197493500-6-4-2024-54-CC-CKAM-D5WQ8P-20240604115703

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493500
Report Date: 06/04/2024
Date Signed: 06/04/2024 11:57:52 AM

Document Has Been Signed on 06/04/2024 11:57 AM - 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	VILLEGAS & FABIAN-GARCIA FAMILY CHILD CARE		FACILITY NUMBER:	197493500
ADMINISTRATOR/ DIRECTOR:	VILLEGAS & FABIAN-GARCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 361-6335
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90062
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	06/04/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:45 AM
MET WITH:	Candida Villegas		TIME VISIT/ INSPECTION COMPLETED:	12:15 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 06/04/24 at 9:45 AM Licensing Program Analysts (LPA) Claudia Kam conducted an Unannounced Required 1 year Annual inspection to the above facility. LPA disclosed the purpose of the inspection and met with Licensee, Candida Villegas and Imelda Fabian-Garcia who guided the LPA on a tour of the facility. There are 3 adults living in the home. All adults in the home were found to have criminal record clearance. There were 6 day care children present during today’s inspection, 3 infants and 3 toddlers. Licensee states that there are currently 10 children enrolled. The children's roster was reviewed and is current. Licensee reports that the facility’s hours of operation are 6:00 AM to 6:00 PM, Monday thru Friday. Emergency Disaster Plan, License, and Parents’ Rights were posted at the time of inspection. Per Licensee, disaster drill was last conducted on 05/17/24. This is a single-story home which consists of three bedrooms and two bathrooms, kitchen, living room, and back yard and garage. LPA observed a wall heater in the home that is barricaded by a gate. Areas used by the children include the living room, bathroom 1, and bedroom 1. There is a isolation bench to be used for sick children. Per Licensee, areas off limits to children and parents include 2 bedrooms, and second bathroom, kitchen and garage. LPA observed that there are baby gates on the kitchen entry and safety locks on all door knobs for inaccessible rooms, making it inaccessible to children in care at time of inspection. Per licensee, off limit bedrooms are locked during operating hours, LPA observed doors to be locked. All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. Main Care Area for day care children will be the living room at the entry of the home, and bedroom one located to the rear of the home. Main care area is well equipped with cubbies with assorted wooden and plastic toys for motor skills and dramatic play. Bedroom 1 used for play time is equipped with play kitchen, train table, child size table and chair for activities. Living area is equipped with a sofa and reading nook and is used for play and dining. A chid size dining table and chairs is used for meals and play. Page 1 of 4

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLEGAS & FABIAN-GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 197493500
	VISIT DATE: 06/04/2024

NARRATIVE

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LPA observed a plug in A/C unit and a ceiling fans in the living room and bedroom used for child care. There is a working telephone maintained in the home.

Per licensee, the children will have access to the back yard for outside play. LPA observed yard has grass and a large climbing structure with adequate perimeter fencing through-out the property. Side yard that is off limits to children has a wood fence blocking it off and there is a wood fence for entry to the play area. LPA observed back yard free of loose and sharp parts available for the children and well maintained.

The valve on the required 2A 10BC fire extinguisher indicates fully charged, last serviced on 2/1/2024. LPA checked Smoke and carbon monoxide detectors are in operable condition at time of inspection. LPA observed First Aid kit kept in Main Care Area and adjoining hallway and was inventoried for necessary supplies. Licensee provided proof of immunization against influenza, pertussis, and measles during today’s inspection. Licensee has current mandated reporter training with an expiration date of 4/29/25 for Candida Villegas and 4/30/25 for Imelda Fabian- Garcia.
—CPR Card valid until: 7/13/25 for Candida Villegas and 7/22/25 for Imelda Fabian-Garcia
—Children records and required licensing forms were discussed as well as mandated child abuse reporting.

Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPA did not observe any bodies of water around the premises at time of inspection. Per licensee, they provide food for children in care. Food preparation area was toured and found in compliance for safety, cleanliness, and proper storage.

LPA reviewed with licensee 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. Entrance Checklist was provided to the licensee.

The following were discussed:

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLEGAS & FABIAN-GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 197493500
	VISIT DATE: 06/04/2024

NARRATIVE

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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.

Licensee Candida Villegas 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/.

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 Candida Villegas, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLEGAS & FABIAN-GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 197493500
	VISIT DATE: 06/04/2024

NARRATIVE

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Based on this information the following deficiencies on the LIC 809 D are being cited today 06/04/2024.

LPA Claudia Kam informed licensee Candida Villegas that this report dated 06/04/24 documents 1 Type B citation which poses a potential risk to the health, safety, or personal rights of children in care.

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

Exit interview conducted and report was reviewed with the licensee Candida Villegas.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 06/04/2024 11:57 AM - It Cannot Be Edited

Created By: Claudia Kam On 06/04/2024 at 11:31 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: VILLEGAS & FABIAN-GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 197493500
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/04/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(1)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, licensee interview, record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Licensee has no sleep log for review only text messages verifying that the licensees take turns checking on the children every 15 minutes
	POC Due Date: 06/28/2024
	Plan of Correction
1 2 3 4	Licensee will create log or all 3 infants for the month of June and will submit at the end of the month.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Denise Gibbs

LICENSING EVALUATOR NAME:

Claudia Kam

LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

LIC809 (FAS) - (06/04)

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