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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494770
Report Date: 07/16/2024
Date Signed: 07/16/2024 03:32:12 PM

Document Has Been Signed on 07/16/2024 03:32 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:DAVILA FAMILY CHILD CAREFACILITY NUMBER:
197494770
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/16/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Viviana DavilaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On July 16, 2024, Licensing Program Analysts (LPAs), V. Wheatley and Devon Carus conducted an announced Case Management inspection and was met by Licensee, Viviana Davila. The purpose of the inspection is for an increase in capacity. LPAs did not observe any children because the licensee is currently on vacation until July 18, 2024. The days and hours of operation are currently Monday through Friday 7:30AM to 5PM.

LPA Carus toured the home inside and outside. Current facility sketch reviewed and confirmed that the living room is used for day care. The small room next to the bathroom is used for diaper changing only. Licensee states her bedroom is off-limits. There is child proof gate at the entrance of the kitchen and the entrance of the small room near the bathroom. There is no swimming pool or other bodies of water on the premises. Per licensee, there are no firearms or ammunition on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There is a working fire extinguisher, smoke detector, and carbon monoxide detector (combo). The home has adequate heating and ventilation for safety and comfort. There is a screen wall heater and a portable air conditioner. There are no stairs in the home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number. LPA observed a children's roster.

LPA discussed Safe Sleep Regulations with licensee. Cribs and play yards will be 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 up to 2 years old 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. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. Licensee states she does not have any infants enrolled at this time.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2024
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: DAVILA FAMILY CHILD CARE
FACILITY NUMBER: 197494770
VISIT DATE: 07/16/2024
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LPA Carus inspected the backyard. The play area is fenced and there are no hazards to children present. Age appropriate outdoor play equipment was observed.

The licensee has received a Fire Department Clearance from the L.A. County Fire Department. A license for 14 will be granted with the Landlord Consent Form. A license for 12 will be granted without the Landlord Consent Form.

This report shall be made available to the public upon request. The LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Exit interview conducted. Report was read and provided to the licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC809 (FAS) - (06/04)
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