198019809-12-6-2019-54-CC-WBIS-BJLR9A-20191206114914

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019809
Report Date: 12/06/2019
Date Signed: 12/06/2019 11:49:38 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:	RUIZ FAMILY CHILD CARE		FACILITY NUMBER:	198019809
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 1	DATE:	12/06/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Adriana Ruiz		TIME COMPLETED:	12:05 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) Warren Birks conducted an unannounced case management inspection for the purpose of inspecting the facility regarding a capacity increase. LPA met with Licensee Adriana Ruiz and cleared assistant. The Licensee is requesting to increase to a Large Family Child Care with a capacity of 12-14 children. Adult family members residing in the home are the Licensee and cleared spouse. LPA observed one infant child present at the time of inspection (in compliance with license limitations). All areas identified on the facility sketch were inspected. This is a two story home which consists of two bedrooms, two bathrooms, living room, kitchen, dining area, and backyard. There is no fireplace. The applicant uses one restroom, the living room (as an activity room) and the backyard for daycare. All other areas of the home are off limit areas and inaccessible by barrier. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Per applicant, there are no dual licenses at this address. LPA observed age appropriate toys and books for children infants. The Licensee's 2A10BC Fire Extinguisher is due for service by March 14, 2020. The outdoor play area is surrounded by a wooden and concrete fence and is safe and free of hazards at this time. There is an inaccessible side area where the Licensee's two small dog stays during daycare hours. The Licensee's backyard driveway is inaccessible to children. There is no garage. Licensee was advised to provide 100% supervision for safety regarding the outdoor play and field trips. Per Licensee, there are no firearms, weapons, or bodies of water at the facility. Per applicant, there are no dual licenses at this address. LPA observed napping equipment for infants is available. All posting requirements were observed to be posted at the time of visit.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019

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: RUIZ FAMILY CHILD CARE	FACILITY NUMBER: 198019809
	VISIT DATE: 12/06/2019

NARRATIVE

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Note: A qualified assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility. This includes outdoor activity and activity away from the child care facility. The Licensee's CPR expires September 21, 2021.

The licensee was strongly advised to provide 100% supervision for all outdoor play. Note: LPA provided Licensee with a form listing the possible capacity and ratio scenarios approved under Title 22. LPA also reminded Licensee of the following:

1. All adults working with the children, residing in the home or having initial presence in the facility (during operating hours) must be fingerprint cleared.

2. The capacity and ratio requirements for a small family child care home resume when no assistants are present.

3. All medications, cleaners, chemicals and hazardous items (such as knives, sharp objects etc.) must be inaccessible.

4. The following are not allowed in a family child care home: Baby bouncers, saucer chairs, johnny jumpers, baby walkers, car seats, rockers and trampolines as they may be an immediate risk to children in care.

Note: Licensee has an approved October 30, 2019 Fire Clearance (14 children),

Based on LPA observations and inspection, the Licensee is approved for a Large Family Child Care Home as of December 6, 2019. The Licensee must adhere to terms and limitations on the license.

Upon receipt the Licensee shall post the Notice of Site Visit and the Licensing Report. This report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted with Licensee Ruiz.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019

LIC809 (FAS) - (06/04)

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