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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700061
Report Date: 03/07/2023
Date Signed: 03/07/2023 12:39:07 PM

Document Has Been Signed on 03/07/2023 12:39 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LLAMAS FAMILY CHILDCAREFACILITY NUMBER:
195700061
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/07/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Licensee Viviana LlamasTIME COMPLETED:
12:50 PM
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On 03/07/23 at 9:10 AM, Antonio Almanza, Licensing Program Analyst (LPA), conducted an announced Pre-Licensing site visit for a change of location from FAC No. 197494324. Upon Arrival LPA met with Viviana Llamas, Applicant. The applicant is applying for a small family child care home to provided services to children ages 0 months to 13 years. The home will operate Monday thru Friday from 7:00 AM to 5:00 PM. The applicant and her husband are the only Adults living in the home and have a criminal record clearance and are associated to the License.

The Family Child Care home is a single-story family home with 3-bedroom, 1 bathroom, living room, dining room, kitchen (with dinning space and laundry room) and detached garage. The home has a vinyl white picket fence in the front. The home is entered through the front gate. There is a driveway on the right side of the home. The applicant will use the Living room, Dinning room, Room #1, Bathroom and kitchen with dinning space for children In care. Room 2 and 3 will be off limits.

The property was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children. LPA observed age appropriate safe toys, equipment, crib and napping equipment in the home.

Per applicant children will nap in the room #1. Applicant will provide meals and snacks. Applicant will use cell phone for the family child care home. Applicant was advised that cell phone should remain in the home while children are in care.

Applicant stated there are no weapons or firearms in the home. LPA did not observe any during this inspection. LPA observed the Parent Board Parent located in the living room of the home across from the main entrance door. LPA provided Applicant with list of items that are required to be posted in according to Title 22 Regulations. Pg 1

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LLAMAS FAMILY CHILDCARE
FACILITY NUMBER: 195700061
VISIT DATE: 03/07/2023
NARRATIVE
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Applicant keeps Medications inaccessible to children in top kitchen cabinet. Poisons, detergents, cleaning compounds and supplies will be kept under Kitchen sink with safety latch. LPA observed Fire Extinguisher (2A10BC) in the dining room that was serviced on 07/18/2022. LPA observed combination Smoke Detector and Carbon Monoxide detector in the Living room, Dining room, Room #1, and kitchen. Smoke Detector/Carbon Monoxide detector were tested and are operable. LPA observed First aid kit in the Dining room next to the Fire extinguisher on the wall.

The applicant will use the backyard for children in care. The backyard is surrounded by block wall and has concrete slab. There is a detached garage in the back yard that is used as storage and for the Applicants two small dogs. The Applicant states dogs will be kept out of the area’s children use for the day care. The Driveway, left side of the home and dog runner behind garage will be off limits to children in care.

The following was discussed with the applicant:
- Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analyst of any person who will be visiting regularly or for longer than one week.
- In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license.
- Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. The family day care home shall maintain documentation of the required immunization's or exemptions from immunization, as set forth in this section, in the person’s personnel record that is maintained by the family day care home.
- A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.
- Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License shall be terminated.
- The fire extinguisher type 2A-10BC must be serviced annually. Smoke and carbon monoxide detectors should be checked, and batteries should be replaced.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LLAMAS FAMILY CHILDCARE
FACILITY NUMBER: 195700061
VISIT DATE: 03/07/2023
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- Changes should be reported the to the Department as soon as they occur such as construction and remodeling.
- Telephone number changes and/or if you move from home.
- Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing.
- Fire and safety drills must be performed every six months and documented for review by the Department.

- The smoking of tobacco in a private residence that is licensed as a family child care home shall be prohibited and in those areas of the family day care home where children are present.
- Children and Staff records must be maintained and updated as needed and must be available for review by the Department.
- Saucer chairs, bouncers, walkers, or any similar items are prohibited.
- All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.
- Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are required to be posted.


AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LLAMAS FAMILY CHILDCARE
FACILITY NUMBER: 195700061
VISIT DATE: 03/07/2023
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicantand discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant, licensee, 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.

LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following items are required prior to licensure and will be completed by
- Child safety knobs in bedroom 1, 2 and 3.
- Child safety knobs on stove.
- Parent Board
- LPA to verify all documents on file.

Exit interview conducted and report was reviewed with the applicant Viviana Llamas. Final license determination will be made upon review by the Licensing Program Manager and corrections above. *** Report amended to catch Licensees signature on correct field.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
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