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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843726
Report Date: 04/25/2022
Date Signed: 04/25/2022 05:18:10 PM


Document Has Been Signed on 04/25/2022 05:18 PM - It Cannot Be Edited

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 ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:ARGUMEDO FAMILY CHILD CAREFACILITY NUMBER:
364843726
ADMINISTRATOR:ARGUMEDO, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 947-4913
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:14CENSUS: 11DATE:
04/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Laura ArgumedoTIME COMPLETED:
05:25 PM
NARRATIVE
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On April 25, 2022 at 2:25 p.m., Licensing Program Analysts (LPAs) Blanca Ruiz-Silva and Karrene Phillips
arrived at facility to conduct an inspection to initiate a complaint investigation 09-CC-20220421100209. Inspection was conducted in Spanish per licensee's request. Upon arrival to the facility LPAs observed 11 children present at the facility, one of the children in care was observed napping in a car seat. Licensee’s assistant was advised to move the infant to a crib or play yard.

Licensee’s assistant removed the child from the car seat and place him/her in a playpen. The licensee and licensee’s assistant were consulted regarding New Safe Sleep Regulations and the Provider Information Notice (PIN) 20-24-CCP regarding Safe Sleep Regulations that were in effect as of September 15, 2020. Licensee stated that she will immediately cease practice and understood that infants should never be left in a car seat to sleep.

The above actions/observations constitute a violation of the California Code of Regulation, Title 22, Div 12. for failure to adhere to regulation 102425(h) for failing to remain in substantial compliance.

During today's inspection, LPAs spoke with licensee regarding a plan of corrections associated with the deficiency stated above and deficiency was cleared during inspection.

Please see Lic 809D for deficiency cited

An exit interview was conducted with licensee, Laura Argumedo. Appeals rights were discussed. Licensee understands that a copy of this report must be made available to the public, upon their request, for the next three years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2022
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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Document Has Been Signed on 04/25/2022 05:18 PM - It Cannot Be Edited

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 ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: ARGUMEDO FAMILY CHILD CARE
FACILITY NUMBER: 364843726

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/26/2022
Section Cited

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(h) Car seats shall only be used for transportation purposes and shall not be used for sleeping.This requirement was not met as evidence by: Upon arrival to the facility LPAs observed Child N.3 napping in the a car seat for an an extensive period of time while infant was in care at the facility."This poses an immediate Health and Safety risk to the children in care".
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Licensee ceased practice and understood that infants have to be move to an appropriate crib, and/or mat/cot.

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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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2022
LIC809 (FAS) - (06/04)
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