191596214-1-10-2025-54-CC-PBIP-DCSU8D-20250110142122

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191596214
Report Date: 01/10/2025
Date Signed: 01/10/2025 02:22:38 PM

Document Has Been Signed on 01/10/2025 02:22 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ESCOBEDO FAMILY DAY CARE		FACILITY NUMBER:	191596214
ADMINISTRATOR/ DIRECTOR:	ESCOBEDO, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	3235675050
CITY:	SOUTH GATE	STATE: CA	ZIP CODE:	90280
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	01/10/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:10 AM
MET WITH:	Maria Escobedo		TIME VISIT/ INSPECTION COMPLETED:	02:30 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 Analyst (LPA) P Bishop arrived at the above facility for the purpose of an Unannounced Annual Inspection at 11:10. Upon arrival, LPA Bishop announced the purpose of the visit and was granted entry into the facility by Licensee Maria Escobedo who provided tour of facility. LPA Bishop provided the inspection Entrance Checklist, LIC 126. LPA inspected rooms/areas on the facility sketch in which child-care services are provided and to which children have access. Per licensee, the current hours of care provided are Monday – Friday 6:00 am - 5:00 pm at the time of inspection no overnight care is provided. There were 9 children present during today's inspection. Licensee stated that she and her husband are the only one that lives here, and both have current criminal background clearance. LPA Bishop observed the facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness forms. Licensee was advised to post the required documents on the parent board so that it is visible to parents when they enter. At 11:30 LPA Bishop was given a tour of the facility. This is two story single family home consists of four bedrooms, three bathrooms, kitchen, living/dining area and backyard. One of the bedrooms is being used for an office. One bedroom and one bathroom are upstairs. Per licensee, the areas used by children include: The rear of the home, the backyard and one bathroom near the main childcare area. Outside play area was not in use at the time of the visit because it was during naptime. The outside play area consisted of age appropriate toys, two large tables and ten chairs. Areas that are used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation, and heating. Off limit areas are all bedrooms and bathroom two and three. Licensee states that the living room will be used as a Isolation area for sick children waiting to be picked up by a parent. Rooms that are off-limits need to be made inaccessible during operating hours. The licensee does understand that licensing staff may have access to off-limit areas during inspection visit, if necessary. 1 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ESCOBEDO FAMILY DAY CARE	FACILITY NUMBER: 191596214
	VISIT DATE: 01/10/2025

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At 12:00 pm, life-saving devices were inspected throughout the home. The smoke detector is located above the entrance of the kitchen. The carbon monoxide detector is located in the main care area near the door. All devices were tested and operable. The 2A 10 BC Fire extinguisher is located in the kitchen and indicates fully charged and was serviced on 09/2024. Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via cell phone/LAN line.

At 12:15 Living room (Main care area) was observed to be clean and orderly. There are toys and other age-appropriate materials for the children. LPA Bishop observed the main care and outside play area to have two tables for ten children to sit, area rug with shapes several cubby buckets for children to play. There were colorful storage boxes, and individual cubbies for toys.

At 12:30 am., LPA Bishop observed the kitchen. Licensee stated that cleaning compounds in garage are made inaccessible to children in care with lock and key on cabinets. Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children.

LPA Bishop observed that the bathroom the children use is clean and free of floor hazards. There was toilet paper, hand-washing soap, and towels for the children. LPA Bishop did not observe any chemicals stored under the sink.

Per Licensee there are no firearms or weapons stored in the home. LPA Bishop did not observe any firearms or weapons in the home. Licensee states that there are no body of water present. LPA Bishop did not observe any bodies of water on the premises.

At 12:45 p.m., LPA Bishop observed the back yard for outdoor play. The outdoor play area was observed to be completely fenced. At the time of the inspection other age appropriate toys. There was also a shaded area for the children as well. Licensee stated that they do have a German Shepherd that is kept outside during the hours of operation and away from the children and parents.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ESCOBEDO FAMILY DAY CARE	FACILITY NUMBER: 191596214
	VISIT DATE: 01/10/2025

NARRATIVE

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Staff records were reviewed for approved Pediatric First Aid and CPR certification. Valid CPR/First Aide was available at the time of inspection Licensee Escobedo is valid through 03/26/2025 and assistant valid through 10/14/2025. LIC-501: Personnel Record, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment available at the time of the visits. LIC 9108- Statement Acknowledging Requirement to Report Child Abuse is available and current Mandated Reporter Training Certificate was available for all both personnel present.

Children’s records were reviewed LIC 700 Identification and Emergency Information, LIC 627 Consent for Emergency Medical Treatment, LIC 995A Notification of Parents rights and Immunizations were all current and up to date.

The following information was discussed:
LPA discussed the safe sleep regulations with licensee Licensee Escobedo and discussed the Child Care Licensing Safe Sleep. Also, webpage resources provided at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA P Bishop also informed Licensee Anderson of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ESCOBEDO FAMILY DAY CARE	FACILITY NUMBER: 191596214
	VISIT DATE: 01/10/2025

NARRATIVE

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Criminal Record Clearance - Family Child Care Homes - Licensee Escobedo was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee Escobedo was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on the LPA P Bishops observations, record review, and interviews, there wiil be no deficiencies cited today in accordance with California Title 22 Regulations.

During the exit interview, the licensee, confirmed that there are no Registered Sex Offenders (RSO) living in the home and LPA P Bishop completed the RSO search in Megan’s Law Website.
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee Escobedo and Appeal rights were given.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

LIC809 (FAS) - (06/04)

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