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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020418
Report Date: 01/21/2025
Date Signed: 01/28/2025 03:53:22 PM

Document Has Been Signed on 01/28/2025 03:53 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:MEDRANO FAMILY CHILD CAREFACILITY NUMBER:
198020418
ADMINISTRATOR/
DIRECTOR:		MARIA MEDRANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 717-9478
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
01/21/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:55 AM
MET WITH:Maria Medrana, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On Tuesday, January 21, 2025 Licensing Program Analyst (LPA’s) Joanne Solorio Campos and Staicy Perry conducted an unannounced annual inspection at the above facility and met with licensee, Maria who guided LPA’s Solorio Campos and Perry on a tour of the facility.

LPA’s observed 9 children present. LPA observed facility to be within ratio. Licensee states that she has 10 children enrolled. Operating hours are Monday to Friday from 8:00a.m-5:00pm and care for children ages 0 to 4 years old.

This is a large family child care home and is a one-story home which consists of 2 bedrooms, 1 bathroom, living room, dinning room, kitchen, laundry area, a detached garage, which remains locked at all times during operating hours, and a completely fenced front and back yard. The children have access to the entire home. Per licensee, areas off limits to children and parents include: the detached garage. Per licensee no family members reside in the home only herself. (criminal record clearances on file). The LPA toured all areas used by children during this visit.

LPA’s inspected the facility for safety, comfort, cleanliness, ventilation and working phone. For ventilation, LPA’s observed portable AC and located in the living room and dinning room area. LPA's observed a wall heater that was barricaded and made inaccessible to children. LPA observed the furniture, children’s materials, to be in good condition and age appropriate.

LPA’s observed cleaning compounds items, stored underneath the kitchen sink, and observed a childproof lock in place, making it inaccessible for children to open. LPA’s observed the knives and sharp objects stored inside the top kitchen cabinet with a childproof lock making it inaccessible for children to open.
Katrina ChicoteTELEPHONE: (323) 981-3417
Joanne Solorio CamposTELEPHONE: (323) 981-3350
DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: MEDRANO FAMILY CHILD CARE
FACILITY NUMBER: 198020418
VISIT DATE: 01/21/2025
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The licensee stated the facility provides breakfast, lunch, and am and pm snack. LPA informed licensee any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, licensee stated she provides water.
Licensee stated she currently does not have any children with severe food allergies but does administer medication to one child.

LPA’s Solorio Campos and Perry entered the bathroom and observed a working toilet, working sink with hand soap and the bottom sink cabinet was closed with a child proof lock and did not observe hazard materials. The bathroom was observed to be in good condition. LPA’s reminded licensee and personal items (ex; shampoo, toothpaste, mouthwash, or items that fall into that category) must be made inaccessible to children.

LPA’s asked the licensee if there were any pets, poisons, firearms, weapons, or bodies of water. The licensee stated she does not have any of the above and LPA’s did not observe any. The licensee was informed that if any poisons (ex; drano, rat poison or items that fall into that category), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.

LPA Solorio Campos and Perry observed the required 2A10BC fire extinguisher located in the kitchen and the valve on the green area indicating fully charged and last purchased on 5/15/24. LPA’s observed a carbon monoxide detector and smoke alarm located in the hallway. LPA’s tested the carbon monoxide and smoke alarm and were heard to be operable. LPA observed the first aid kit in the hallway to be complete with band aids, gauzes, adhesive bandages, antiseptic wipes and scissors. For ill isolation, licensee stated she utilizes the hallway of the home. LPA’s observed the last emergency drill conducted on 5/8/24, LPA’s advised licensee that drills need to be conducted every 6 months.

LPA’s observed the outdoor area(front yard) that is utilized by children for safety, comfort, and cleanliness. LPA’s observed the play yard to be fenced and side gates closed. LPA’s Solorio Campos and Perry observed the play equipment to be age appropriate and in a safe condition, free of sharp, no lose or pointed parts. LPA’s observed a play structure and the surface of the outdoor activity space is maintained in a safe condition and is free of hazards.
SUPERVISOR'S NAME: Katrina ChicoteTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Joanne Solorio CamposTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
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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: MEDRANO FAMILY CHILD CARE
FACILITY NUMBER: 198020418
VISIT DATE: 01/21/2025
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LPA Solorio Campos and Perry observed licensee Red Cross Pediatric First Aid/ CPR certification and expires 06/2025, Health and Safety certification is dated 4/15/19, and licensee has proof of immunization against Pertussis, MMR, and Influenza declination. Licensee has completed the Child Abuse Mandated Reporter (AB 1207) training and expires 5/9/25. Licensee’s assistant’s file was reviewed and observed to be complete. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

LPA Solorio Campos and Perry observed the following required postings in the entry way of the facility; License, LIC 9148 Earthquake Preparedness Checklist, LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, and LIC 999 Facility sketch. LPA also reviewed children’s roster, children files including sleep logs and staff files. LPA’s observed the files not to be complete. Sleep logs for infants were observed to be incomplete and licensee could not provide past logs as she stated that she throws them out daily, which poses a potential risk to the health and safety of the children in care and LPA’s advised licensee to maintain logs for up to 3 years. LPA’s observed Child #2 did not have the emergency consent form signed by a parent/guardian and LPA’s advised the importance of LIC624 and licensee understood and stated will be picked up and form will be signed.


To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Family Child Care Homes Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
SUPERVISOR'S NAME: Katrina ChicoteTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Joanne Solorio CamposTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
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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: MEDRANO FAMILY CHILD CARE
FACILITY NUMBER: 198020418
VISIT DATE: 01/21/2025
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Child Care Centers and Family Child Care Homes LPA’s discussed the safe sleep regulations with Licensee Edith discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA’s 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.

This facility provides Incidental Medical Services – IMS. LPA’s reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. At approximately 10:19am,LPA’s observed child’s medication to be stored in a plastic container with a red label indicating child’s name and medication to be given at 2pm. LPA’s observed two syringes with unknown liquid inside as LPA’s did not observe proper storage of medication with medical/pharmacy label indicating name and amount to be given. LPA’s did observe IMS plan to be on file for Child #1. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Family Child Care Homes Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA’s completed the RSO profile in FAS.

At this time, the licensee is not in compliance with California Title 22 Regulations.



Based on this information the following deficiencies on the LIC 809 D are being cited today January 21,2025.
SUPERVISOR'S NAME: Katrina ChicoteTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Joanne Solorio CamposTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
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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: MEDRANO FAMILY CHILD CARE
FACILITY NUMBER: 198020418
VISIT DATE: 01/21/2025
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LPA informed licensee Maria Medrano that this report dated January 21, 2025 document(s) 1 Type A citation, which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA’s informed the licensee to provide a copy of this licensing report dated January 21, 2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Also based on this information, one Type B deficiency is being cited for not being in compliance with California Title 22 Regulations.

A notice of site visit was given and must remain posted for 30 days.



Exit interview was conducted and report was reviewed with licensee Maria Medrano.

Appeal Rights were provided and discussed.
SUPERVISOR'S NAME: Katrina ChicoteTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Joanne Solorio CamposTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
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Document Has Been Signed on 01/28/2025 03:53 PM - It Cannot Be Edited


Created By: Joanne Solorio Campos On 01/21/2025 at 01:19 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MEDRANO FAMILY CHILD CARE
FACILITY NUMBER: 198020418

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102423(a)(4)
Personal Rights
(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: (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above, LPA’s observed two syringes with unknown liquid inside as LPA’s did not observe proper storage of medication with medical/pharmacy label indicating name and amount to be given. LPA’s did observe IMS plan to be on file for Child #1 but does not indicate the dosage that needs to be administered nor the number of times administered per day, Which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/23/2025
Plan of Correction
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During inspection, licensee was observed to contact Child #1's parent and notified her of the proper prescribed packaging that Child #1's medication should be in. Licensee stated that she will ensure that when the child returns she will return with the correct medication packaging or the child will not be accepted into care. Licensee stated she will have Child #1's parent request an updated IMS plan from the physician. Licensee signed a declaration provided by LPA's to ensure POC is followed through.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Katrina Chicote
TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME:Joanne Solorio Campos
TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2025


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Document Has Been Signed on 01/28/2025 03:53 PM - It Cannot Be Edited


Created By: Joanne Solorio Campos On 01/21/2025 at 01:19 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MEDRANO FAMILY CHILD CARE
FACILITY NUMBER: 198020418

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review the licensee did not comply with the section cited above, Sleep logs for infants were observed to be incomplete and licensee could not provide past logs as she stated that she throws them out daily, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/31/2025
Plan of Correction
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Per licensee they will continue updating all sleep logs every 15 minutes accordingly. Sleep logs will be submitted to LPA by POC date and available for review to the department. Licensee and assistants will review safe sleep regulations on the CCLD webpage and provide a statement of their understanding.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Katrina Chicote
TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME:Joanne Solorio Campos
TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2025


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