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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004623
Report Date: 01/02/2025
Date Signed: 01/02/2025 02:50:18 PM

Document Has Been Signed on 01/02/2025 02:50 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ESPINOZA FAMILY CHILD CAREFACILITY NUMBER:
198004623
ADMINISTRATOR/
DIRECTOR:		AMARO, CECILIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 422-5598
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
01/02/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Licensee - Cecilia EspinozaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On January 2, 2025, at 1:00pm., Licensing Program Analyst (LPA) Keneisha Dunlap arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee - Cecilia Espinoza. There are 16 children enrolled, and 10 children present at the time of inspection. The hours of operation are Monday- Sunday from 12:00am-12:00am. All adults in the home were discussed and background and fingerprinted cleared. License, earthquake disaster checklist, disaster plan, and PUB 394 posted. Licensee does have a current disaster log drill with the date of 1/2/25. Licensee does have current LIC 9040 (facility roster).

This is a one-story home which consists of 3 bedroom, 1 bathroom, kitchen/dining room, living room, detached garage, front yard and backyard (fenced). The off limit areas include 3 bedrooms, front yard and detached garage.



The main care area is located in the living room. LPA observed sleeping mats, a couch, wall mounted television, age appropriate toys and a cubby locker for storing children's personal belongings. LPA observed outdoor area to be in good condition, free of sharp, loose, or pointed parts.

The kitchen area is accessible to children, however cabinets and drawers have safety latches and magnets making it inaccessible to children in care.

The bathroom area has a working toilet and sink. The cabinet and drawers has a safety latches making it inaccessible to children. The second bathroom has a safety latch making it inaccessible to children.

The outdoor area for play is the backyard. The yard has toys, slide structure, basketball hoops, and bikes. The area has a age an appropriate table and chairs. Soft furnishings for seating. Manipulate play, dramatic play, and arts & crafts materials. Page 1 of 4
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 01/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/02/2025
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ESPINOZA FAMILY CHILD CARE
FACILITY NUMBER: 198004623
VISIT DATE: 01/02/2025
NARRATIVE
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LPA observed outdoor area to be in good condition, free of sharp, loose, or pointed parts.

LPA observed the smoke detector and carbon monoxide detector to be operable.

LPA observed a fire extinguisher with a purchase date of 12/9/24.

Staff Files:

Staff # 1

File has all required licensing documents and immunization record in folder.

CPR expiration date of 6/2/26

Mandated Reporter expiration date of 1/2/26

Staff # 2

File has all required licensing documents and immunization record in folder.

CPR expiration date of 10/4/26

Mandated Reporter expiration date of 7/16/26

Child #1

All required licensing forms and immunization record are in file.

Child #2

All required licensing forms and immunization record are in file.

Child #3

All required licensing forms and immunization record are in file. Safe Sleep Logs current.

Child #4

All required licensing forms and immunization record are in file.

Page 2 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ESPINOZA FAMILY CHILD CARE
FACILITY NUMBER: 198004623
VISIT DATE: 01/02/2025
NARRATIVE
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Child #5

All required licensing forms and immunization record are in file.

The Licensee stated that they do provide meals for children.



The Licensee has a cell phone that they use.

The Licensee stated they do not have any children that they administer medication to at this time.

The Licensee states that when children are in sick, they are placed in the main care area by the door.

The Licensee stated there are no firearms in the home.

The Licensee stated that there are no smokers in the home.

The Licensee stated that they do not provide transportation for children.

The Licensee stated that they do have first aid kit.

There are no large bodies of water on premises.

There are no animals in the home.

The Licensee does provide nap time. Cots are stored in the main care area.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Criminal Record Clearance - Family Child Care Homes Licensee Cecilia Espinoza was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Page 3 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ESPINOZA FAMILY CHILD CARE
FACILITY NUMBER: 198004623
VISIT DATE: 01/02/2025
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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.

Safe Sleep

LPA discussed the safe sleep regulations with Licensee Cecilia Espinoza and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Licensee Cecilia Espinoza 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)

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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-carecenters/.

MyChildCarePlan.org – Centers and Family Child Care Homes Licensee Cecilia Espinoza was informed of the MyChildCarePlan.org website; 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.

Megan’s Law - Family Child Care Homes During the exit interview, the Licensee Cecilia Espinoza confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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

Appeal rights explained and given to Licensee Cecilia Espinoza.

No deficiencies issued during today’s visit.

Exit interview conducted and report was reviewed with the Licensee Cecilia Espinoza. Page 4 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025
LIC809 (FAS) - (06/04)
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