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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192000078
Report Date: 06/07/2023
Date Signed: 06/07/2023 12:01:20 PM

Document Has Been Signed on 06/07/2023 12:01 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SANCHEZ FAMILY CHILD CAREFACILITY NUMBER:
192000078
ADMINISTRATOR:SANCHEZ, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
3236380312
CITY:LOS ANGELESSTATE: CAZIP CODE:
90001
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
06/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Rosa SanchezTIME COMPLETED:
12:30 PM
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At 9:40 a.m. Licensing Program Analyst (LPA) Franchesca White conducted an unannounced annual required inspection at the facility listed above. LPA met with Licensee Rosa Sanchez who guided analyst on a tour of the facility. Licensee has an assistant (Jasmine Villanueva) who helps with translation as the Licensee is a Spanish speaker. Two children were in care at the time of inspection. A current children’s roster was available for review.

This is a one-story home which consists of two bedrooms, one and one half bathrooms, kitchen, living room, front yard and backyard (fenced). Children’s areas include the living room and front yard. The children use the bathroom located across from the kitchen. The restroom that children use was observed safe and sanitary. Per the Licensee, areas off limits to children and parents include: kitchen, bedrooms and backyard.
All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is a working telephone used at the facility during operating hours. There is ventilation and heating (central). Wall heater was observed to be inaccessible to children in care.

The kitchen was observed safe and sanitary. Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed inaccessible to children. The Licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock.

LPA observed both bedrooms inaccessible. At 10:00a.m. In the living room LPA observed couches lining the walls with plenty of blankets. Dramatic play areas inclusive of play house, two kitchen sets and occupational dolls, and a book case full of books. All of the toys available are age apporpriate, and free of sharp edges and unbroken.
The valve on the required 2A 10BC fire extinguisher indicated fully charged and serviced 9/2022 as indicated on service tag.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 192000078
VISIT DATE: 06/07/2023
NARRATIVE
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Smoke detector and carbon monoxide detector was tested and operable at the time of inspection.

Licensee states that there are no firearms stored in the home. The licensee provides all food for children in care.



Currently, children use the front yard for outdoor play time. The outdoor play area was observed fenced. LPA observed appropriate toys and equipment used for children as well as a large tent for shade. LPA did not observe any objects that can pose a danger to children in the outdoor yard. The Licensee states that supervision is always provided.

The Licensee has completed training on preventive health practices including Pediatric First Aid and CPR. The Licensee and assistant each have Pediatric First Aid and CPR that expires May 2025. There are first aid supplies available in the overhead cabinet in the restroom.

Children’s records were reviewed and observed to be complete at time of inspection.

The Licensee provide proof of immunization against influenza, pertussis, and measles.
No proof of the Mandated Reporter Training was available at time of inspection.

All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA observed last drill completed on May 1, 2023. LPA observed three pets(dogs) in the rear bedroom.

Parent’s Rights Poster, Facility License were observed and posted.

Report Continued 2 of 3

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 192000078
VISIT DATE: 06/07/2023
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LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that fall into these categories are not permitted in a family child care facility.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.ccld.ca.gov.

Based on the LPA’s observations and records review, the following deficiency listed on the attached LIC 809D (deficiency page) is being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited must be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.

Exit interview was conducted and report reviewed with Licensee Rosa Sanchez.




End of Report 3 of 3
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/07/2023 12:01 PM - It Cannot Be Edited


Created By: Franchesca White On 06/07/2023 at 11:30 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SANCHEZ FAMILY CHILD CARE

FACILITY NUMBER: 192000078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day 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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 personnel files which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 06/23/2023
Plan of Correction
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Proof of Mandated Reporter Training for Licensee and Assistant will be emailed or texted to LPA on or before June 23, 2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Valarie Cook
LICENSING EVALUATOR NAME:Franchesca White
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023


LIC809 (FAS) - (06/04)
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