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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019670
Report Date: 06/06/2019
Date Signed: 06/06/2019 01:59:52 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:SANTIAGO FAMILY CHILD CAREFACILITY NUMBER:
198019670
ADMINISTRATOR:MARIA R. SANTIAGOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 217-3643
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:14CENSUS: 3DATE:
06/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Maria R. Santiago, Licensee TIME COMPLETED:
02:15 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
Licensing Program Analyst (LPA) Carlos Gonzalez conducted an Annual Random inspection to the above facility. LPA met with Maria R. Santiago, Licensee, who guided Analyst on a tour of the facility. LPA observed three (3) children in care at the time of inspection, one (1) of whom was napping. Per Licensee, there are four (4) children enrolled in care at this time, a facility roster was available and is current.

This is a two story home consisting of four (4) bedrooms, three (3) bathrooms, kitchen, living room, family room, dining room, laundry area, breakfast nook, and a downstairs basement. Children have access to the living room, family room, dining room, laundry room, bathroom, and breakfast nook. Off-limits to children in care is the kitchen and entire upstairs. LPA observed children's safety gates in the downstairs area, preventing children from gaining access to the upstairs, kitchen, and basement.

Currently residing in the home is the Licensee with no additional adults/or children. All individuals must obtain a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Detergents, cleaning compounds, medications, and other items which could pose a danger, were determined to be inaccessible to children in care.

LPA observed a fully charged 3-A:40-B:C fire extinguisher on the premises, however, per the attached service tag, has not been serviced since 09/05/2017. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. The carbon monoxide detector was tested and is working properly. The two (2) smoke detectors located downstairs, were tested, but were not operable. There are age appropriate toys available for children. Per licensee, there are no weapons, firearms, or pets on the premises. LPA did not observe any bodies of water on the premises.
Report continues on next page 1 of 3
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: SANTIAGO FAMILY CHILD CARE
FACILITY NUMBER: 198019670
VISIT DATE: 06/06/2019
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
LPA advised the licensee how to access forms and regulations on line at: www.ccld.ca.gov.

LPA also advised Licensee on how to obtain the Department's Quarterly Updates via the following website address: www.childcareadvocatesprogram@dss.ca.gov



Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors, and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Effective January 1, 2018: Existing licensees must meet requirements by March 30, 2018. Preventive (OCAP) online training modules are free of cost and available at http://www.mandatedreporterca.com/.

Based on LPA’s observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency page) 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.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Maria R. Santiago, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
Report ends page 3 of 3
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SANTIAGO FAMILY CHILD CARE
FACILITY NUMBER: 198019670
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/20/2019
Section Cited
CCR
102417(g)(1)
1
2
3
4
5
6
7
Operation of a Family Child Care Home - The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. This requirement is not being met as evidenced by: LPA determined that the fire extinguisher within the home has not been serviced since
1
2
3
4
5
6
7
Per Licensee, the current fire extinguisher will be either be serviced or a new one will be purchased by the POC due date. Licensee will submit proof to LPA via an invoice or a receipt.
8
9
10
11
12
13
14
09/05/2017. This is a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
Type B
06/20/2019
Section Cited
CCR
102417(g)(1)
1
2
3
4
5
6
7
Operation of a Family Child Care Home - The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. This requirement is not being met as evidenced by: LPA determined that the two (2) smoke detectors located downstairs, were not in
1
2
3
4
5
6
7
Per Licensee, the smoke detectors will be in operable condition by the POC due date. LPA will conduct a follow-up inspection to ensure that the smoke detectors are in operable condition.
8
9
10
11
12
13
14
operable condition. This is a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
LIC809 (FAS) - (06/04)
Page: 3 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: SANTIAGO FAMILY CHILD CARE
FACILITY NUMBER: 198019670
VISIT DATE: 06/06/2019
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
The Licensee was observed to be operating within the licensed capacity limitations during this inspection. The Licensee has completed training on preventive health practices including Pediatric First Aid and CPR, which expires on 09/2019. There are first aid supplies available.

UPDATE: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all of the information required by regulation.

The following items were also discussed with licensee during this inspection:



· All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. LPA determined that Licensee last conducted a fire drill on 03/13/19, per the log provided.
· POSTING REQUIREMENTS: Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted behind the bedroom door of the children's activity room. LPA determined that the posting's were not readily visible to the parents of children in care.
· Infant Walkers, Johnny Jumpers, Saucer Chairs, or any other item that falls into these categories are not permitted in a family child care facility. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME.

Infant Care: Licensee does care for infants at this time. LPA advised the applicant to sleep infants where they can be directly supervised at all times and advised against sleeping infants in a separate room. Per Licensee, infants will sleep in the breakfast nook area and in the dining room area, where she will be providing supervision.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.
Report continues on next page 2 of 3
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4