197495248-3-21-2023-30-CC-JLAO-CQ64E2-20230321190138

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197495248
Report Date: 03/21/2023
Date Signed: 03/21/2023 07:02:57 PM

Document Has Been Signed on 03/21/2023 07:02 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:	OLGUIN FAMILY CHILD CARE		FACILITY NUMBER:	197495248
ADMINISTRATOR:	ADA OLGUIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 915-0517
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90066
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	03/21/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Ada Olguin		TIME COMPLETED:	11:00 AM

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 03/21/2023 Licensing Program Analyst (LPA) Judy Laureano conducted an announced inspection with applicant Ada Olguin the purpose of a pre licensing/change of location inspection of 4126 McLaughlin Avenue, Los Angeles, CA 90066. The purpose of this inspection is to ensure the standards for a Family Child Care Home are being met in accordance to California Tittle 22 Regulations and California Health and Safety Codes. The licensee is applying for a change of location from 3007 Urban Avenue, Santa Monica, CA facility # 197495118. Inspection was completed in Spanish. Fire clearance was granted on 2/22/23 by Inspector Man Sivaborvon. Applicant is applying for a Large Family Child Care Home for a max capacity of 14. Per the application, at this time, the ages the applicant wishes to provide services for are children birth to 12 years old with the operating hours of Monday- Friday from 8:00 a.m. to 5:30 p.m. Licensee was informed that any changes to ages, hours and days of operation shall be submitted to the department for approval prior to initiation of changes. Applicant owns the home with husband J. Olguin, copy of property tax was submitted to office reflecting ownership. Currently living in the home is Applicant with husband and one adult children. Property has a one unit apartment that sits on top of the detached garage- applicant’s adult son lives in the unit. The home is a single family unit with 3 bedrooms with 2 bathroom, living room, dining room, kitchen and detached garage with apartment unit on top. Parents will access the home through the main entrance. The front yard of the home is OFF LIMITS and will not be used for the day care. Once you enter the home, you are led to the living room and dining room area. The entry way has a door that will remain closed and leads to a hallway that leads to the bedrooms.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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: OLGUIN FAMILY CHILD CARE	FACILITY NUMBER: 197495248
	VISIT DATE: 03/21/2023

NARRATIVE

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Bedroom 1 that has been designated for day care and used as a napping room for the younger children. LPA observed a crib and will only be used if program has a child that sleeps in a crib.

Bedroom 2 and bathroom 1 (Full bathroom), have been designated as OFF LIMITS and doors will remain closed during hours of operations.
The Living room and dining room area have been designated areas for greeting and welcoming families. Area was observed to be free of hazards. Open face heater was observed with a barricaded fence making the area inaccessible.

Dining room was observed with a dining room table and chairs. Next to the dining room, you are led to the kitchen. The kitchen area was observed and inspected. LPA observed under the sink cabinet to have cleaning supplies- safety latch was observed, making the content inaccessible to the children in care. Knifes and sharp objects were observed on the top cabinet above the stove. Kitchen will be used as a walkway to access the daycare space. Refrigerator and stove was observed. LPA encouraged applicant to contact local Resource and Referral agency for additional information regarding the Food program.

Outside the kitchen you are led to the day care area that was observed with children’s cubby and and back door that leads to the back yard. The area was observed to have a children’s changing table right outside the ½ bathroom. Bedroom 3, designated as day care space, was observed and inspected. LPA observed age appropriate toys and children’s size table and chair. Applicant confirmed that children will nap in the space and if needed will also nap in the living room area. LPA observed a working fire extinguisher in the day care space with a first aid kit.

LPA observed a safety gate placed outside the kitchen and the area that leads to the daycare. The bathroom that children will use is located next to bedroom 3. A toilet and sink was observed. LPA observed hand washing signage and paper towels. LPA observed the dryer and washer unit, washer unit was observed to have a safety latch. LPA observed cleaning supplies and detergent in the top cabinet, inaccessible to the children in care.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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: OLGUIN FAMILY CHILD CARE	FACILITY NUMBER: 197495248
	VISIT DATE: 03/21/2023

NARRATIVE

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You are able to access the backyard through the back door. The area was observed with age appropriate outdoor toys. LPA observed the detached garage with an apartment unit. Applicant confirmed that adult son is the one residing in the space.

All electrical outlets were observed to be covered. The home was observed to have working carbon monoxide and smoke detectors in all the bedrooms and living room area. No bodies of water were observed in the space. No weapons or fire arms were observed in the space.

The following area are designated as OFF LIMITS:
1. Bedroom 2, full bathroom in between bedroom 1 and bedroom 2.
2. Kitchen area- safety gate outside the kitchen and daycare space- will be used as a walk way.
3. Detached garage and unit above the garage- doors will remain locked during hours of operation.

No corrections were needed during today’s inspections. Exit interview was conducted with licensee Ada Olguin. The licensing determination of this application will be reviewed with Licensing Program Manager for final resolution.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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: OLGUIN FAMILY CHILD CARE	FACILITY NUMBER: 197495248
	VISIT DATE: 03/21/2023

NARRATIVE

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The following was discussed with the applicant:
Applicant was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

Immunizations: Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a childcare facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the inspection.

Mandated Reporter Training: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com. Licensee was reminded of their responsibility to report suspected child abuse.

LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, family forms/records, and information to be posted.

Licensee was made reminded that it is the licensee’s, as well as anyone who assists in providing care responsibility to know the regulations. Licensee was also encouraged to read the Child Care quarterly updates every season as they come out to stay informed of any changes or updates to statutes and regulations.
Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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: OLGUIN FAMILY CHILD CARE	FACILITY NUMBER: 197495248
	VISIT DATE: 03/21/2023

NARRATIVE

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Applicant was made aware that state law prohibits baby walkers, bouncy seats, exer-saucers and any other items that fall into that category. Applicant was also reminded that only children who are eating may be in highchairs and that car seats are utilized only for transportation.
Applicant was also informed that the provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome.

LPA discussed the safe sleep regulations with applicant 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 applicant [facility representative] 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.

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

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

LIC809 (FAS) - (06/04)

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