drill log was also available during today’s inspection, last disaster drill conducted on 06/19/2023.

This is a single story home which consists of 5 bedrooms and 3 bathrooms, kitchen, living room, den, backyard and detached garage. Per Licensee, areas off limits to children and parents include 2 bedrooms and 2 bathrooms. Per Licensee, off limit bedrooms remain locked during operating hours, LPA observed off limit areas bedrooms to be locked during today's inspection.

All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. LPA observed wall heater in the home that is barricaded by a safety gate. Areas accessible by the children include the living room, dining room, kitchen, 1 bathroom, 3 bedrooms, den, and backyard. Main care area will be in the den, which is used for activity space and eating. 3 bedrooms next to main care area will be used for napping. LPA observed mats for napping, and per Licensee children can also use the beds. Per Licensee, children will use rear bathroom next to the main care area. LPA observed child safety locks on bathroom cabinets. LPA observed kitchen cabinets and drawers to have child proof locks that are operable at time of inspection. There is a working telephone maintained in the home.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca WhiteTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARRERA FAMILY CHILD CARE
FACILITY NUMBER: 198019529
VISIT DATE: 06/08/2023
NARRATIVE
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LPA observed age appropriate toys, free of loose and sharp parts. LPA observed electrical cover outlets all through the home. LPA observed a dog that is kept behind a gated area in the backyard, per Licensee dog is kept separate during operating hours. LPA also observed a pet bird that is kept in a cage in the kitchen. The Licensee states that there are no poisons in the home. The Licensee does understand that poison must be locked with a key or combination lock.

Per licensee, the children will have access to backyard area for outdoor play. LPA observed backyard has adequate perimeter fencing through-out the yard. LPA observed age appropriate toys free of loose and sharp parts available for the children in the backyard. There is a detached garage and stairs leading up to a separate unit that has a different address from the home. LPA observed gate making stairs inaccessible to children in care.

Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPA observation did not see any bodies of water around the premises. Per licensee, they provide food for children in care.

The valve on the required 2A 10BC fire extinguisher indicates fully charged. Smoke and carbon monoxide detectors are in operable condition. Per Licensee, First Aid kit is kept in a locked cabinet in the bathroom. The Licensee has current Pediatric First Aid and CPR. Proof of immunization against influenza, and pertussis was readily available during today’s inspection. The Licensee has also taken the Mandated Reporter Training
—CPR Card valid until: 4/15/2021
—Fire Extinguisher was last serviced on: 2/25/2023
—Mandated Reporter AB1207 Completed: 10/7/2024
—Children records and required licensing forms were discussed as well as mandated child abuse reporting and criminal record clearance requirement.

The following were discussed:

Report Continued ------- Page 2 of 3
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Franchesca WhiteTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARRERA FAMILY CHILD CARE
FACILITY NUMBER: 198019529
VISIT DATE: 06/08/2023
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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

Rooms that are off-limits need to be made inaccessible during operating hours. NO smoking, NO infant walkers, NO Johnny jumpers, NO saucer chairs, NO incline sleepers and any other item that falls into that category are permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.

Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Exit interview was conducted with Licensee Olga Barrera. A copy of report was given. Appeal rights were issued and discussed.

End of Report 3 of 3 Pages

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

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 06/08/2023 02:24 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: BARRERA FAMILY CHILD CARE
FACILITY NUMBER: 198019529

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review the licensee did not comply with the section cited above by not having current CPR training at time of inspection which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/23/2023
Plan of Correction
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Licensee states that she will email or text proof of CPR training to LPA White on or before 06/23/2023
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Franchesca WhiteTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4