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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020004
Report Date: 10/09/2019
Date Signed: 10/09/2019 11:06:23 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:NARVAEZ FAMILY CHILD CAREFACILITY NUMBER:
198020004
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
10/09/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Elizabeth LizarragaTIME COMPLETED:
11:20 AM
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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 Licensees Angela Narvaez and Elizabeth Lizarraga who were caring for four children. The Licensee is requesting to increase to a Large Family Child Care with a capacity of 12-14 children. Family members residing in the home are the Licensees, two cleared adults and minor children. LPA observed five (5) children (2 infant, 2 school age) present at the time of inspection (in compliance with license limitations).

All areas identified on the facility sketch were inspected. This is a single story home consisting of 3 bedrooms, 2 bathrooms, living room, kitchen, dining room, recreational room in back yard and back yard. The children use the living room, dining room, one restroom, one bedroom (nap room) and the back yard for childcare. Off-limits areas are two bedrooms, the outdoor recreational room, one restroom, kitchen and a section of the backyard. Home was inspected for comfort, cleanliness, ventilation. LPA observed age appropriate toys and equipment for children. The Licensee's 2A 10BC fires extinguisher is fully charged with an inspection due of date of September 2020. Smoke and carbon monoxide detectors near the hallway were tested and are in operable condition. There are emergency supplies on the premises and a first aid kit.

A section of the backyard is off limits to children by locked gate. LPA observed a recreational room in the off limits outdoor area. The Licensee will need to install a barrier or provide a declaration that the outdoor play area driveway is not used for vehicles during hours of operations. LPA observed no accessible medicines, cleaners or hazardous items that can pose a danger to children. Kitchen cabinets and bathroom cabinets have locks to prevent children from accessing hazardous items. Per Licensee, there are no firearms, weapons, or bodies of water at the facility. Per applicant, there are no dual licenses at this address. Napping equipment for infants is available. All posting requirements were observed to be posted at the time of visit.
The Licensee has a small dog and other small pets in the off limits area that appeared friendly.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
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 2
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: NARVAEZ FAMILY CHILD CARE
FACILITY NUMBER: 198020004
VISIT DATE: 10/09/2019
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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 July 10, 2020.

The licensee was strongly advised to provide 100% supervision for all outdoor play. Note: LPA provided Licensee Valdovinos 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 September 17, 2019 Fire Clearance (14 children),

Note: The following items must be corrected before LPA will request approval for a Large family License:

Provide a declaration stating that the backyard driveway will not used for vehicles during daycare hours OR install a barrier between parked vehicle area and play area.

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 Lizarraga.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
LIC809 (FAS) - (06/04)
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