198020310-9-2-2021-33-CC-AGOK-C6GTK5-20210902144723

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020310
Report Date: 09/02/2021
Date Signed: 09/02/2021 02:47:32 PM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	OROPEZA FAMILY CHILD CARE		FACILITY NUMBER:	198020310
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 1	DATE:	09/02/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Alicia Oropeza		TIME COMPLETED:	12:30 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) Alanna Gontarek conducted an unannounced required annual inspection. LPA arrived at 9:30am and met with Licensee Alicia Oropeza who guided LPA on a tour of the facility. Also present was Licensee's mother, adult son, adult daughter-in-law/ assistant, and Licensee's 2 children (under 18 years old). Census was taken. There was one child present during today’s inspection. Licensee states that there are currently 6 children enrolled. Per Licensee, of the 6 children enrolled, 2 are infants The Licensee is within the conditions, limitations, and capacity specified on the license. The children's roster was reviewed and is current. Hours of operation are: Monday to Friday from 6:00 a.m. to 6:00 p.m. Family members residing in the home are three additional adults (criminal record clearances on file) and two children under 18 years old. This is a one story home which consists of 3 bedrooms and 2 bathrooms. Areas used by the children include: the Living room, daycare area, 1 restroom located in hallway, nap room, kitchen, dining room, and back yard. Per Licensee, areas off limits to children and parents include: 2 bedrooms, one restroom located in back room, small outdoor storage area, large outdoor storage area, front yard and garage. Outdoor play area is fenced. The rooms that are off-limits have been made inaccessible to children in care via child safety gates and latches. Licensee and assistant maintain visual supervision at all times while children are outside. Declaration was obtained during today's visit. The Licensee uses the living room as the designated ill isolation area. Per Licensee, breakfast and snacks are provided, and there are extra foods for lunch in case child does not want own lunch provided by child's authorized representative. LPA observed the food to be in good quantity and quality during inspection. Per Licensee, no one smoke in the home. Areas accessible to children were inspected for cleanliness and are orderly. Ventilation and heating was observed. LPA observed facility to have central air conditioning and heating. There is a working telephone service maintained in the home via land line and cell phone. LPA observed a wall heater in children's Page 1 of 5

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OROPEZA FAMILY CHILD CARE	FACILITY NUMBER: 198020310
	VISIT DATE: 09/02/2021

NARRATIVE

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bathroom, and is barricaded. Per Licensee, there is a fireplace located inside off-limit back room. LPA observed age-appropriate toys in the living room, and a changing table. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. LPA inspected the kitchen. LPA observed knives to be stored in an upper cabinet, inaccessible to children in care. LPA observed medications to be stored in an upper latched cabinet in kitchen. LPA observed 4 highchairs in dining room. Licensee has 2 large pet dogs which are kept in a gated side yard during operation hours. LPA observed cleaning products to be stored: in latched cabinets in the front hallway key locked closet, kitchen latched upper cabinet, and under sink in a latched drawer in the children's bathroom. LPA observed Shampoos and conditioners to also be stored under latched children's bathroom sink. There are safe toys, play equipment and materials observed for children in the living room.

LPA observed the nap area:
Licensee has 2 play yards for each infant in care. The play yard meets the United States Consumer Product Safety Commission safety standards. Requirements are as follows: (2) Placement of cribs or play yards shall not hinder entrance or exit to and from the space where infants are sleeping. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. (4) Mattresses shall be made specifically for the size crib or play yard in which they are placed. (5) Fitted sheets shall be replaced when wet or soiled. (6) Each infant's bedding shall be used for him/her only. Bedding that touches the infant’s skin shall be cleaned at least weekly or before use by another infant. (7) Soiled bedding shall be placed in a closed container and made inaccessible to infants until washed. Cribs or play yards shall be free from all loose articles and objects. (1) Pacifiers shall be allowed in the crib or play yard if the following provisions are in place: (A) There shall not be anything attached to the pacifier. (B) The pacifier shall be specific to the infant it is being given to. (2) Bumper pads shall not be used. (3) There shall be no objects hanging above or attached to the side of the crib. LPA observed a fitted play yard mattress and play yard fitted sheet in play yard. LPA observed 2 cots, and all dresser drawers to be latched.

Per licensee, there are firearms and ammunition on the premises. LPA observed the gun safe in an upper latched cabinet in the nap room. Per licensee, there is one firearm located in the key locked and coded electronic safe. Per Licensee, ammunition is stored in a separate latched dresser drawer in the nap area.
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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OROPEZA FAMILY CHILD CARE	FACILITY NUMBER: 198020310
	VISIT DATE: 09/02/2021

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LPA inspected outdoors. There are no bodies of water on the premises. LPA observed poisons to be stored in the garage and are inaccessible via key locked garage. Poisons are locked, as required. The Licensee does understand that poison must be locked with a key or combination lock.

Emergency Disaster Plan, Facility License, and Parent Rights were posted at the time of inspection. The valve on the required 2A 10BC fire extinguisher indicates fully charged, last purchased on 11/7/2020. LPA observed 2 dual smoke and carbon monoxide detectors located in the living room and nap room, and were tested and are operable. The last fire and earthquake drill was conducted on 8/5/2021.

Records were reviewed. The Licensee has current EMS approved Pediatric First Aid and CPR, which will expire on 6/12/23, and Licensee's Assistant has EMS approved CPR and First Aid expiring on 9/14/21 . Proof of immunization against influenza, pertussis, and measles for the Licensee and Assistant was readily available during today’s inspection, and immunization records are on file. The Licensee and Licensee's Assistant have taken the Mandated Reporter Training. The Licensee's Mandated Reporter Training expires on 7/17/23, and Licensee's Assistant's Mandated Reporter training expires on 9/25/21.

Children’s records were reviewed to ensure that each child has an Identification and Emergency form. LPA observed children to have emergency information on file, and is current.

The following was discussed: Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty. The Licensee shall be present in the home and shall ensure that children in care are supervised at all times. When temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise children in their absence. Children shall not be left in parked vehicles.

Safe Sleep Regulations: Infants shall not be swaddled while in care. The provider shall supervise infants while they are sleeping and adhere to the following requirements: (1) The provider shall physically check on sleeping infants every 15 minutes. (2) The provider shall document the following: (A) Labored breathing. (B)
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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

Page: 2 of 5

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OROPEZA FAMILY CHILD CARE	FACILITY NUMBER: 198020310
	VISIT DATE: 09/02/2021

NARRATIVE

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Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature, and restlessness. (C)Infants up to 12 months of age who are sleeping in a position other than on their back. 1. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, the provider shall return the infant to their back for sleeping. Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: 1. Date. 2. Infant’s name. 3. Time of each 15-minute check. (3) If the provider observes labored breathing or signs of distress as specified in Subsection (j)(2)(B), the provider shall do the following: (A) Immediately notify the infant’s authorized representative. (B) Obtain specific instruction from the infant’s authorized representative regarding action to be taken and make prompt arrangements to obtain medical treatment if necessary. (C)There shall be no delay in obtaining emergency medical treatment for the infant if the infant’s condition requires immediate attention. (4) The provider shall be near enough to the sleeping infant to be able to hear them wake up. (5) If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times. (A) The provider shall be able to visually observe the infant without moving the door. (6) The provider shall be on the same floor as the sleeping infant. (7) A digital video and audio monitoring device may be used in the home but shall not be used in place of the requirements enumerated in Subsection (j). 102423(a)(2) (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Additional information: Rooms that are off-limits need to be made inaccessible during operating hours. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. Car seats shall only be used for transportation purposes and shall not be used for sleeping. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

LPA reviewed and issued the LIC 311D - Forms/Records to Keep in Your Family Child Care Home. Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and
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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

Page: 4 of 5

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OROPEZA FAMILY CHILD CARE	FACILITY NUMBER: 198020310
	VISIT DATE: 09/02/2021

NARRATIVE

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documentation were discussed. Lead Poisoning Flyer was explained and provided as well. Role and responsibilities of being a Mandated Reporter were reviewed. The Licensee was advised how to access forms and Regulations online at www.ccld.ca.gov. Licensee was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. A hard copy of A Child Care Provider’s Guide to Safe Sleep,new Safe Sleep Regulations, the Individual Infant Sleeping Plan (LIC 9227), and a Sleep Chart were provided during this visit.

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.html.

LPA issued the Confidential Names List (LIC 811) to the licensee during this visit. The Confidential Names List documents the children’s files that were reviewed during this inspection. The licensee’s email address was obtained prior to this inspection. The licensee was advised that email is public information. Per Licensee, currently receives Provider Information Notices (PINs) via email.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

Exit interview was conducted with Licensee, Alicia Oropeza. A copy of this report (LIC 809), Appeal rights (LIC 9058), and Notice of Site Visit were explained and provided. Licensee's signature on this report (LIC 809), acknowledges receipt of the report. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

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