304205153-8-23-2019-06-CC-YVIA-BFBV9B-20190823161404

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304205153
Report Date: 08/23/2019
Date Signed: 08/23/2019 04:14:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	GARCIA, PILAR		FACILITY NUMBER:	304205153
ADMINISTRATOR:	GARCIA, PILAR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 772-7464
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	14	CENSUS: 3	DATE:	08/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Pilar Garcia, Licensee		TIME COMPLETED:	03:30 PM

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Licensing Program Analyst (LPA) Yesenia Villa conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes are met. Upon arrival LPA Villa was greeted by licensee Pilar Garcia. Also present during this inspection was licensees assistant Rafael Garcia. All adults present during this inspection have obtained a criminal record clearance prior to working or residing in the home. Census was obtained during todays inspection there were 3 children present. The facility was observed to be within ratio. Licensee states her hours of operation are from 6:00am-6:00pm, Monday thru Friday.

Licensee states there are 13 children enrolled in the day care. An updated children roster was available during this inspection. A tour of the home was conducted inside and outdoors. Per Licensee there are 3 adults residing in the home. LPA Villa toured the home inside and outdoors. Per Licensee the home is a 3 bedroom and 2-bathroom residence. There is a separate day care room separated from the home. Licensee states the home is off-limits and not used for day care. The day care room is the only room in the home used for the day care.

The children use the backyard and the front yard of the home for outdoor play time. There are bodies of water on the premises, there is a swimming pool located in the backyard. Licensee was reminded that full supervision is required at all times while children are in the backyard. The swimming pool was observed to be fenced and meets the bodies of water regulations. The backyard was observed to be fenced with age appropriate toys and free of hazards. Licensee has the Parent’s Rights poster and other appropriate forms posted. Pediatric First Aid/CPR certificates are valid thru 06/22/2021 for licensee. Staff files were reviewed for Immunizations, MMR, TDAP and Influenza and Mandated Reporter Training. All files were observed to be complete. Children records were reviewed for LIC700 and Immunization cards. All records were observed to be complete. Licensee was reminded that the Mandated reporter training expires every two years. Licensee had the fire disaster drill log up to date. Licensee has a working telephone via cell phone and home phone.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2019

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: GARCIA, PILAR	FACILITY NUMBER: 304205153
	VISIT DATE: 08/23/2019

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Detergents and cleaning supplies were inaccessible to the children in care. Fire extinguisher was inspected and met state regulations. There is an operational smoke detector and carbon monoxide in the day care room. The licensee maintains a first aid kit in the home. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category is to be in the home. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

LPAs reviewed SIDs, safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep guidelines flyer was provided during today’s visit.

Incidental Medical Services (IMS) policy was discussed. Licensee states there are no children requiring medication in her care. 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

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov, Licensee was advised where to access the quarterly updates.

There were no deficiencies cited during todays inspection. The Notice of Site Visit (LIC 9213) – must remain posted for 30 consecutive days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Licensee and Appeal rights were provided and explained. Licensee was informed that appeals must be submitted in writing within 15 days of a citation.

An exit interview was completed with licensee Pilar Garcia.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2019

LIC809 (FAS) - (06/04)

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