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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019659
Report Date: 10/14/2021
Date Signed: 11/04/2021 09:00:43 AM

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:VITERI FAMILY CHILD CAREFACILITY NUMBER:
198019659
ADMINISTRATOR:SILVIA VITERIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 338-4246
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 4DATE:
10/14/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Silvia Viteri, LicenseeTIME COMPLETED:
12:15 PM
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Prior to entrance to the facility, LPA Lucero conducted a COVID-19 assessment and based on the licensee responses to the facility assessment questions, LPA Lucero determined it was safe to proceed. On Thursday, October 14, 2021 at 9:15am, Licensing Program Analyst (LPA) Lucero conducted an unannounced Required One Year Inspection. LPA met with Licensee Silvia Viteri who guided LPA on an indoor and outdoor tour of the facility. There were four children present at the time of inspection, three of which were infants. LPA observe Licensee and Assistant caring for children, no other adults were observed in the home at time of inspection. Family members residing in the home has been discussed with licensee and are cleared.

This facility is a one story home that consists of four bedrooms, two bathrooms, kitchen, living room, dining area, family room for day care purposes, detached garage, front and backyard. Per licensee, areas accessible to children and identified on the facility sketch were inspected by LPA which consists of family room for day care purposes, one bedroom next to family room, one bathroom next to family room, and back yard. Per Licensee, areas off-limits to children and identified on the facility sketch are the rest of the home which consists of three bedrooms, one bathroom, living room, dining area, kitchen, detached garage. The day care area is separate from the rest of the home where doors are used to deter children from entering the off limits areas of the home.

At approximately 9:40am, LPA began the facility to inspect for safety, comfort, cleanliness, ventilation and working phone. For ventilation, LPA observed that the facility has central air and heating. LPA observed the furniture and children materials to be in good condition and age appropriate. LPA observed the Children Roster, LIC 610A Emergency Disaster Plan, PUB 394 Parent’s Rights, emergency drills posted on the Parent Board at facility entrance.

At approximately 10:03am, LPA entered the restroom and observed the toilet, hand washing sink, running water, towel, and hand soap. LPA observed the bottom cabinets closed and with a child proof lock in place making it inaccessible to children to open cabinet doors. LPA observed the restroom to be in good condition.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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: VITERI FAMILY CHILD CARE
FACILITY NUMBER: 198019659
VISIT DATE: 10/14/2021
NARRATIVE
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LPA asked if there are any pets, firearms, weapons or bodies of water. Licensee stated she does not have any bodies of waters, firearms, or weapons. LPA did not observe bodies of water on the premises. 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 10:15am, LPA observed the required 2A10BC fire extinguisher located in the day care area and the valve on the green area indicating fully charged. LPA observed the smoke detector and carbon monoxide detector in the hallway. At approximately 10:25am, LPA inspected the outdoor area used by children for safety, comfort and cleanliness. LPA observed play equipment to be in good condition and age appropriate.

At approximately 10:50am, LPA conducted a records review. LPA observed licensee’s Pediatric First Aid/ CPR certificate issued by an instructor with the American Red Cross with a completed date of 04/26/2021; however, the certificate is not a CPR/First Aid card with the American Red Cross business logo. It appears the instructor printed out the certificate on a certificate paper; LPA also did not observe EMSA Pediatric First Aid/CPR stickers on the certificate. Discussion was held with Licensee regarding the importance of maintaining current Pediatric CPR/First Aid certification. LPA observed the files to be up to date.

LPA determined that Licensee has not completed the Mandated Reporter Training (AB 1207) in over two years. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com and is also available in Spanish.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Silvia Viteri of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at also explained to licensee that car seat, stroller are only and only for https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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: VITERI FAMILY CHILD CARE
FACILITY NUMBER: 198019659
VISIT DATE: 10/14/2021
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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

Licensee Silvia Viteri was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

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/process

A notice of site visit was given and must remain posted for 30 days. See deficiencies page for deficiencies cited. Exit interview conducted and report was reviewed with the licensee Silvia Viteri.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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: VITERI FAMILY CHILD CARE
FACILITY NUMBER: 198019659
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/14/2021

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 record review, LPA observed licensee’s Pediatric First Aid/ CPR certificate issued by an instructor with the American Red Cross with a completed date of 04/26/2021; however, the certificate is not a CPR/First Aid card with the American Red Cross business logo. It appears the instructor printed out the certificate on a certificate paper; LPA also did not observe EMSA Pediatric First Aid/CPR stickers on the certificate. This is a potential risk to children in care.
POC Due Date: 11/15/2021
Plan of Correction
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Licensee stated she will reach out to the instructor to obtain a CPR/First Aid Card by the American Red Cross, or obtain the EMSA stickers. Licensee stated if she cannot obtain the mentioned above, she will enroll in a new course and obtain the Pediatric CPR/First Aid card from the American Red Cross. Licensee is to provide POC to LPA by 11/15/2021 via email.
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: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:
DATE: 10/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/14/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4