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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020504
Report Date: 05/26/2020
Date Signed: 05/26/2020 05:12:49 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:VILLALPANDO FAMILY CHILD CAREFACILITY NUMBER:
198020504
ADMINISTRATOR:CANDACE VILLALPANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 349-8322
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:14CENSUS: 0DATE:
05/26/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Candace VillalpandaTIME COMPLETED:
11:15 AM
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This was an announced pre-licensing inspection conducted by Licensing Program Analyst (LPA) Crystal Green. Due to COVID-19 and precautionary measures, this pre-licensing inspection was conducted with Applicant Candace Villalpando, via a tele-inspection by use of FaceTime.

LPA confirmed with applicant those residing in the home consists of herself and 1 other adult, who all have obtained criminal record clearance. There are 5 minor children in the home. The applicant will operate from Monday through Friday, from 6:30 am to 6:30 pm. Ages to care for will be from 0-12 years old.

During this tele-inspection the Applicant took this LPA on a tour of the home. During this tour, the following was noted: At 10:32 am, LPA was toured through the interior of the home. This is a one story home which consists of 4 bedrooms, 2 restrooms, living room (main daycare space), dining room (daycare space), kitchen, frontyard (unfenced), backyard (fenced), and garage (attached). LPA did not observe any hazards inside of the home. LPA asked to be shown the electrical outlets in the areas used by the children and observed to be covered. LPA also observed appropriate equipment, toys, and games for children. LPA observed the kitchen blocked off with a safety gate. There is a fire extinguisher (purchased from 1/2020). There is a first aid kit located in the living room. There are smoke detectors throughout the home and carbon monoxide detector in the living room which applicant tested; LPA heard the alarm and found it operational. Per applicant there is a firearm located in the off limit area of the home which is maintained in a safe under a keypad lock. LPA observed the safe to be located in the inaccessible area of the home to daycare children. There are also no pets.

At 10:55 am, LPA was toured through the exterior of the home. The backyard will be used for daycare space. Backyard 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 play equipment on site. The front yard will remain off-limits to children. REPORT CONTINUES ON NEXT PAGE 1 of 4
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2020
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 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: VILLALPANDO FAMILY CHILD CARE
FACILITY NUMBER: 198020504
VISIT DATE: 05/26/2020
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All areas identified on the facility sketch were inspected. Areas that are accessible to daycare children: Living room, dining room, (1) restroom, and backyard (fenced). Off-limits/inaccessible to daycare children: (4) bedrooms and 1 bathroom, kitchen, front yard, and garage. Rooms that are off-limits need to be made inaccessible during operating hours. The applicant does understand that licensing staff may have access to off-limit areas during inspection visit if necessary.

The following was discussed with the applicant:


· 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.
· In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification, TB clearance, and a valid criminal record clearance associated to the facility license.
· A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.
· The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked and batteries replaced as needed.
· Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
· Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. Mandated reporter requirements was reviewed and explained.

· Fire and safety drills must be performed every six months and documented for review by the Department.


· Smoking is prohibited in a family child care home, 24/7.
· Children and Staff records must be maintained and updated as needed and must be available for review by the Department.
· No baby bouncers, 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.
· All adults living and working in the home shall be made of aware of the Departments right to inspection authority. REPORT CONTINUES ON NEXT PAGE 2 of 4
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2020
LIC809 (FAS) - (06/04)
Page: 2 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: VILLALPANDO FAMILY CHILD CARE
FACILITY NUMBER: 198020504
VISIT DATE: 05/26/2020
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Infant Care: Applicant states that she does care for infants. LPA observed a infant crib located in the living room area. LPA advised the applicant to sleep infants where the infant can be directly supervised and advised against sleeping infants in a separate room. LPA reviewed safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts were provided.

Medication: 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.htm

Per applicant, she will carry liability insurance or a bond in accordance with standard established by Family Child Care statue. Signed statements (LIC282) will be on children’s files. The law requires Family Child Care provider to carry liability insurance or bond in the amount of $300,000 annually or to maintain the signed statement in the facility file.

The applicant does have proof of Health and Safety training (completion date: 02/23/20), Pediatric First Aid and CPR (expires on 08/17/2021). The applicant has proof of immunization against influenza, pertussis, and measles. Applicant completed required mandated reporter training on 02/19/2020. Mandated reporter training must be completed every 2 years. www.mandatedreporterca.com

LPA will email Safe Sleep Concepts, Capacity Handout (Small & Large), and information regarding best practices to maintain safe and healthy environment during COVID-19 health crisis.

This home currently meets the description of a safe and healthy environment for children as described in Chapter 1, Division 12, Title 22 of California Code of Regulations and the facility will be submitted for approval for a large family child care license. LPA reminded applicant to adhere to capacity limitations and conditions listed on the license.
REPORT CONTINUES ON NEXT PAGE 3 of 4
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2020
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: VILLALPANDO FAMILY CHILD CARE
FACILITY NUMBER: 198020504
VISIT DATE: 05/26/2020
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Exit interview was conducted with Applicant Candace Villalpando, via tele-inspection. A copy of this report and appeal rights will be emailed with a read receipt or confirmation of receipt of email, which will act as the Applicants/Licensee’s signature. Applicant will also sign report and mail to the Department.



REPORT END 4 of 4
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4