197493995-5-6-2024-30-CC-JLAO-D4ZM78-20240506092103

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493995
Report Date: 03/28/2024
Date Signed: 05/06/2024 09:21:12 AM

Document Has Been Signed on 05/06/2024 09:21 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	OCAMPO & PANDIANI FAMILY CHILD CARE		FACILITY NUMBER:	197493995
ADMINISTRATOR:	OCAMPO, A & PANDIANI, D		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 349-9075
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90034
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 12	CENSUS: 8	DATE:	03/28/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Aime Ocampo, Licensee		TIME 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 5/1/2024 Program Analysts (LPA)s, Judy Laureano and Cristina Castellanos conducted an unannounced Annual Required Inspection at above mentioned facility. LPAs arrived at facility at approximately 12:30 pm and were greeted by Licensee Aime Ocampo and toured the home inside and outside. LPAs observed 8 children in care with 1 adult M. Clemente and Licensee. The hours of operation are Monday through Friday from 7:30 a.m. to 5:00 p.m. Currently facility is available to take children 3 months to 3 years old. Licensee confirmed that she available to take in older children as needed. Facility is licensed for a Large Family Child Care license with a max capacity of 12 children. The home is a two bedroom, 1 bathroom dwelling with a living room/dining room area, kitchen and enclosed backyard. Licensee confirmed home has a pet cat that is kept in the OFF LIMITS bedroom, away from the children. Licensee confirmed the following OFF LIMITS AREAS: Bedroom near the bathroom and Kitchen area. Safety gate was observed outside the kitchen. Kitchen is only used as a walkway to access the back yard. LPAs observed safety latches on kitchen cabinets and stove knob covers. Licensee confirmed areas designated as OFF LIMTIS, door remains closed and/or locked during the hours of operation and/or while children are present. Licensee confirmed the areas designated for day care use: Bedroom near the kitchen living room/ dining room area. LPA observed the area designated for day care use and observed age-appropriate toys. Children size table and chairs were observed in the space. Licensee confirmed children nap in the bedroom next to the kitchen, living room/dining room and eat in the kitchen. LPAs observed napping cots and pack and plays in the home used for napping. LPAs provided Licensee with the current copies of all necessary postings. Bathroom used for day care was inspected. Bathroom was observed with a toilet, sink and shower area. All bathroom cabinets were observed with safety latches making all content inaccessible to the children in care.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OCAMPO & PANDIANI FAMILY CHILD CARE	FACILITY NUMBER: 197493995
	VISIT DATE: 03/28/2024

NARRATIVE

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The licensee was informed that any changes to ages, hours and days of operation shall be submitted to the department via signed LIC 279, for approval prior to initiation of changes.

Children use the back yard for outdoor activities. Age appropriate outdoor toys were observed and inspected. Kitchen is used as a walkway to access the back yard.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection.

Licensee confirmed that home is open to take in children that might need incidental medical services but currently does not have any children enrolled. Prescription medications shall be administered in accordance with the label directions as prescribed by the child’s physician. Medication should be in its original content with current prescription with all necessary LIC forms completed.

LPAs observed licensee test the smoke detector and carbon monoxide in the home. A working fire extinguisher was observed outside the kitchen area.

Licensee confirmed that fire drills and earthquake drills are completed and LPAs reviewed drill log.

Licensee provides meals and snacks. LPAs discussed the importance of maintaining a system where allergies and food restrictions are noted. LPAs encouraged licensee to contact their local resource and referral agency, Connections for Children, to inquiry about the different resources and professional development opportunities available.
Adequate heating and ventilation for safety and comfort were observed in the space.

Safe toys and play equipment were observed. The home has a working telephone service and LPAs confirmed the phone number and email address.

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; 8 children were present during today’s inspection.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OCAMPO & PANDIANI FAMILY CHILD CARE	FACILITY NUMBER: 197493995
	VISIT DATE: 03/28/2024

NARRATIVE

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All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Safe Sleep regulations were discussed due to program being available for infant care. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Infants up to 12 months of age are placed on their backs for sleeping. LPAs discussed the importance of maintaining a current sleep log for all children under the age of 24 months. Individual Infant Sleeping Plan was provided and discussed with licensee.

Licensee’s Mandated Reporter Training was taken on 8/6/2023. LPAs discussed the importance of making sure that all who provide care and supervision have a valid certification. Licensee’s Pediatric CPR and Pediatric First was taken on 2/10/2023.

LPAs reviewed 6 children’s files and observed files to be incomplete; 5 files were missing parent’s authorization for the licensee or registrant to consent to emergency medical care. LPAs provided licensee with a copy of the LIC 627-Consent for Emergency Medical Treatment, Type B citation was issued.

LPAs discussed the importance of creating a file for licensee and staff that includes all the necessary LIC documents, including but not limited to, First Aid and CPR, Mandated Reporter Training, Immunizations- MMR and tdapt, TB clearance, and Flu Vaccine and/or waiver.

LPAs discussed all necessary forms needed in each staff file and children’s file. LPAs provided licensee with a current copy of the LIC 311D and LIC 126 to use as a reference when auditing files; documents were provided during today’s inspection.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: OCAMPO & PANDIANI FAMILY CHILD CARE	FACILITY NUMBER: 197493995
	VISIT DATE: 03/28/2024

NARRATIVE

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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. 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 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.

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.

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

Exit interview conducted and report was reviewed with the licensee, Aime Ocampo.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/06/2024 09:21 AM - It Cannot Be Edited

Created By: Judy Laureano On 05/01/2024 at 02:43 PM

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: OCAMPO & PANDIANI FAMILY CHILD CARE	FACILITY NUMBER: 197493995
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(7)

Operation of A Family Child Care Home

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, the licensee did not comply with the section cited above in 5 out 5 children's file do not have consent to emergency medical care, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/10/2024
	Plan of Correction
1 2 3 4	Licensee will ensure that all children's enroll have consent for medical emergency services (LIC 627) for the 5 children's file reviewed. Proof of correction will be emailed to LPA.

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:

Claudia Escobedo

LICENSING EVALUATOR NAME:

Judy Laureano

LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

LIC809 (FAS) - (06/04)

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