304205194-2-26-2020-06-CC-ECOL-BM725M-20200226160545

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304205194
Report Date: 02/26/2020
Date Signed: 02/26/2020 04:05:54 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:	DUENAS, JUANITA		FACILITY NUMBER:	304205194
ADMINISTRATOR:	DUENAS, JUANITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 632-5179
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92806
CAPACITY:	14	CENSUS: 11	DATE:	02/26/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Licensee - Juanita Duenas		TIME COMPLETED:	04:20 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	An Annual inspection was conducted in the facility by Licensing Program Analyst (LPA) Corral. LPA was allowed entrance into the facility by licensee’s daughter, Yahaira Duenas, who is also an Assistant. Upon entrance Licensee was caring for 7 children; 2 infants, and 5 preschool age children. Upon inspection Licensee’s husband Francisco Duenas arrived with 4 school age children with a total of 11 children. The facility is a two-story home which consists of 4 bedrooms and 3.5 baths. Regular Children pick up and drop off is done through the side entrance of the home which lead straight to the play room. A review of the Facility Personnel Report Summary conducted on 02/25/2020 indicates all facility residents, staff, or other individuals who require criminal background check clearances or exemptions. There is currently 2 adult living in the facility which is the licensee Juanita Duenas and her husband Francisco Duenas. During today’s inspection, LPA Corral toured the facility with Licensee. The inside and outside areas identified in the facility sketch as accessible to children in care were verified. An updated Emergency Disaster Plan (LIC 610A) and Facility Floor Plan (LIC 999) were provided. The second story is off limits and made inaccessible by means of a child gate. The main childcare area consists of the Day Care room, the bathroom inside the daycare room, and the backyard. The children also have access to the living room, the kitchen and the bathroom on the hallway. During the kitchen inspection there were no accessible knives or dangerous items observed. During today’s inspection at 1:50 p.m. the carbon monoxide and smoke detector were in operable conditions. The Fire Extinguisher was located in the Day Care room which meet statutory and State Fire Marshall standards. Licensee stated there are no firearms or other dangerous weapons in the facility. The home also has age appropriate toys and books. LPA verified there is a working telephone service via licensee’s home land line. LPA advised Licensee that visual supervision of the children is required at all times. Continue to Page 2.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

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

FACILITY NAME: DUENAS, JUANITA	FACILITY NUMBER: 304205194
	VISIT DATE: 02/26/2020

NARRATIVE

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During the backyard inspection, play equipment and toys were observed, play houses and slides were also present. Licensee was advised that visual supervision is required during outside play at all times. Pools, spas, hot tubs, fish ponds or similar bodies of water were not present in the home. Licensee stated there were no other hazardous items, or poisons in the facility and none other were observed to be present during inspection. Licensee stated detergents, medication and cleaning compounds are stored in the garage, which is locked.

During record review it was observed that the licensee does have a current roster of children in care. Four children’s records for the children present during inspection were reviewed and found to be in compliance. The Licensee and Assistant Yahaira Duenas Pediatric CPR and First Aid certification both expire on 03/16/2021. Preventative Health Practice Training was completed on 03/25/2017 by both Licensee and Assistant. Beginning September 1, 2016, Health and Safety Code (H&S) 1597.622 states, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Beginning March 31, 2018, H&S Code 1596.8662 requires all licensed providers and employees to complete mandated reporting training, Licensee is exempt from Mandated Reporter Training due to language. Fire and Emergency Disaster Drill was conducted on 02/12/2020.

Incidental Medical Services (IMS) was discussed. 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.

The licensee understands she must be present in the facility and must ensure children in care are supervised at all times. Licensee also acknowledges children are not to be left in parked vehicles. When licensee is temporarily absent from the facility, arrangements must be made for a qualified substitute adult to care and supervise children. Licensee was informed the substitute adult must have the required criminal record, child abuse index clearances, immunizations, Pediatric CPR/First Aid, and mandated reporter training completed.
Continue to Page 3.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: DUENAS, JUANITA	FACILITY NUMBER: 304205194
	VISIT DATE: 02/26/2020

NARRATIVE

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CCLD website www.ccld.ca.gov was provided to licensee to access regulations, updates, and licensing forms. Licensee was advised to register through childcareadvocatesprogram@dss.ca.gov in order to receive quarterly updates. Licensee was advised of their responsibility to review the Provider Information Notices (PIN) found on the CCLD website.

A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the licensee. A copy of “A Child Care Providers Guide to Safe Sleep” and California Child Passenger Safety Law was provided to the licensee. Safe Sleep and SIDS were discussed with Licensee. A copy of the Fire Disaster Drill Log, Parent Rights Notification and Title 22 Regulation Highlights were also provided to Licensee. The following electronic link was also provided www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

During today’s inspection, facility was in compliance of California Code of Regulations, Title 22, Division 12. Violations will not be cited during today's inspection.

An exit interview was conducted with Licensee in Spanish and report was read and translated to Licensee in Spanish. Appeal Rights and Appeal Process were explained. The Licensee was provided a copy of appeal rights (LIC 9058) and signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Notice of Site Visit must be posted on or adjacent to the door for 30 consecutive days. Failure to post will result in civil penalties of $100.00.

End of Report.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

LIC809 (FAS) - (06/04)

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