195700391-10-15-2024-58-CC-AMOS-DA3U26-20241015151124

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700391
Report Date: 10/15/2024
Date Signed: 10/15/2024 03:12:18 PM

Document Has Been Signed on 10/15/2024 03:12 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:	PADILLA FAMILY CHILD CARE		FACILITY NUMBER:	195700391
ADMINISTRATOR/ DIRECTOR:	MIRIAN PADILLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 424-4472
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	10/15/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:20 AM
MET WITH:	Applicant Mirian Padilla		TIME VISIT/ INSPECTION COMPLETED:	03:30 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	On 10/15/2024, Licensing Program Analysts (LPA) Amelia Morales conducted an announced pre-licensing inspection. The purpose of the inspection was to ensure that the health, safety, and personal rights as required by Title 22 Regulations governing California Family Child Care Homes will be met by the applicant. LPA was greeted and let into the residence by Applicant Mirian Padilla, who guided LPA on a tour of the inside and outside of the residence. An entrance checklist was provided. This is a change of location; previous licensing number was 197495116. Applicant understands once the new residence is licensed, care can no longer be provided at the other address. It should be noted that there was a previous license #197418160 at the address 5457 Homeside Ave. Los Angeles, Ca,90016. LPA has obtained physical license of #197418160 as well as written statement from previous Licensee stating they will be giving up their License. The applicants is requesting a Large capacity of 14 children ages 0 to 12. The Family Child Care Home will operate Monday to Friday from 7:30 am to 6:00 pm. The inspection began at 8:20 am, upon arrival there is an entry gate that is fenced that parents will need to walk through. This residence is a two story home consisting of 4 bedrooms and 4 bathrooms. The areas that will be accessible to the children in care are: living room, dining room, bedroom # 1, restroom #1 and 2 on the first floor, and the backyard that is fenced around the perimeter.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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: PADILLA FAMILY CHILD CARE	FACILITY NUMBER: 195700391
	VISIT DATE: 10/15/2024

NARRATIVE

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It should be noted that in the facility sketch there is an additional property/back house with a separate address. Per applicant the additional unit is not yet registered, as a separate address. The resident living in the back house is fingerprinted and LPA Morales will have her associated. LPA Morales obtained a copy of residents Driver's License as well as the LIC 9182 form. Per applicant the back house is off limits to the children in care.

These areas will be off-limits to the children in care are: the kitchen that has baby gates, the walk-in closet located in bedroom #1, the second floor that consists of 3 bedrooms, 2 bathrooms and a family room. The second floor is rendered inaccessible to the children in care by a baby gate which is installed in front of the stairwell. The front yard will also be off-limits to the children in care.

In the hallway there is a closet that has a washer and dryer, that has detergents and cleaning compounds on the top shelf, it is rendered inaccessible by a childproof latch. In the kitchen, knives are stored in the top shelf, in a locked cabinet, rendering it inaccessible to the children in care. Per applicant they will be providing food for the children.

LPAs observed the following: the home is clean and orderly. There were age-appropriate toys and play items. Applicants were informed that baby-walkers, bouncers, jumpers, and other prohibited items will not be used for children in care. It should be noted that there is an electric fireplace in the living room that does not have a screen cover. Per applicant they will purchase a screen cover. All electrical outlets have safety covers. There was a first aid kit present in the walk in closet in bedroom #1.

There is a combination smoke/carbon monoxide detector in the ceiling of the hallway, as well as in bedroom #1. All detectors were tested and found to be operable. The required fire extinguisher (size 2A:10-B:C) was observed in the laundry room; it was purchased in May 2024. In the living room, there is a fireplace which is screened. For napping equipment, there are 3 play yards and 12 matts.

Per applicant, there are no weapons or firearms of any kind in the facility currently. LPA discussed that when a child shows signs of illness, they shall be separated from other children until they are picked up. The isolation area will be in the living room on a bench, separate from other children in care. Per applicants, the children will have access to the backyard. Per applicant, when children are having outside time, they will ensure 100% supervision and never leave children unattended.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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: PADILLA FAMILY CHILD CARE	FACILITY NUMBER: 195700391
	VISIT DATE: 10/15/2024

NARRATIVE

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The applicant, provided proof of control of property. There are no bodies of water on the premise.

The applicant completed Preventive Health and Safety/Childhood Nutrition/ Lead Exposure Prevention on 05/22/2024 and Mandated Reporter training on 12/21/23. The applicant has current Pediatric CPR/First Aid training completed on 07/20/2023; the trainer was EMSA certified.

LPA reviewed with applicant form LIC 311D Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. LPAs provided applicant the following required postings: LIC 610A Emergency Disaster Plan, LIC 9148 Earthquake Preparedness Checklist, and PUB394 Notification of Parents Rights Poster. LPAs advised that once licensed, the facility license shall be posted. A fire/disaster drill log shall be available and performed at least every six months.

Applicants were 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, 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.blication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

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 platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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: PADILLA FAMILY CHILD CARE	FACILITY NUMBER: 195700391
	VISIT DATE: 10/15/2024

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed applicant 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 provided applicants with a sample sleep log and the sleeping log.

On this date, 09/09/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicants were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

PRIOR TO LICENSUER

LPA obtained physical license of Licensee Jenny Ramos
LPA will obtain written statement that old Licensee #197418160 Jenny Ramos will be giving up her License.
Per applicant they will screen electric fireplace and send photos via email

Exit interview was conducted and report was reviewed with Applicant Mirian Padilla.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

LIC809 (FAS) - (06/04)

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