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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410821
Report Date: 08/13/2021
Date Signed: 08/13/2021 12:30:31 PM

Document Has Been Signed on 08/13/2021 12:30 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:LANDAZURI AND MONREAL FAMILY CHILD CAREFACILITY NUMBER:
197410821
ADMINISTRATOR:LANDAZURI,JOSEFINA,MONREALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 492-5229
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
08/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:28 AM
MET WITH:Josefina LandazuriTIME COMPLETED:
12:51 PM
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Licensing Program Analyst (LPA) Neal met with Licensee, Josefina Landazuri, for the purpose of a Random inspection. This is a two story 5-bedroom, 3-bathroom home with kitchen, living room, formal dining room, laundry room, family room, office, loft and garage. The garage is used for activities only during extreme weather. Children do not nap or eat in the garage. There is an above ground pool on the premises. Family members residing in the home include 5 adults (licensee, spouse, licensee's adult children and son in law) and 3 foster children. Licensee's assistants were present during this inspection and 9 childcare children. Incidental Medical Services (IMS) was discussed.
Main care is provided in bedroom #1 (downstairs) and the family room. Children use the bathroom located down the hall next to the kitchen. Children have access to the kitchen and backyard. Off limit areas include the home's entire upstairs, laundry room, office (at entrance on right) and the garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines (kitchen cabinet with key lock), and hazardous items that can pose a danger to children. Cleaning compounds and detergents are stored in the child locked kitchen cabinet under the sink and in the laundry room in child locked cabinet. Knives are stored in a child locked kitchen drawer. There is a door and a child safety gate for inaccessibility to the laundry room. Facility roster complete and current. Stairs have a gate. Fire/earthquake drills are also current. Children play in the backyard. There is a shaded area on the right side of the yard with toys for children. There is a grass and concrete area for active play. There is an anchored jungle gym with a swings and slide.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2021
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LANDAZURI AND MONREAL FAMILY CHILD CARE
FACILITY NUMBER: 197410821
VISIT DATE: 08/13/2021
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Requirements for fingerprint clearances and associations were discussed with the licensee. Licensee can be cited a civil penalty of $100 per day, up to $500.00 for the 1st offense and up to $3000.00 for the 2nd offense within a 12 month period, PER PERSON.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B. The "Notification of Parent's Rights" poster must be posted in an area of the home accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.
Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent and a copy of the Acknowledgment of receipt of licensing report (LIC9224) must be kept in each child's file. In addition, any child enrolled within the following 12 months must also receive a copy of the Type A Citation.

The above ground pool has fencing that is 5 feet high, spacing between the bars is 4 inches. The gate is self-closing and self-latching. The childcare room has access to the pool (windows and kitchen/family room door) and the backyard. LPA verified window alarms are working.
Per licensee, there are no weapons or firearms of any kind in the facility at this time. The LPA did not observe any weapons. There are age appropriate toys and napping equipment on the premises. Cots are provided for children to nap.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LANDAZURI AND MONREAL FAMILY CHILD CARE
FACILITY NUMBER: 197410821
VISIT DATE: 08/13/2021
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The required fire extinguisher (2A10BC), carbon monoxide detector and smoke detector are in operable condition. Fireplace is screened. Home has central AC and heat. Licensee and Assistant's CPR/First Aid and Mandated Reporter Training is current. The First Aid kit was observed and is complete. Licensee has the required documents posted. Three children's files were reviewed. Licensee was reminded that Mandated Reporter training for child care must be completed by licensee and any adults assisting at the child care at the website, www.mandatedreporterca.com, every 2 years.
The following was discussed with the licensee:
Mandatory Forms for the children’s files and provider’s files, requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were reviewed. Licensee reminded that 100% supervision is required at all times to children in care. The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family child care home and in those areas of the family child care home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.

No deficiencies were cited during this inspection.


Exit interview was conducted and a copy of report was read and provided to Licensee on this date.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
LIC809 (FAS) - (06/04)
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