198400004-6-8-2020-54-CC-WBIS-BQE5AD-20200608194657

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400004
Report Date: 06/08/2020
Date Signed: 06/08/2020 07:47:23 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	CASTRO & MARTINEZ FAMILY CHILD CARE		FACILITY NUMBER:	198400004
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	06/08/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	05:05 PM
MET WITH:	Fatima Castro		TIME COMPLETED:	06:45 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	This was a Case Management inspection conducted by Warren Birks, Licensing Program Analyst (LPA) due to COVID-19 and precautionary measures. This Case Management pre-inspection was conducted with Licensee Fatima Castro via a tele-inspection by use of Facetime. During this tele-inspection Licensee Fatima Castro took LPA on a visual tour of the home. LPA noted the following during the tour: The Case Management inspection is for the purpose of inspecting the facility in regards to a capacity increase request. The Licensee is requesting to increase to a Large Family Child Care with a capacity of 12-14 children. LPA observed four (4) children (1 school age and 3 preschool) present at the time of inspection (in compliance with license limitations). All areas identified on the facility sketch were inspected. This is single family home with a separate one bedroom back house (Same address and off limits). The front house consist of three bedrooms, one bathroom, living room, kitchen, front and backyard (fenced). Children use the living room, two bedrooms, a bathroom, front yard and enclosed backyard driveway. Licensee Castro previously provided an affidavit indicating the backyard driveway is not used for vehicles. Some sections of the backyard are inaccessible by locked fence. The home was inspected for safety, comfort, cleanliness, telephone service, heating (central air), and ventilation. There is no accessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The applicant has child locks on cabinets in the kitchen and bathroom. Licensee's smoke/carbon monoxide detector are in operable condition. The 2A10BC fire extinguisher is current and is due for service by October 14, 2020. LPA observed age appropriate toys, books and play equipment. Napping equipment for infants is available. The front yard and backyard driveway play areas are enclosed by gates. The Licensee has a dog that is off limits (enclosed fence in backyard). The area appears to be free of hazards at this time. Licensee was advised to provide 100% supervision for outdoor play.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020

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: CASTRO & MARTINEZ FAMILY CHILD CARE	FACILITY NUMBER: 198400004
	VISIT DATE: 06/08/2020

NARRATIVE

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Per Licensee, there are no firearms, weapons, or bodies of water at the facility. Per applicant, there are no dual licenses at this address. All posting requirements were observed to be posted at the time of visit. Both Licensee's CPR expire in Dec 2020.

Note: A qualified assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility. This includes outdoor activity and activity away from the child care facility. Note: LPA discussed with Licensee the possible capacity and ratio scenarios approved under Title 22. LPA also reminded Licensee of the following:

1. All adults working with the children, residing in the home or having initial presence in the facility (during operating hours) must be fingerprint cleared.

2. The capacity and ratio requirements for a small family child care home resume when no assistants are present.

3. All medications, cleaners, chemicals and hazardous items (such as knives, sharp objects etc.) must be inaccessible.

4. The following are not allowed in a family child care home: Baby bouncers, saucer chairs, johnny jumpers, baby walkers, car seats, rockers and trampolines as they may be an immediate risk to children in care.

Note: Licensee has an approved Fire Clearance dated May 28, 2020 for 14 children. .

Based on LPA observations and inspection, the Licensee is approved for a Large Family Child Care Home as of June 8, 2020. The Licensee must adhere to terms and limitations on the license. The Licensee

Exit interview was conducted with Licensee , via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights (if necessary) will be sent to the Applicant via email with a read receipt or confirmation of receipt of email, which will act as the Applicants signature.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020

LIC809 (FAS) - (06/04)

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