198400515-1-13-2022-54-CC-DGIS-CAN27K-20220113160853

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400515
Report Date: 01/13/2022
Date Signed: 01/13/2022 04:09:08 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:	PRIETO FAMILY CHILD CARE		FACILITY NUMBER:	198400515
ADMINISTRATOR:	PRIETO, MIRSA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 219-2506
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90037
CAPACITY:	14	CENSUS: 0	DATE:	01/13/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Mirsa Preito, Applicant		TIME COMPLETED:	04:20 PM

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This was a pre-licensing inspection conducted on 1/13/22 at 2:00 PM by Denise Gibbs, Licensing Program Analysts (LPA). This pre-licensing inspection was conducted with Mirsa Prieto, applicant.

Individuals residing in the home have been discussed and noted. The applicant is requesting a large family childcare home license. Per applicant, operation hours will be Monday-Friday 23.5 hours. Applicant states that they will care for children zero to school-age.

During this inspection the applicant took LPA on a tour of the home and the following was noted:

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. Facility is is a side by side duplex (separate address) that shares front yard. This is a One-story home that consists of two bedrooms and one bathroom, living room/dining room, kitchen, front yard and backyard (fenced), and detached garage.

Main care areas include living room, dining room and back yard.

Off limit areas include, two bedrooms, kitchen (gated), and detached garage, locked with a coded pad lock. The applicant understands that licensing staff may have access to off-limit areas during inspection visit if necessary.

Outdoor play area is located in the front and back yards. LPA observed that the yards are fenced and free of hazards. There is a covered patio in the backyard where most activities take place and a climbing structure. There are no pools or spas, or other bodies of water. Applicant has small dog that will be in the home during operating hours, parents will be made aware.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

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: PRIETO FAMILY CHILD CARE	FACILITY NUMBER: 198400515
	VISIT DATE: 01/13/2022

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LPA observed detached garage in the backyard. Garage will remained locked during daycare hours.

Areas that will be used by children were inspected for safety, comfort, cleanliness. There is operable telephone service via cell phones, ventilation and heating via ceiling fans and a portable tower heater. Detergents, cleaning compounds and hazardous items that can pose a danger to children are made inaccessible in the off limits kitchen, under the sink. Applicant states that there are no poisons kept a the facility. The applicant was advised that any poisons must be locked, not just inaccessible. There are age appropriate toys and material available for children. Children will nap on cots in the main care area. Per applicant there are no fire arms or weapons stored in the home.

LPA observed required postings in the front entrance on the porch.

Infant Care: Applicant states they will care for infants. Applicant states the following for nap supervision: Infants will sleep in the main area supervised by an qualified adult at all times. Older infants will sleep on cots and younger infants will sleep in playpens. LPA informed applicant of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15- minute sleep check documentation for infants 0-24 months, and provided PIN 20-24-CCP.

Overnight Care: Applicant stated the following for overnight care supervision: Applicant will sleep in the same room as overnight child. Applicant is aware that they must remain awake while children are awake. If children sleep in separate area from applicant, the door must remain open. If applicant cannot hear children when they wake up, video or audio device can be used.

LPA observed that the Applicant has 2A10 BC fire extinguisher in the home, service tag dated 12/2021. Applicant was informed that fire extinguishers need to be purchased or serviced every year. Dual smoke and carbon monoxide detector was tested and is operable.

Applicant will provide food for the children. Applicant was informed that any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated.

The applicant has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training and Pediatric First Aid and CPR. Required immunization's are current.
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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

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: PRIETO FAMILY CHILD CARE	FACILITY NUMBER: 198400515
	VISIT DATE: 01/13/2022

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Incidental Medical Services (IMS):
This facility may provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

LPA Provided COVID-19 Technical Assistance by emailing applicant COVID-19 resources and self-assessment prior to visit. LPA discussed self-assessment and answered question regarding COVID-19 procedures.

Essential Protective Equipment and Supplies- Applicant and children (24 months and older) will wear facial coverings throughout the day, excluding meal and nap times. Applicant has a contact-less thermometer, hand sanitizer and disinfectant cleaning supplies in the home. Per applicant they will purchase disposable gloves.
Cleaning- Per applicant, high touched areas, bathroom and toys will be disinfected at the end of the day or as needed. There is a dirty toy box to be cleaned weekly and high touched toys daily.
Hygiene- Per applicant children will be encouraged to was their hands for 20 seconds throughout the day as needed. Applicant has the advised children's hand washing, cough and germs posting at children's level. Per applicant personal items will be placed in an individual cubby. Children will bring their own blanket and sheets for nap. The isolation area for a sick child waiting to be picked up will be in the break room next to the exit.
Arrival Procedures- Per applicant parents will drop off/pick up at the door. Daily temperature checks and health screenings are done at the front door, as parents will not be allowed to enter the facility. COVID-19 posters and resources are posted in the front entrance accessible to parents. Parents will be made aware of the COVID-19 policies and exclusion procedures in writing and verbal.
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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PRIETO FAMILY CHILD CARE	FACILITY NUMBER: 198400515
	VISIT DATE: 01/13/2022

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Based on the LPA observation, the following correction is need prior to obtaining a large family childcare license.

Fire Clearance form

A large family childcare license will be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview was conducted with Mirsa Prieto, applicant. This report along with a copy was provided to applicant. --------------------PAGE 4

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

LIC809 (FAS) - (06/04)

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