334816335-11-25-2019-10-CC-OCAN-BJ9TKU-20191125134832

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334816335
Report Date: 11/25/2019
Date Signed: 11/25/2019 01:50:10 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	RIVERO FAMILY CHILD CARE		FACILITY NUMBER:	334816335
ADMINISTRATOR:	RIVERO, YOLANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 654-7957
CITY:	SAN JACINTO	STATE: CA	ZIP CODE:	92582
CAPACITY:	14	CENSUS: 0	DATE:	11/25/2019
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	01:08 PM
MET WITH:	Yolanda Rivero- Licensee		TIME COMPLETED:	01:50 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	Licensing Program Managers (LPMs) Telma Sandoval, Dawn Parker and Licensing Program Analyst (LPA) Otsanya Cameron conducted an Informal Office Conference with Yolanda Rivero, Licensee. The purpose of this meeting is to discuss previous violations of Title 22 and Health and Safety Regulations pertaining to violations of Criminal Record Clearances, Operation of a Family Child Care Home (Prohibited Items, Accessible Hazardous items, Fire/Earthquake Drills and Maintaining a Current Child Roster,) Staffing Ratio and Capacity. LPM Sandoval reminded Licensee of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care. Facility representatives have been informed the Licensing Agency takes these violations seriously, and future violations may lead to a Non-Compliance Conference and/or the Department seeking legal consultation regarding the status of the license On 10/25/19, while LPM Sandoval and LPA Wilburn were conducting an Annual visit, they observed an uncleared individual present and helping with children in care. In addition, the Licensee was out of ratio. LPM and LPA observed 8 children in care, 3 of which were infants with only one qualified Staff. If a Licensee is serving 3 infants, there can only be 6 children total in care to one Staff. Next, LPM and LPA observed a can of Raid, a bottle of Bleach, Windex, Clorox wipes, Murray's Wax and Stainless Steel cleaner unlocked and accessible under the kitchen sink. In addition, there were knives accessible on the counter. Also, the 8 (eight) children in care were not listed or identified on the child care facility roster. Additionally, the last Fire or Earthquake Drill was dated December 1018. Lastly, LPM and LPA observed a prohibited walker, exersaucer and bouncy seat in the living room.

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: RIVERO FAMILY CHILD CARE	FACILITY NUMBER: 334816335
	VISIT DATE: 11/25/2019

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As a result of the informal conference, the facility agrees to and understand the following:

Facility agrees to update and maintain a current Child Roster at all times.
Facility agrees to conduct and document all Fire & Earthquake Drills at least every 6 months.
Facility agrees to keep all poisons and hazardous items locked and inaccessible.
Facility agrees to ensure there are no prohibited items present during operation.
Facility agrees to ensure all staff, volunteers and children over the age of 18 are live scanned and cleared prior to residing or working in the home.
Facility agrees to abide by the Staffing Ratio & Capacity Requirements. A copy of the ratio picture chart was provided to Licensee as a reminder

The Licensee was advised to subscribe to the child care quarterly reports to receive CCL updates by signing up here: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe The updates will be sent via e-mail once you have set up an account.
Access to forms & Regulations for Child Care Centers are online at www.ccld.ca.gov
Submit Ceritificate of Mandated Reporter Training.

Licensee agrees to Watch Child Care Provider videos at https://ccld.childcarevideos.org/family-child-care-providers and provide a summary of what was learned by : 12/9/2019

o Background Check Requirements for Caregivers
o How Many Children Can Attend a Family Child Care Home?
o Disaster Planning and Fire Safety

The Duty Officer is available to answer questions Monday - Friday at 1-844-LET-US-NO (1-844-538-8766).

An exit interview was conducted with the Licensee and a copy of this report was provided.

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

LIC809 (FAS) - (06/04)

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