304312326-9-20-2019-06-CC-YVIA-BG7VNS-20190920163538

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304312326
Report Date: 09/20/2019
Date Signed: 09/20/2019 04:35:43 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:	CAMACHO, LIBIA & ALVA, LETICIA		FACILITY NUMBER:	304312326
ADMINISTRATOR:	CAMACHO, L. & ALVA, L.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 472-1258
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92802
CAPACITY:	14	CENSUS: 12	DATE:	09/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Libia Camacho, Licensee		TIME COMPLETED:	04:00 PM

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Licensing Program Analyst (LPA) 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 Libia Camacho. All adults present during this inspection have obtained a criminal record clearance prior to working or residing in the home. Census was obtained during today’s inspection there were 12 children present during this inspection. The facility was observed to be within ratio. Licensee states her hours of operation are 24 hours a day.

Licensee states there are 17 children enrolled in the day care. Per licensee since her operations are 24 hour care she has children that come on a part-time basis. An updated children roster was available during this inspection. A tour of the home was conducted inside and outdoors. Per Licensee there are 4 adults residing in the home. Per Licensee the home is a 4 bedroom and 2 bathroom residence. The children use the backroom of the home that is designated solely for day care, living room and the first bedroom in the hallway to the left, the back patio and the restroom located in the hallway. The off-limit areas are the 3 bedrooms and the other restroom near the master-bedroom. The off-limit areas are maintained locked during day care hours per licensee. LPA Villa observed there to be security door knobs on the door handles to prevent access to the children. The children use the backyard of the home for outdoor play time. There are no bodies of water on the premises. The backyard was observed to be fenced, free of hazards with age appropriate toys.

Licensee has the Parent’s Rights poster and other appropriate forms posted. Pediatric First Aid/CPR certificates are valid thru 08/20/20 for licensee. Staff files were reviewed for Immunizations, MMR, TDAP and Influenza and Mandated Reporter certificate for Licensee and assistants. All files were observed to be complete. Children records were reviewed for LIC700, LIC627 and blue Immunization cards. All records were observed to be complete. Licensee was reminded that the Mandated reporter training expires every two years. She is exempt as Spanish is her primary language. Licensee had the fire disaster drill log up to date with a recent drill conducted on 08/08/2019. 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: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

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: CAMACHO, LIBIA & ALVA, LETICIA	FACILITY NUMBER: 304312326
	VISIT DATE: 09/20/2019

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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 facility. 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.

No citations were 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 Libia Camacho.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

LIC809 (FAS) - (06/04)

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