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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005588
Report Date: 08/08/2024
Date Signed: 08/08/2024 01:52:16 PM

Document Has Been Signed on 08/08/2024 01:52 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:ALBA FAMILY CHILD CAREFACILITY NUMBER:
198005588
ADMINISTRATOR/
DIRECTOR:		ALBA, LUZ AND VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 260-5793
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
08/08/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Vanessa Alba, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analysts (LPAs) Keneisha Dunlap and Franchesca White 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 Vanessa Alba. There are seven children enrolled, and one child present at the time of inspection. The hours of operation are 24 hours a day Sunday- Monday. All adults in the home were discussed and background and fingerprinted cleared. License, Facility sketch, disaster plan and PUB 394 posted. Licensee does have a current disaster log drill with 7/19/24 Licensee does have current 9040 (facility roster)

This is a single-story home with the three bedrooms, three bathrooms, kitchen, playroom, back yard and front yard. The play area is the main care room, and the kitchen is accessible to children. The home is ventilated with a HVAC system, and the playroom has a portable cooling/heat unit.

At 10:00am, LPA Dunlap observed the play area which has steps leading down to the play room with rail. The play room has linoleum floors where there is a children size rectangle table, and child size 5 chairs are for sitting. There are posters along the wall for numbers, shapes, alphabets, etc. There is a first aid cabinet mounted on wall. There is a carpet area with an adult size couch as well as a lounge chair. There are manipulate play items, a library area, and a dramatic play area. There is a hand washing sink in the play room.

At 10:30am, LPA Dunlap observed a fire extinguisher 2A-10BC fire extinguisher in the home with a purchase receipt dated 3/15/2024.

At 10:35am, LPA Dunlap observed the kitchen area where the children have access. The cabinets had safety latches. The knives were inaccessible to children in lockbox.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ALBA FAMILY CHILD CARE
FACILITY NUMBER: 198005588
VISIT DATE: 08/08/2024
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At 10:45am, LPA Dunlap observed the bathroom area that children utilize with safety latches.

At 10:50am, LPA Dunlap observed an operable smoke detector in the play area.


At 10:55am, LPA Dunlap observed an operable carbon monoxide detector in the hallway.

At 11:00am, LPA Dunlap observed the front yard which is used for outdoor play area. The area in front has a climbing structure and plants along the driveway.

At 11:10am, LPA Dunlap reviewed the staff files and observed the following:

Staff #1
CPR & First Aid- 4/14/25
Mandated Child Abuse Reporter Certificate- expired 6/9/24
Immunization's missing from file
LIC 9052 missing


Staff #2
CPR & First Aid- 8/3/26
Mandated Child Abuse Reporter Certificate- expired 6/9/24
Immunization's missing from file
LIC 9052,and 9108 missing

For all staff files missing Mandated certificate Licensee shall receive a Type B deficiency. Staff files missing LIC 9052 will be a Technical Violation.


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

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ALBA FAMILY CHILD CARE
FACILITY NUMBER: 198005588
VISIT DATE: 08/08/2024
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At 12:15pm LPA White reviewed the children's files and observed the following:

Child #1
All licensing forms in folder.
Immunization's last date of 2017.

Child #2
All licensing forms in folder.
Immunization's last date of 2022.

Child #3
All licensing forms in folder.
Immunization's last date of 2018.

Child #4
All licensing forms in folder.
Immunization's last date of 2016.

Child #5
All licensing forms in folder.
Immunization's last date of 2017.

Licensee will be issued a Type B deficiency for missing immunization's for children files.

The Licensee stated that they communicate with parents via text, phone, and/or person. The Licensee has a cell phone that they use for main use.

The Licensee stated they do not have any children that they administer medication to at this time. If children were to have medications that need to be administered there is a lockbox in the hallways to store medication.

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

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ALBA FAMILY CHILD CARE
FACILITY NUMBER: 198005588
VISIT DATE: 08/08/2024
NARRATIVE
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The Licensee states that when children are in sick be placed near door of play area.

The Licensee stated there are no firearms in the home.

The Licensee stated that there are smokers in the home which is Staff #2, but smoking is done in backyard of home. Licensee states that Staff #2 does not smoke at all when day-care children are present.

The Licensee stated that they do provide transportation for children in the morning for morning pickups and afternoon drop-offs.

The Licensee stated they do not have any children with allergies. If children have allergies they request parent to bring child their own food. They also keep a list of any children who has allergies in the kitchen.

The Licensee stated that they do homework, reading, arts & crafts, and free play outside.

The Licensee stated that the discipline policy is time-out and speak with parents. Policy is stated in children files as well.



The Licensee states that there are no large bodies of water on premises.

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

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

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ALBA FAMILY CHILD CARE
FACILITY NUMBER: 198005588
VISIT DATE: 08/08/2024
NARRATIVE
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Criminal Record Clearance - Family Child Care Homes Licensee, Vanessa Alba was reminded that all adults 18 and over living or working in the home, 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.

Incidental Medical Services (IMS) – This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-carecenters/.

Licensee, Vanessa Alba 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, Vanessa Alba, 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. Failure to post will result in a civil penalty of $100 per day.

Based on today's observations, record review, and interviews the following deficiencies will be cited in accordance with California Title 22. All deficiencies need to be cleared on or before the specified due date for the health and safety of the children in care.

Exit interview conducted and report was reviewed with the Licensee, Vanessa Alba. A copy of the report, notice of site visit, and appeal rights was given to Licensee, Vanessa Alba.

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

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/08/2024 01:52 PM - It Cannot Be Edited


Created By: Keneisha Dunlap On 08/08/2024 at 01:06 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ALBA FAMILY CHILD CARE
FACILITY NUMBER: 198005588

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 2 out of 2 staff files for Staff 1 & 2 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/09/2024
Plan of Correction
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2
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Licensee stated that Staff 1 & 2 will enroll in Mandated reporter training.
Licensee will email LPA Dunlap on or before POC due date copy of certificates.
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 out of 2 staff files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/09/2024
Plan of Correction
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2
3
4
Licensee stated that Staff 1 & 2 will be get current immunizations.
Licensee will email LPA Dunlap on or before POC due date copy of current immunizations.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karen Chambers
LICENSING EVALUATOR NAME:Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:
DATE: 08/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/08/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/08/2024 01:52 PM - It Cannot Be Edited


Created By: Keneisha Dunlap On 08/08/2024 at 01:06 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ALBA FAMILY CHILD CARE
FACILITY NUMBER: 198005588

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above in 5 out of 5 children files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/09/2024
Plan of Correction
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2
3
4
Licensee will let parents know as of 8/8/2024 will send text blasts to parent requesting for new immunizations.
Licenseee will send proof immunizations via email to LPA Dunlap by the POC date.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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2
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4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karen Chambers
LICENSING EVALUATOR NAME:Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:
DATE: 08/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/08/2024


LIC809 (FAS) - (06/04)
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