198019825-2-6-2025-33-CC-SLEE-DDN34J-20250206165513

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019825
Report Date: 02/06/2025
Date Signed: 02/06/2025 04:55:19 PM

Document Has Been Signed on 02/06/2025 04:55 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	MORENO FAMILY CHILD CARE		FACILITY NUMBER:	198019825
ADMINISTRATOR/ DIRECTOR:	BERNANDITA A. MORENO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 403-2833
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91803
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 5	DATE:	02/06/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:20 PM
MET WITH:			TIME VISIT/ INSPECTION COMPLETED:	04:00 PM

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Licensing Program Analyst, Seung Lee conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Bernadita Moreno and toured the facility. There were 5 children present. Individuals residing in the home are the licensee, licensee's husband. Licensee’s operating hours are Monday-Friday 7:30am-5:30pm.

This is a single story home consisting of 2 bedrooms and 1 bathrooms. The following areas are used for day-care: Living Room and Dining Room area, 1 bedroom, 1 restroom, and back yard. Off limit areas include: 1 bedroom and kitchen.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the living room. First Aid/CPR certificate are valid thru 11/2025. The date on the card notes Licensee stated she has practiced fire/emergency drills with day-care children on 12/12/2024, providing LPA with disaster drill log. Licensee has a working telephone.

Detergents and cleaning supplies were inaccessible. Licensee states that all hazardous materials are kept in the off limits high cabinet in the restroom. Fire extinguisher has been serviced in the last year, service tag on extinguisher notes 03/16/2024. There is an operational smoke detector and carbon monoxide detector in the home. The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. There are no pools or spas, or other bodies of water. Currently there are 1 dog that reside in the home. Licensee understands that dog food cannot be accessible to children.

Katrina Chicote	TELEPHONE: (323) 981-3417
Seung Lee	TELEPHONE: (323) 981-3382
	DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MORENO FAMILY CHILD CARE	FACILITY NUMBER: 198019825
	VISIT DATE: 02/06/2025

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The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

Licensee has immunization records for herself on file. Licensee also provided proof of completion of her mandated reporter training during this inspection.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

No Deficiencies were cited on this visit.

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs. LPA advised licensee to refer to Section 101173 and 101226 for further information on regulatory requirements. 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.

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

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

Exit interview was conducted with Licensee Bernandita Moreno, Appeal rights discussed and explained.

SUPERVISOR'S NAME: Katrina Chicote	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

LIC809 (FAS) - (06/04)

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