197493650-2-3-2025-54-CC-PBIP-DDJSD9-20250203124646

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493650
Report Date: 02/03/2025
Date Signed: 02/03/2025 12:46:59 PM

Document Has Been Signed on 02/03/2025 12:46 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	SALGADO FAMILY CHILD CARE		FACILITY NUMBER:	197493650
ADMINISTRATOR/ DIRECTOR:	SALGADO, FLORENTINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 774-7994
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	02/03/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Florentina Salgado		TIME VISIT/ INSPECTION COMPLETED:	01:00 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	Licensing Program Analyst (LPA) P Bishop arrived at the above facility for the purpose of an Unannounced Annual Visit at 9:30 am. Upon arrival, LPA Bishop announced the purpose of the visit and was granted entry into the facility by Licensee Florentina Salgado who provided tour of facility. LPA Bishop provided the inspection Entrance Checklist, LIC 126. LPA inspected rooms/areas on the facility sketch in which child-care services are provided and to which children have access. Per licensee, the current hours of care provided are Monday – Friday 6:30 am -- 6:00 pm at the time of inspection no overnight care is being provided per Licensee. There were 5 children present during today's inspection and 14 enrolled. Licensee stated that she along with her son and daughter are the only ones that live in the home. Current criminal background clearance are on file in the Guardian System. LPA Bishop observed the facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness forms. Licensee had all of the documents on the parent board as required. At 10:00 am LPA Bishop was given a tour of the facility. This is single - family home consists of three bedrooms, two bathrooms, kitchen, living/dining area and backyard. Per licensee, the areas used by children include: Living Room, Bathroom 1, play area in the rear of the home and rear outside play area. Areas that are used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation, and heating. Off limit areas are all bedrooms, bathroom 2 and kitchen. Licensee states that the living room will be used as a Isolation area for sick children waiting to be picked up by a parent. Rooms that are off-limits were made inaccessible during operating hours at the time of the visit.. The Licensee does understand that licensing staff may have access to off-limit areas during inspection visit, if deemed necessary. 1 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

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: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
	VISIT DATE: 02/03/2025

NARRATIVE

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At 10:00 am, life-saving devices were inspected throughout the home. The smoke detector is located above the entrance of the home in the main care area. The carbon monoxide detector is located in the hallway near bathroom 1. All devices were tested and operable. The 2A 10 BC Fire extinguisher is located in the kitchen and indicates fully charged and was serviced on 05/1/2024 and is in compliance. Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via cell phone/LAN line.
At 10:15 am Living room (Main care area) was observed to be clean and orderly. There are toys and other age-appropriate materials for the children. LPA Bishop observed the living room to have one table for five children to sit, two couches and two cribs. There were storage areas with the childrens names and individual cubbies for toys.
At 10:30 am., LPA observed the kitchen. Licensee stated that the baby gate is always present to make off limits kitchen inaccessible to children in care. Licensee stated that cleaning compounds in under the sink are made inaccessible to children in care with lock on cabinets. Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children.
At 10:45 am., LPA Bishop observed that the bathroom the children use is clean and free of floor hazards. There was toilet paper, hand-washing soap, and towels for the children. LPA Bishop did not observed any chemicals stored under the sink.

Per Licensee there are no firearms or weapons stored in the home. LPA did not observe any firearms or weapons in the home. Licensee states that there are no body of water present. LPA did not observe any bodies of water on the premises.

At 11:00 p.m., LPA observed the back yard for outdoor play. The outdoor play area was observed to be completely fenced. At the time of the inspection there were age appropriate toys. There was several tricylces as well There was also a shaded area for the children as well. Licensee stated that they do have one small dog at the time of inspection.

Staff records were reviewed for approved Pediatric First Aid and CPR certification. Valid CPR/First Aide was available at the time of inspection For Licensee Salgado valid through 7/9/2025 and Assistant through 9/28/2025. : Personnel Record, LIC 9052- Employee Rights, Proof of immunizations against measles,

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

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: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
	VISIT DATE: 02/03/2025

NARRATIVE

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pertussis and influenza or influenza declination, TB clearance or risk assessment were available at the time of the visits. LIC 9108- Statement Acknowledging Requirement to Report Child Abuse is available and current Mandated Reporter Training Certificate was available for both personnel present.

Children’s records were reviewed LIC 700 Identification and Emergency Information, LIC 627 Consent for Emergency Medical Treatment, LIC 995A Notification of Parents rights and Immunizations were all current and up to date. One of the two infants did not have LIC 9227 on file.

The following information was discussed:
LPA discussed the safe sleep regulations with licensee Licensee Salgado and discussed the Child Care Licensing Safe Sleep. Also, webpage resources provided at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA P Bishop also informed Licensee Salgado 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.

This facility does not provide Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes 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 are available at: https://www.ada.gov/resources/child-care-centers/

Criminal Record Clearance - Family Child Care Homes - Licensee Salgado 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.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

LIC809 (FAS) - (06/04)

Page: 3 of 6

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: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
	VISIT DATE: 02/03/2025

NARRATIVE

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Licensee Salgado was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on the LPA Bishops interviews, observations and records review no deficiencies will be cited today in accordance with California Title 22 Regulations. Two Technical Violations are being issued today. Technical violations must be corrected in order to ensure the health and safety of children in care.

During the exit interview, the licensee, confirmed that there are no Registered Sex Offenders (RSO) living in the facility and LPA P Bishop completed the RSO search in Megan’s Law Website.
A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a $100 civil penalty. A copy of the report and appeal rights were given to Licensee Salgado.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

LIC809 (FAS) - (06/04)

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