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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197420121
Report Date: 03/14/2024
Date Signed: 03/14/2024 12:29:26 PM

Document Has Been Signed on 03/14/2024 12:29 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BANCES AND LUQUE FAMILY CHILD CARE HOMEFACILITY NUMBER:
197420121
ADMINISTRATOR:BANCES, M. AND LUQUE, C.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 962-7866
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
03/14/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maria BancesTIME COMPLETED:
12:45 PM
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On 03/14/2024 at 9:15am, Licensing Program Analyst (LPA), Sarah Garcia conducted an unannounced Required Inspection at the above-mentioned facility. LPA was greeted by licensee, Maria Bances. During the initial inspection, LPA observed 1 child in care. Facility operates Monday through Saturday. Facility operates Monday-Friday from 6:30 a.m. to 10:45 p.m. and Saturday 7:30am-5:00pm. Currently licensee is available to care for children 0 to 12 years old. Facility is Large Family Child Care Home with a max capacity of 14. Licensee provides transportation to children. LPA obtained a copy of licensee's drivers license.

LPA toured the home inside and outside. The home is a two story home with 5 bedrooms and 4 bathrooms, living room/dining room, family room, kitchen area, laundry room, and outdoor area. The first floor had 3 bedrooms and 2 bathrooms. The second floor has 2 bedrooms and 2 bathrooms. Licensee confirmed the following areas are designated for day care only: Living room/dining room, 1 bedroom, 2 bathrooms, family room, and outdoor area. LPA inspected the living room/dining room and observed the space to be clean and orderly. LPA observed cribs and mats to utilize for sleeping children. LPA observed a screened wall heater. LPA inspected the bedroom #1 and observed age-appropriate toys, materials, and children's books. LPA inspected the bathroom #1 and observed a safety latch under the sink to ensure toxins or cleaning compounds are inaccessible to the children in care. LPA observed a safety door knob on the laundry room. LPA observed locked doors on bedroom #2 and #3. LPA inspected the kitchen and observed the knives and sharp objects to be out of reach to the children. LPA observed a safety latch under the kitchen sink cabinet to ensure all poisons, detergents, cleaning compounds, medications and other items which can pose a risk to children in care made inaccessible. Past the hallway, LPA observed a safety gate at the entrance of the stairs leading to the second floor. LPA inspected the family room and observed the space to be clean and orderly. LPA inspected the bathroom #2 and observed a half bathroom. LPA did not observe cleaning compounds, toxins, or poisons accessible to children in care.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BANCES AND LUQUE FAMILY CHILD CARE HOME
FACILITY NUMBER: 197420121
VISIT DATE: 03/14/2024
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The following areas are OFF LIMITS to the children in care: Bedroom #2, bedroom #3, laundry room, kitchen area on the first floor. The ENTIRE second floor is OFF-LIMITS to children in care which includes 2 bedrooms and 2 bathrooms.

LPA inspected the outdoor area and observed safe toys, play equipment, and children's bikes. LPA observed a children's scooter with missing one handle bar grip. LPA advised licensee to replace the handle bar grip or remove the scooter from children's use. LPA advised licensee to put the stroller away until it is fixed. LPA observed licensee put the stroller away.

Per licensee, there are no pets in the home. No swimming pools or bodies of water were observed in the space. There are no firearms or ammunition on the premises.



All electrical outlets were observed to be covered. LPA reminded licensee to ensure all areas that have been designated as OFF LIMITS need to have doors closed, locked, and made inaccessible when children are present.

LPA observed licensee test the dual smoke and carbon monoxide detector in the home. One working fire extinguisher 3A40BC was observed. LPA observed first aid kit with thermometer, ice packs, and Band-Aids. Licensee provides meals and snacks. LPA discussed the importance of maintaining a system where allergies and food restrictions are noted.

Licensee currently does not administer medication. Adequate ventilation for safety and comfort were observed in the space. The home has working telephone service and LPA confirmed the phone number (310) 962-7866.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

Capacity as specified on the license is being maintained during today’s inspection.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024
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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BANCES AND LUQUE FAMILY CHILD CARE HOME
FACILITY NUMBER: 197420121
VISIT DATE: 03/14/2024
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LPA reviewed 5 children’s files and observed (1) file to be incomplete. 1 out of the 5 files was missing immunization record. Licensee does not have drill log. LPA reminded licensee to conduct drills every 6 months. LPA provided sample drill log to licensee. LPA discussed all necessary forms needed in each children’s file and provided licensee with the LIC 311D- Records to be maintain in the facility and provided licensee with a current copy to use as a reference when auditing files.

LPA reviewed Licensee's Pediatric CPR and first aid certification and observed the certification with an expiration date of 04/2025. Licensee’s Mandated Reporter training was not available for review. LPA discussed a POC with licensee and provided the Website: www.mandatedreporterca.com. Licensee was reminded of their responsibility to report suspected child abuse.

Licensee 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.



LPA discussed the safe sleep regulations with licensee and 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 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.

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: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024
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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BANCES AND LUQUE FAMILY CHILD CARE HOME
FACILITY NUMBER: 197420121
VISIT DATE: 03/14/2024
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Licensee was informed of the MyChildCarePlan.org website; 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.

During the exit interview, the LICENSEE Maria Bances, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809D) Licensee was provided with a copy of appeal rights.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report along with appeal rights was reviewed with the licensee, Maria Bances.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024
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Document Has Been Signed on 03/14/2024 12:29 PM - It Cannot Be Edited


Created By: Sarah Garcia On 03/14/2024 at 11:51 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: BANCES AND LUQUE FAMILY CHILD CARE HOME

FACILITY NUMBER: 197420121

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/14/2024

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, record review, the licensee did not comply with the section cited above, licensee does not have Mandated Reporter available for review which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/22/2024
Plan of Correction
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Licensee will complete the Mandated reporter training and send certificate to LPA a copy via email at sarah.garcia@dss.ca.gov by 5pm on 03/22/2024. LPA provided the Website: www.mandatedreporterca.com.
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of the 5 children's files did not have immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/22/2024
Plan of Correction
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Licensee will obtain (1) child's immunization record and place in children's file. Licensee will send a copy of the (1) child's immunization record via LPA email at sarah.garcia@dss.ca.gov by 5pm 03/22/2024.
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:Maureen Neal
LICENSING EVALUATOR NAME:Sarah Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2024


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