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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304311502
Report Date: 02/20/2020
Date Signed: 02/20/2020 10:36:37 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:ESCALANTE, ELSYFACILITY NUMBER:
304311502
ADMINISTRATOR:ESCALANTE, ELSYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 694-8367
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:14CENSUS: 9DATE:
02/20/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Elsy Escalante, LicenseeTIME COMPLETED:
10:50 AM
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An annual required inspection was conducted at the facility by Licensing Program Analyst Yesenia Villa. Upon arrival LPA Villa was greeted by Audilia Perez, assistant who was in the day care room. Also present during this inspection was Jenny Escalante assistant. The Licensee was not present upon arrival, as stated by Audilia she was dropping off school age children at school. The licensee arrived to the home about 30 minutes after LPA Villa’s arrival to the home. LPA Villa observed nine children in care, one infant and eight toddlers. The facility was operating within the licensed capacity as specified on the license. A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Licensee states her hours of operation are 6:00 am-6:00pm, Monday thru Friday. Licensee states she has three assistants Jenny Escalante, Audilia Perez and Emily Escalante. The license had an updated children's roster available during today’s inspection. Licensee states she has fourteen children enrolled in her day care.

Licensee states there are six adults and one minor residing in the home including the licensee. During today’s inspection, LPA and licensee toured the inside and outside areas identified in the facility sketch as accessible to childcare children. The following was observed and reviewed during this inspection. This is a two story home which consists of 5 bedrooms and 3 bathrooms. The area used for the day care is at the bottom level of the home. There is a wooden gate that separates the rest of the home from the day care area. There is a kitchen, living room, bedroom and bathroom located downstairs that is used as the day care. The off-limit areas to the children are separated by a wooden door that separates the day care from the rest of the home. The upstairs of the home is all off-limits to the children. The children also use the back yard for outdoor play time. The outdoor play area was observed to be fenced, with age appropriate toys and free of hazards during this inspection. There are no bodies of water in the home.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ESCALANTE, ELSY
FACILITY NUMBER: 304311502
VISIT DATE: 02/20/2020
NARRATIVE
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All areas identified on the facility sketch that children use, were inspected for safety, comfort, cleanliness, telephone service via home phone and mobile phone. Central ventilation and heating is available in the home. There are working carbon monoxide, smoke detector, and fire extinguisher in the home that meet statutory and State Fire Marshall standards. Detergents, cleaning compounds, medicines, and other items which could pose a danger if readily available to children were stored inaccessible to children.

Licensee has the Parent’s Rights poster and other appropriate forms posted. Children records were reviewed for LIC700 and Immunization cards. All records were observed to be complete. Staff files were reviewed for Immunizations, MMR, TDAP and Influenza and Mandated Reporter Training. During this inspection it was observed that the mandated reporter had expired for all four staff. The mandated reporter training had been completed on 01/08/2018 for Staff#1, 2 and Staff#3. Staff#4. had completed the mandated reporter training on 02/18/2018. LPA Villa provided the website to the license and provided instruction on how to renew the mandated reporter. Licensee was reminded that the Mandated reporter training expires every two years. The licensee has a valid Pediatric CPR/First Aid certification expired 05/03/2020. The last fire disaster drill was conducted on 02/18/2020 as indicated on the fire disaster drill log. Licensee stated there are no firearms or weapons in the home. The home has age appropriate toys for the ages served.

Beginning September 1, 2016, Health and Safety (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. The licensee and her assistants have proof of immunization against pertussis, and measles, and influenza or written declaration to decline. Beginning March 31, 2018, H&S Code 1596.8662 requires all licensed providers and employees to complete mandated reporting training, and to renew the training every two years.

Incidental Medical Services (IMS) policy 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
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020
LIC809 (FAS) - (06/04)
Page: 2 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ESCALANTE, ELSY
FACILITY NUMBER: 304311502
VISIT DATE: 02/20/2020
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The licensee understands she must be present in the facility and must ensure children in care are supervised at all times and children are not to be left in parked vehicles. When the licensee is temporarily absent from the facility, arrangements must be made for a qualified substitute adult to care and supervise children while absent. The substitute adult must have the required criminal record, child abuse index clearances, immunization's, Pediatric CPR/First Aid, and mandated reporter training.

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 the 2016 “A Child Care Providers Guide to Safe Sleep” was provided to the licensee. The following electronic links were also provided:
Spanish: https//www.cdph.ca.gov/programs/SIDS/Documents/ChildCareProvSleepSPAN2011.pdf
AAP:https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative
Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

The following citation will be cited on the LIC809D page attached. Mandated Reporter, 1596.8662(b)(1) (b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their 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 for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door.


End of Report.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ESCALANTE, ELSY
FACILITY NUMBER: 304311502
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2020
Section Cited

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1596.8662(b)(1)- Mandated Reporter:On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training. This requirement was not met as evidence by:
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During this inspection and file review it was reviewed that all staff #1-4 had expired mandated reporter trainings. This poses a potential risk to the health and safery of the 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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4