198020449-4-26-2021-33-CC-SLEE-C2FSW9-20210426141359

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020449
Report Date: 04/26/2021
Date Signed: 04/26/2021 02:14:06 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:	SOTO & JONES FAMILY CHILD CARE		FACILITY NUMBER:	198020449
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 3	DATE:	04/26/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Rosalind Jones		TIME COMPLETED:	11:00 AM

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) Seung Lee contacted the facility via telephone to conduct a case management inspection due to COVID-19 and pre-cautionary measures. LPA Lee identified himself and spoke to Facility representative Rosalind Jones and discussed the purpose of the call. This inspection was conducted for a pending capacity increase application submitted by the facility. This is a one story home that consists of 4 bedrooms 2 bathrooms, kitchen, living room, dining area, and back yard with a detached garage .The day care will take place in the Living room, 1 bedroom, Dining room area, 1 bathroom, the detached garage, and the backyard. The kitchen, 3 bedrooms, 1 bathroom will be off limits. LPA observed the backyard had an AC unit that has been fenced off to prevent access. The detached garage has been converted to a room to provide care for children. Applicants stated that children will eat and nap in the living room of the home and not in the converted garage. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The back yard area is adequately fenced and there is NO swimming pool, spa or other bodies of water observed on the premises. There are age appropriate toys and napping equipment on the premises. LPA observed that the required posting were present at the family child care home near the front door. LPA observed that smoke and carbon monoxide detectors were operational. The required fire extinguisher was observed to be operational and purchased on 01/14/2021 per receipt. Page 1 of 2

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SOTO & JONES FAMILY CHILD CARE	FACILITY NUMBER: 198020449
	VISIT DATE: 04/26/2021

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
26
27
28
29
30
31
32

During the inspection LPA Lee explained to the Licensee that this report along with the application will be processed and submitted for a final review before the pending application can be approved by the department.

An exit phone interview has been conducted with Licensee Rosaline Jones . Appeal Rights were verbally explained. A copy of this report has been signed by LPA Seung Lee. This report along with appeal Rights will be scanned via e-mail to the licensee, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. A hard copy of this report, and the Appeal Rights has been placed in today’s mail and Licensee agrees to sign the bottom of each page of the 9099 and return the originals to LPA Lee in-person or via U.S. Mail.

Page 2 of 2

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2