<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019659
Report Date: 01/27/2023
Date Signed: 01/27/2023 03:14:12 PM


Document Has Been Signed on 01/27/2023 03:14 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:VITERI FAMILY CHILD CAREFACILITY NUMBER:
198019659
ADMINISTRATOR:SILVIA VITERIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 338-4246
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 9DATE:
01/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:48 PM
MET WITH:Licensee Silvia Viteri TIME COMPLETED:
03:15 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 1/27/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection at the above facility. At approximately 12:48PM LPA met with Staff 1 and informed her of the purpose for the visit. Per Staff 1, Licensee Silvia Viteri was not present at the facility at the moment. LPA spoke to Licensee who advised she was picking up children from school. LPA provided Staff 1 with a copy of the Facility Entrance Checklist. There were 6 children and an additional staff (Staff 2) present upon arrival. Licensee arrived at 1:47PM with 3 children. Staff 1 and Staff 2 have obtained a criminal record clearance. All residents were noted and verified. Facility provides care to children ages 0 to 13 years old. Facility is open Monday to Friday 6AM to 6PM.
This is a four bedroom, two bathroom home.
Areas off limits to children are: 3 bedrooms, detached garage, kitchen, living room and one bathroom.
Off limit areas of the home are separated by a door that connects the day care rooms to the rest of the home. Only staff is allowed in off limit areas.
Areas on limits to children: There are two rooms used for day care purposes, one bathroom in one of the day care rooms, and a section of the backyard is also used for day care.

All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA observed required posted documentation- Facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA observed a current Facility Roster LIC 9040 and a current disaster drill log. Last documented drill was conducted on 1/5/23. There are operable smoke and carbon monoxide detectors in the day care rooms. LPA observed a 1A10BC Fire Extinguisher in the day care room which indicated full and was purchased on 12/1/22. Licensee provided proof of a 2A10BC fire extinguisher which indicated full but did not have a service tag or receipt with proof of date of purchase. The home maintains telephone service (landline and cell phone). Food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 01/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/27/2023
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 3


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: 01/27/2023
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
26
27
28
29
30
31
32
Page 2
There are toys and other age appropriate materials available for children to use in the day care rooms. Sharp objects, detergents and cleaning compounds were in the kitchen inaccessible to children in care. Laundry detergent and cleaning compounds are in the off limits area of the home. LPA observed some cleaning products stored in a closet in one of the daycare rooms. LPA observed a safety door knob on the closet door making the products inaccessible to children in care. Personal medication is stored in the off limit area of the home. Per staff, no children enrolled require medication. Heating and ventilation were evaluated. The facility has central a/c and heating. LPA did not observe any fire places in the home. Children nap in the day care rooms and they are provided appropriate napping equipment. Children use the restroom in the day care room. Hazardous items are stored in a latched cabinet under the sink.
Outdoor play: Children use an enclosed section of the backyard for outdoor play. LPA observed a trampoline in the outdoor day care area. Per Licensee, children are supervised during outdoor play.
Per Licensee there are no poisons in the home. Licensee understands that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in a section of the daycare room separated from other children. Per Licensee, there are no firearms or weapons stored in the home. LPA did not observe any pools or spas, or other bodies of water. Per staff, there are no pets in the home.
Infant Care: Currently licensee has 2 infants enrolled. LPA observed 2 play yards and 3 cribs . LPA observed one infant napping in a play yard upon arrival. LPA observed the play yard was free of blankets and loose items. Napping equipment does not block entrances or exits. Licensee was advised Infants shall not be swaddled in care. Car seats shall not be used for sleeping. 15 minute sleep logs are kept for all infants enrolled. LPA discussed the Safe sleep regulation.
Overnight Care: There is no overnight care provided at the moment. LPA discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
Children's records were reviewed: Children's records contained: Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, (for infants) LIC 9227 individual infant sleep plan and the 15 minute sleep logs.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: 01/27/2023
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
26
27
28
29
30
31
32
Page 3
Staff records were reviewed: Licensee and staff had proof of required immunizations. Licensee had proof of pediatric CPR/First aid via red cross completed on 10/16/2021 valid until 10/2023. Staff 1 and staff 2 had proof of pediatric CPR/First aid via red cross completed on 9/12/2022 valid until 9/2024. Mandated Reporter: Licensee completed on 10/27/21 valid until 10/27/23, Staff 1 completed on 1/1/23 valid until 1/1/25, Staff 2 completed on 7/5/21 valid until 7/5/23.
Incidental Medical Services (IMS): 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm
Licensee 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.
LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleephttps://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. 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.
No deficiencies cited during today's visit.
Exit interview conducted and report was reviewed with the Licensee, Silvia Viteri . A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3