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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495323
Report Date: 11/17/2023
Date Signed: 11/17/2023 06:23:44 PM

Document Has Been Signed on 11/17/2023 06:23 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:FARIAS FAMILY CHILDCAREFACILITY NUMBER:
197495323
ADMINISTRATOR:SILVINA FARIASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 927-6139
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/17/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Silvina FariasTIME COMPLETED:
11:40 AM
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On 11/17/2023 Licensing Program Analysts (LPA) Judy Laureano and Ranita Richmond conducted an announced inspection with applicant Silvina Farias for the purpose of a pre licensing inspection of the above mentioned facility. The purpose of this inspection is to ensure the standards for a Family Child Care Home are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes. Present during today’s inspection was licensee only. Inspection was completed in Spanish.

Per the application, at this time, the ages the applicant wishes to provide services for are children birth to 4 years old, Monday- Friday from 7:00 am to 5:30 p.m. Applicant is not available for overnight care or weekend care. Applicant 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 is applying for a Large Family Child Care License with a max capacity of 14. Applicant was previously licensed with facility number 197419580. Landlord consent was reviewed and received at the ESCRO. Currently living in the home is applicant only.

Fire clearance was received and completed on 10/12/2023 by Inspector Sivaborvara.

LPAs toured the home inside and outside. The facility is a single family home with 2 bedrooms, 2 bathrooms, a living room, dining room and kitchen area. The home has an enclosed side yard with a iron gate that measures over 5ft tall. LPAs advised applicant to ensure gate stays locked while children are present and/or during the hours of operations and ensure the key is accessible in case of an emergency. LPAs observed a detached garage that is OFF LIMITS to the children in care.

Parents will access the home through the front of the house. The front door leads you to the living room area that has been designated as day care space. LPAs observed children's size tables and chairs, children’s cubbies and a variety of children’s toys. The area was observed with a mounted television, parent board and working fire extinguishers. Parent board was observed with all the necessary posting.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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: FARIAS FAMILY CHILDCARE
FACILITY NUMBER: 197495323
VISIT DATE: 11/17/2023
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LPAs observed a barricaded fireplace in the home. Applicant confirmed that children will eat and nap in the space. Next to the living room, LPAs observed a safety gate that leads to the bedrooms and bathroom.

Bedroom two was observed and inspected, applicant confirmed bedroom 2 is OFF LIMITS. Bedroom 2 will remain locked during the hours of operation and/or while children are present.
Bedroom 1 designated as day care space was observed, one pack and play and two cribs were observed with soft toys and age appropriate materials. Applicant confirmed that younger children will be using the room. LPAs observed a closet with sliding doors, LPAS advised applicant to add a safety latch to the top to ensure children do not have access to the closet space. LPAs observed long curtains(6 panels) next to crib area, LPAs requested applicant to change the curtains and or move the cribs.

At the end of bedroom 1, LPAs observed a bathroom that has been designated as OFF LIMITS to the children. LPAs observed a door knob cover on the door, making the area inaccessible to the children in care. Next to the bathroom, LPAs observed a second door that leads you back to the hallway, door knob cover was observed.

Kitchen was observed and inspected. Kitchen is OFF LIMITS to the children in care; safety gate was observed at the end of the cabinets to ensure children do not have access to the area. LPAs observed safety latch on dish washer and all kitchen cabinets were observed to have safety latches. Refrigerator, stove and counter space were observed and inspected. Knives and sharp objects were observed in a drawer with a safety latch- inaccessible to the children in care. Under the sink cabinet was observed with a safety latch, making the content inaccessible to the children in care. LPAs observed an extra fire extinguisher in the kitchen area. LPAs discussed the importance of having policies in place to ensure that all who help with care and supervision are aware of any dietary restrictions and/or allergies. LPAs also encouraged applicant to contact their local Resource and Referral agency, Connections for Children, to inquiry about any food programs.

Next to the kitchen area, LPAs observed a dining room area. Dining room area will be used as a walkway to access the bathroom and outdoor space. The dining room is OFF LIMITS and will not be used. LPAs observed applicant have a bird cage with a Parrot. Parrot will be in the garage, OFF LIMITS to the children.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: FARIAS FAMILY CHILDCARE
FACILITY NUMBER: 197495323
VISIT DATE: 11/17/2023
NARRATIVE
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Bathroom that children will used was observed and inspected. Bathroom is located adjacent to the kitchen area. A toilet, sink and shower were observed. LPAs advised applicant to maintain bathroom window closed and locked during the hours of operations and/or while children are present. LPAs observed the bathroom window with two small ledges that children could access to reach the window.

LPA observed smoke detectors in all the rooms of the home and observed all electrical outlets in the home covered.

The outdoor area was inspected and observed. You are able to access the outdoor through the back kitchen/dining room door. LPAs observed area to be covered with artificial turf and a variety of age appropriate outdoor equipment. LPAs observed a small walkway on the side of the house that children could access, applicant was advised to add gate and/or barricade the area to ensure children do not have access.

The following area are designated as OFF LIMITS:
1. Front yard of the home, families will only use to access the home.
2. Bedroom 2- door knob cover was observed
3. Bathroom 1 located next to daycare room or bedroom1- door was observed with a door knob cover.
4. Kitchen area- safety gate
5. Dining room used as a walk way to access the bathroom and outdoor space.

The following requirements shall be submitted by November 28, 2023. 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: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023
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: FARIAS FAMILY CHILDCARE
FACILITY NUMBER: 197495323
VISIT DATE: 11/17/2023
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The following corrections need to be completed prior to licensure:
1. Safety latch added to closet’s sliding door in bedroom 1
2. Long curtains (6 panels) to be removed/changed out to ensure children do not have access
3. Barricade and/gate placed on the side of the small walkway outside.
4. Extra gate key to be made accessible when outside.
5. Door stopper for kitchen door to ensure safety gate outside the kitchen stays in place.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

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) or (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: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: FARIAS FAMILY CHILDCARE
FACILITY NUMBER: 197495323
VISIT DATE: 11/17/2023
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LPA reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant. PIN 22-05-CCP Page Eight

LPA discussed the safe sleep regulations with applicant 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, licensee, or 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.

Applicant was informed of the MyChildCarePlan.org site, 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.

· Applicant was reminded in the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license.
· A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.
· Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License shall be terminated. (If paying by check please make sure to write facility number on check to ensure that payment is applied to your facility number)
· The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked, and batteries should be replaced.
· Reporting requirements: Applicant must report any unusual incident or injuries to the Child Care Regional office by telephone within 24 hours and in writing within 7 days. Applicant was provided with LIC 624 as a reference.
· Fire and safety drills must be performed every six months and documented for review by the Department.
· All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.
Exit interview was conducted with applicant Silvina Farias.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023
LIC809 (FAS) - (06/04)
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