198020091-6-13-2023-54-CC-JESA-CSRTUH-20230613150223

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020091
Report Date: 06/13/2023
Date Signed: 06/13/2023 03:02:30 PM

Document Has Been Signed on 06/13/2023 03:02 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:	LOPEZ FAMILY CHILD CARE		FACILITY NUMBER:	198020091
ADMINISTRATOR:	CANDELARIA LOPEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 257-8703
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	14	CENSUS: 8	DATE:	06/13/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Licensee Candelaria Lopez		TIME COMPLETED:	03:10 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	On 6/13/2023 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection at the above facility. LPA met with Licensee Candelaria Lopez. LPA informed Licensee of the purpose for the visit and provided Licensee with a copy of the facility entrance checklist (LIC 126). The facility provides care to children ages 1 month to 12 years old. The facility is open Monday to Friday and alternating Saturdays from 6:30AM to 11:59 PM. LPA observed 8 children, Licensee and Staff 1 present. The facility was in compliance with capacity requirements for a Large Family Child Care Home. All residents living in the home were discussed and noted. Licensee provided a tour of the facility. This is a one story, 3 bedroom, 2 bathroom home. Per Licensee areas on limits to children are: Living room, kitchen, one bedroom (Daycare room), bathroom in the Day care room and a section of the backyard. Per Licensee areas off limits to children are: 2 bedrooms,1 bathroom, detached garage, fenced pool. All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA observed required posted documentation: Facility license, Publication (PUB) 394- Notification of Parent Rights, LIC 9148 Earthquake Preparedness checklist. LPA observed a current facility roster LIC 9040 and a disaster drill log. Last documented drill was conducted on 5/22/23. Licensee was advised disaster drills shall be conducted every 6 months. LPA observed a smoke detector and a carbon monoxide detector in the facility which are operational. LPA observed a 2A10BC Fire Extinguisher in the hallway next to the daycare room which indicated full and was last serviced in October 2022. There are toys and other age appropriate materials available for children in the day care room. The home maintains telephone service (landline and cell phone). Food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. Sharp objects, detergents and cleaning compounds and medicines are inaccessible. Knives are kept in a latched kitchen cabinet, cleaning products are kept in a latched cabinet under the sink, personal medicines are kept in an upper kitchen cabinet inaccessible to children and detergents are kept in locked cabinets in the laundry area. Per Licensee, there are no children who require medication enrolled. Heating and ventilation was evaluated. The home has central air and heating. LPA did not observe any wall heaters.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

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: LOPEZ FAMILY CHILD CARE	FACILITY NUMBER: 198020091
	VISIT DATE: 06/13/2023

NARRATIVE

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Page 2 of report - LPA did not observe any fireplaces in the home. Per Licensee, the on limits bedroom is the day care area. Children use the living room as needed. Children have meals and nap in the day care room. LPA observed 5 children napping on cots during the inspection. Children use the bathroom in the day care room. LPA did not observe cleaning products or medicine in the on limits bathroom. Per Licensee, children use a section of the backyard for outdoor play. LPA observed age appropriate toys for children in the backyard. LPA observed a pool in the backyard. The pool is surrounded by a mesh fence, the gate opens away from the pool and it has a self latching device. Per Licensee, Children are supervised while playing outside. Per Licensee, there are no poisons kept in the home. Licensee was advised that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the living room or day care room. Per Licensee, there are no firearms or weapons stored in the home. There are four pet dogs in the home. Dogs are mostly separated when children are playing outside.
Infant Care: Currently there are 4 infants enrolled. LPA observed three play yards available in the day care room. Per Licensee, the four attend on alternating schedules. Play yards are cleaned and disinfected and sheets are changed before they are used by a different infant. LPA discussed the following with Licensee: Napping equipment shall not block the entrances or exits. Licensee was advised Infants shall not be swaddled in care. Car seats shall not be used for sleeping. LPA discussed the new Safe sleep regulation, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months.
Overnight Care: Per Licensee, they do provide overnight care. Per Licensee, children sleep in the day care room and one adult is present in the day care room while children are sleeping. LPA observed that infat sleeping logs are kept for overnight care. LPA discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
Children's records were reviewed. LPA verified that records contained (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ RightsStaff records were reviewed: Licensee's Pediatric first aid/cpr certification issued by the American Red Cross expires in July 2024 and Staff 1's expires in 07/2023. Licensee's and Staff 1's did not have a current mandated reporter certificate. Licensee and Staff 1 had proof of required immunization to measles, pertussis and influenza. Licensee and Staff 1 had proof of TB clearance. During inspection the children present were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and were free from corporal and/or unusual punishment.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LOPEZ FAMILY CHILD CARE	FACILITY NUMBER: 198020091
	VISIT DATE: 06/13/2023

NARRATIVE

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Page 3 of report
Incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. Per Licensee, no children enrolled require medication. 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm 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. LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep 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 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.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. One type B deficiency is being issued today. Please see attached LIC 809-D for citation. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.
Exit interview conducted and report was reviewed with Licensee Candelaria Lopez. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

Document Has Been Signed on 06/13/2023 03:02 PM - It Cannot Be Edited

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: LOPEZ FAMILY CHILD CARE	FACILITY NUMBER: 198020091
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, the licensee did not comply with the section cited above in 2 out of 2 staff who did not have a current mandated reporter training certificate which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/13/2023
	Plan of Correction
1 2 3 4	Per Licensee, herself and Assistant 1 will complete the mandated reporter for child care providers training. Proof of certificate will be provided via picture.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

LIC809 (FAS) - (06/04)

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