197494366-3-27-2024-58-CC-LHEZ-D3S2E7-20240327171928

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494366
Report Date: 03/27/2024
Date Signed: 03/27/2024 05:19:34 PM

Document Has Been Signed on 03/27/2024 05:19 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	ESPANA FAMILY CHILD CARE		FACILITY NUMBER:	197494366
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 5	DATE:	03/27/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Blanca Espana, Licensee		TIME COMPLETED:	05:30 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	Licensing Program Analyst (LPA) Lilia Hernandez conducted an announced case management inspection on 03/27/2024 at 2:05PM. This was a Licensee initiated visit for the purpose of a capacity increase. LPA met with Blanca Espana, Licensee, who guided analyst on a tour of the facility. There were 3 infants, 2 children, and 1 assistant present during the inspection. Licensee's adult son was also present during the inspection. This is a capacity increase application for a large family child care license with up to 14 children. Licensee's spouse is the homeowner and landlord consent is on file. The family child care facility will operate Monday – Friday 8:00AM – 5:30PM. Licensee states they will care for children from 4 months to 10 years of age. LIC279 with updates was submitted. The fire clearance was approved on 03/12/2024. Licensee stated that both a land line and cell phone with active service are in the home. Both phone numbers were provided to LPA, however, the cell phone number will be the main contact number while children are in care. All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. LPA inspected the Living room, Dining room, Kitchen, Bedroom 1, Bedroom 2, Bedroom 3, one bathroom, Laundry room, and storage room located in back yard. Licensee has a fourth bedroom located on the north side of the property with its own entrance where adult son resides. Areas that are inaccessible to children are Applicant's bedroom, second bedroom, storage located in backyard, backyard, laundry room, room located on north side of the property with it's own entrance. There is no garage on the property. The backyard is off limits with a gate. There is a dog and 3 chickens in the home that are kept in the backyard accessible to children. ---Page 1 of 3

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ESPANA FAMILY CHILD CARE	FACILITY NUMBER: 197494366
	VISIT DATE: 03/27/2024

NARRATIVE

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Areas that are accessible to children are the Playroom, living room, dining room, kitchen, and bathroom (located off hallway near kitchen) and front yard.

LPA’s observed a firearm in the facility and it meets all lock and storage regulation requirements.

Parent board is located in the indoor play area near the entry way with all required postings observed. There are toys available for children in the living room, dining room and patio.

Areas that will be used by children were inspected for safety, comfort, cleanliness, ventilation and heating. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible in areas designated for children. The applicant was advised that any poisons must be locked. There is a carbon monoxide detector that was tested and operable located in the living room. Smoke detector located in the dining room. There is a 2A10BC fire extinguisher located in the kitchen with a purchase date of 02/12/2024. LPA verified the receipt with purchase date. There is an air conditioner and heating in the home.

The licensee has completed the required Health and Safety Training, Nutrition Training and Pediatric First Aid and CPR, and Mandated Reporter Training Certificates of completion were verified to be on file in the facility. There are first aid supplies available and stored in an area inaccessible to children.

The licensee states that they provide snacks to children in care. Per Licensee, food is brought from the children's homes. LPA reminded Licensee that containers shall be labeled with child's name and properly stored or refrigerated.

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
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ESPANA FAMILY CHILD CARE	FACILITY NUMBER: 197494366
	VISIT DATE: 03/27/2024

NARRATIVE

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LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children's forms/records, facility forms/records, and information to be posted. LPA advised the applicant on how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA provided the following documents about SIDS: A Child Care Provider's Guide to Safe Sleep from the American Academy of Pediatrics, Helping You to Reduce the Risk of SIDS, Never Shake a Baby, and Safe Sleeping practices.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Per licensee, there are no dual licenses at this address. Licensee email address was submitted obtained during this inspection. The licensee was advised that email may be public information.

A large family child care license with a capacity of 14 may be granted upon manager review and approval. Once licensed, the licensee is required to adhere to the terms and limitations stated on the license.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of the report and appeals rights were provided to the Licensee.

An exit interview was conducted and report was reviewed with Blanca Espana, Licensee.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC809 (FAS) - (06/04)

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