197494504-6-22-2023-30-CC-ARIR-CT2Q7W-20230622115550

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494504
Report Date: 06/22/2023
Date Signed: 06/22/2023 11:55:57 AM

Document Has Been Signed on 06/22/2023 11:55 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:	AVALOS FAMILY CHILD CARE		FACILITY NUMBER:	197494504
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 2	DATE:	06/22/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Wendy Avalos, Licensee		TIME COMPLETED:	12:00 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

On 06/22/2023, Licensing Program Analysts (LPA) Adrian Risher and Sarah Garcia conducted an announced Case Management visit for the purpose of an inspection for a proposed capacity increase. LPA met with Wendy Avalos, Licensee and toured the facility inside and out. The facility is applying for a capacity increase from 8 to 14. LPA observed 2 children in care at the time of the inspection. The hours of operation are Monday through Saturday 24 hours. The fire clearance was granted on 06/05/2023 by inspector Ashlin Wilbun.

The single family home has 4 bedrooms and 3 bathrooms, The daycare will consist of the living room. These areas were inspected by LPA. The other bedrooms and rooms are considered off-limits and inaccessible. Applicant owns the home. The living room will be used for daily activities. Licensee stated she plans to provide care for school age children primarily. Cots are used for napping. The children will nap in the living room. LPA observed age appropriate toys, furniture and activities for children while in care at the facility.

LPA inspected the bathroom and did not observe any medications or poisons that could pose a potential risk to children in care. The kitchen was inspected during the visit. LPA did not observe any knives or sharp objects, detergents or cleaning supplies that would pose a potential risk to children in care. These items were made inaccessible to the children.

The front yard is being used as the outside play area. The front yard is fenced all around. LPAs did not observe any bodies of water.

LPA observed a charged fire extinguisher. LPA observed the smoke detector and carbon monoxide detector operating properly. Applicant has a first aid kit which includes band aids and a thermometer. The home has central heating and air.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: AVALOS FAMILY CHILD CARE	FACILITY NUMBER: 197494504
	VISIT DATE: 06/22/2023

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
26
27
28
29
30
31
32

Applicant has current CPR, first aid, health and safety which expires 04/2024. There are no firearms on the premises. There are 3 dogs at the home

The parent board will be posted for parents to view required information such as the license, parent's rights poster, personal rights, and emergency disaster plan. A copy of the children's roster will be kept accessible.

No corrections are needed.

A license to operate a Large Family child care home will be reviewed following final administrative review. No license will be issued today 06/22/2023.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/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

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

Exit interview conducted and report was reviewed with the licensee Wendy Avalos.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2