300608783-7-31-2019-06-CC-THOO-BELMZ4-20190731100229

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300608783
Report Date: 07/31/2019
Date Signed: 07/31/2019 10:02:38 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	GALINDO, BLANCA		FACILITY NUMBER:	300608783
ADMINISTRATOR:	GALINDO, BLANCA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 894-6943
CITY:	WESTMINSTER	STATE: CA	ZIP CODE:	92683
CAPACITY:	14	CENSUS: 11	DATE:	07/31/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Assistant Alicia Cruz-Rojas		TIME COMPLETED:	10:30 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) Ho and assistant toured the Early Childhood Educator Settings inside and outside. LPA observed 3 preschool, 6 school-age children, and 2 infants playing in the day care area. Present during the inspection was licensee's assistant. The Early Childhood Educator Setting was within licensed capacity and the required ratio. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. This is a two- story home with four bedrooms and 3 baths. LPA observed a gate installed by the sliding door to prevent the children from accessing into the kitchen, living room, and the second floor. Family members residing at facility are 2 adults and no children. 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. Per Licensee's assistant there are no weapons, firearms in the facility at this time. Anytime when firearms were present in the facility, they must be locked and inaccessible to children. The ammunition must be locked and separate from the firearms. LPA observed a swimming pool and spa in the backyard and both met regulation requirements. There are age appropriate toys and equipment on the premises. The required fire extinguisher (2A10BC), carbon monoxide, and smoke detectors are in operable condition. Facility roster, disaster drill, and licensee’s required immunization (MMR, TDAP, FLU) were available for review. The licensee was reminded that must present at facility and ensure that children are properly cared for and supervised at all times. The licensee must make sure that a substitute adult cares for the children when licensee is temporarily absent. The licensee was also reminded that no child shall be left alone in a parked vehicle at any time. All day-care activities take place in the enclosed patio. Children are able to have outside play in the enclosed backyard. Licensee and assistant are current with Pediatric CPR and First Aid and both valid until 7/14/2020. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Thuy Ho	TELEPHONE: (714) 703-2824
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GALINDO, BLANCA	FACILITY NUMBER: 300608783
	VISIT DATE: 07/31/2019

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equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to presence in the facility. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, no infant walkers, No Johnny jumpers, no exersaucer or any other similar items that fall into that category are allowed in the facility. Disaster drills, posting requirements, children records, mandated child abuse and injury/ death reporting, and criminal records clearances/exemption transfer requests, SIDS and Never Shake a Baby.

After a tour of the home and review children and staff's records, no deficiency was observed.

During exit interview, “The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.” Notice of Site Visit was posted. Licensee was informed to keep the Notice of Site Visit posted for 30 days during the daycare hours or $100 civil penalty will be assessed.

LPA reviewed with assistant the following safe sleep best practices:

· Always place infants on their backs for sleeping
· Use only a tight-fitting sheet on the crib or play yard mattress
· Do not hang any items from the crib or above the crib
· Keep all items, including blankets, out of the crib or play yard
· Pacifiers may be used as long as they do not have items attached to them
· Infants should not be swaddled or have any items covering them while sleeping
· The temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot
or too cold.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Thuy Ho	TELEPHONE: (714) 703-2824
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019

LIC809 (FAS) - (06/04)

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