198019836-5-25-2022-54-CC-RDEO-CERVX6-20220525164902

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019836
Report Date: 05/25/2022
Date Signed: 05/25/2022 04:49:09 PM

Document Has Been Signed on 05/25/2022 04:49 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:	GARCIA FAMILY DAY CARE		FACILITY NUMBER:	198019836
ADMINISTRATOR:	JASMIN GARCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 607-7969
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	14	CENSUS: 13	DATE:	05/25/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Licensee - Jasmin Garcia		TIME COMPLETED:	05:00 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) R. Derraco conducted an unannounced required one year inspection to the above facility on 05/25/22. LPA arrived at the facility at 2:00 PM and met with licensee, Jasmin Garcia, who guided analyst on a tour of the facility. Also present during this inspection was an assistant,A2 and A3. Per Licensee, there are 15 children that are currently enrolled. There were 13 children present upon arrival. During the inspection, LPA observed children leaving at 2:30PM, 2:45PM and 3:45PM This is a one-story home which consists of four bedrooms,three bathrooms, kitchen/dining room, living room, a detached garage, front yard and backyard (fenced). The off limit areas include one bedroom, two bathrooms, detached garage and front yard. The main care area is located in the living room. LPA observed a leather couch, child sized table and child sized chairs, a wall mounted television and a locked fire place. A pull down fire alarm was observed at the entrance of the home. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were also observed to be posted in the main care area. The Dining area was observed to have a dining table with chairs, and four Graco feeding high chairs. A child rocker was also observed in the dining area. Licensee states rocker is only used to get infant to sleep and then they are transferred to a crib. LPA did not observed any sharp objects accessible to children in care in the kitchen area. All cabinets and drawers were observed to have child locks making contents inaccessible. Licensee states that she provides food for children in care. The bathroom designated for children in care was observed to be clean and free of defects. A baby changing station was observed to be mounted to the wall of the bathroom. Bedroom one was observed to have two wooden cribs and a storage area for age appropriate toys and a materials. Upon arrival, LPA observed children in care napping in the room. Bedroom two was observed to have a bunk bed, wall mounted television and a pet dog kept behind a small fence. Per licensee, the room is not off limits, however children in care do not use the room. Bedroom three was observed to have additional toys, a twin sized bed, and a (page 1 of 3)

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

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: GARCIA FAMILY DAY CARE	FACILITY NUMBER: 198019836
	VISIT DATE: 05/25/2022

NARRATIVE

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pack an play. An infant was observed napping in the room during inspection. Cleaning supplies and detergents were observed to be kept in a cabinet above the laundry appliances making it inaccessible to children in care. Outdoor play time is provided in the back yard. LPA observed a detached garage, child sized table and chairs, a basketball hoop, and several outdoor play equipment designed for children. Shade is provided in the back yard by a removable cover attached to the home and the garage. A separate black iron gate separates the grassy area and the backyard play area. Per licensee, the grassy area is used during the summer, however it is temporarily off-limits due to a outdoor kitchen project. A tree house was also observed in the off limits area of the back yard. A fence was observed to separate the grassy area of the backyard from the off limits treehouse area. Perimeter fencing was observed throughout the backyard play area. Security cameras and door sensors were also observed throughout the property. Per licensee, isolation area for children showing signs of illness will be located in either one of the three available bedrooms. LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs. No bodies of water were observed on the premises. Per licensee, she has three pet dogs.

Individuals who reside in the home were noted and discussed. 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. Licensee states that there are firearms stored in the home. LPA observed that licensee did not have access to the safe during the inspection. LPA observed that ammunition and firearms are locked separately in a safe box. There is telephone service via a cellphone that is used and the cellphone stays at the facility during operation hours. Per Licensee, the home is equipped with central heating and air conditioning.

The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 10/23/21, as indicated on service tag. Smoke and carbon monoxide detectors were tested and are operable.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://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
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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

LIC809 (FAS) - (06/04)

Page: 2 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: GARCIA FAMILY DAY CARE	FACILITY NUMBER: 198019836
	VISIT DATE: 05/25/2022

NARRATIVE

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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.

The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 02/2023. LPA observed that the Licensee and assistant do have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. File review was observed to have proper mandated immunization records. Children’s records were reviewed, including emergency information and were observed to be complete. A current children’s roster was available for review. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Incidental Medical Services (IMS):
IMS was discussed with licensee. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.cdss.ca.gov. LPA provided a flyer regarding children ratios for a large family child care home to licensee

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights provided, and report was reviewed with the licensee Jasmin Garcia

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

LIC809 (FAS) - (06/04)

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