198400016-6-24-2021-54-CC-RRAS-C4ASLR-20210624135845

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400016
Report Date: 06/24/2021
Date Signed: 06/24/2021 01:58:51 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:	MANZO FAMILY CHILD CARE		FACILITY NUMBER:	198400016
ADMINISTRATOR:	MARIA MANZO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 706-9033
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	14	CENSUS: 7	DATE:	06/24/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Maria Manzo, Licensee		TIME COMPLETED:	02:15 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) Rita Ramos conducted an unannounced case management inspection on 06/24/21. LPA arrived to the facility at 12:45PM and met with Licensee, Maria Manzo who guided analyst on a tour of the facility. There were 7 children present upon arrival. The purpose of the visit was to ensure that the 3 Type A and 5 Type B deficiencies cited on 06/08/21 have been corrected. LPA observed the following: -All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. -No baby bouncer, baby walker, or similar object was observed to be in or around the premises of the child care home. -No infants were observed to be swaddled. -Licensee has an updated AB 1207 Mandated Reporter Training Certificate in file. -Identification and Emergency Information was observed to be in file for Child #1. -A new fire extinguisher was purchased on 06/09/21 and receipt was attached. -----Page 1 of 2

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MANZO FAMILY CHILD CARE	FACILITY NUMBER: 198400016
	VISIT DATE: 06/24/2021

NARRATIVE

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- A log documenting when a fire drill or disaster drill was conducted was observed to be noted and posted.

-An LIC 9227 Individual Infant Sleeping Plan was observed to be completed and in file for Child #1.

In addition, LPA also observed copies of the LIC 9224 Acknowledgment of Receipt of Licensing Reports signed in children's file.

Based on observations made during the inspection, at this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies were cited during today's visit.

LPA provided Licensee with a Letter of Deficiency Citations Cleared during the inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Maria Manzo, Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.

----Page 2 of 2

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2