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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304205597
Report Date: 02/27/2020
Date Signed: 02/27/2020 07:28:35 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:LENZINI, JEANETTEFACILITY NUMBER:
304205597
ADMINISTRATOR:LENZINI, JEANETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 594-0247
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY:14CENSUS: 12DATE:
02/27/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:22 PM
MET WITH:Licensee, Jeanette LenziniTIME COMPLETED:
06:15 PM
NARRATIVE
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On February 27, 2020, at 2:22pm, Licensing Program Analyst (LPA) Ryan Chan and Licensing Program Manager (LPM) Rina Lopez conducted a case managenent inspection due to deficiency observed during visit.
LPA and LPM met with licensee, Jeanette Lenzini who allowed LPA and LPM entry into the facility. Licensee was caring for 8 children 3 of whom were infants and 5 preschool age children. Most of the children were in the living room (child-care area), one of the infants was napping in the napping room and was immediately removed from the napping bedroom and taken to the living room area where all the other children were watching TV. At 2:32pm Assistant, Rocio Lopez arrived at the facility with 4 additional children; 2 school age and 2 preschool age children. LPA and LPM also observed one of the infant in a baby bouncer, this item is prohibited in child-care facilities.102417 Operation of a Family Child Care Home. (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c).

This report cites a Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
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: LENZINI, JEANETTE
FACILITY NUMBER: 304205597
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/28/2020
Section Cited

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102417 Operation of a Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child...(10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c).
This requirement is not met as evidenced by:
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Based on LPA's and LPM's observation, an infant was in a baby bouncer. This equipment is prohibited in child care facilities.
This poses an immediate risk to the safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2020
LIC809 (FAS) - (06/04)
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