198008946-3-21-2025-54-CC-PBIP-DEYVPT-20250321163716

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198008946
Report Date: 03/21/2025
Date Signed: 03/21/2025 04:37:49 PM

Document Has Been Signed on 03/21/2025 04:37 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:	VALENZUELA FAMILY CHILD CARE		FACILITY NUMBER:	198008946
ADMINISTRATOR/ DIRECTOR:	VALENZUELA, NORA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 531-7679
CITY:	SOUTH GATE	STATE: CA	ZIP CODE:	90280
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	03/21/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:40 PM
MET WITH:	Nora Valenzuela		TIME VISIT/ INSPECTION COMPLETED:	04:50 PM

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	Licensing Program Analyst (LPA) Peter Bishop arrived at the above facility for the purpose of an Unannounced Annual Visit at 12:40 PM. Upon arrival, LPA announced the purpose of the visit and was granted entry into the facility by Licensee Nora Valenzuela who provided tour of facility. LPA provided the inspection Entrance Checklist, LIC 126. LPA inspected rooms/areas on the facility sketch in which child-care services are provided and to which children have access. Per licensee, the current hours that care is provided are Monday-Friday 6:00 am -- 7:00 pm at the time of inspection overnight care is being provided as needed. There was 8 children present during today's inspection. Licensee states that there is a total of 13 enrolled. Licensee stated that her daughter, and two grandchildren live in the home with her. There is a valid background clearance on file. LPA observed the facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness forms. Licensee was advised to post the required documents on the parent board. Disaster drill log was available and was performed 02/5/2024 during. Licensee was advised that Disaster drills should be performed minimally every 6 months. At 12:50 PM LPA Bishop was given a tour of the facility. This is a one-story home which consists of three bedrooms and two bathroom, Kitchen, Living Room, Dining Room and outside play area which has age appropriate toys, tables and cubbies. Per Licensee, areas off limits to children and parents include Bedrooms 2 and 3. LPA observed the doors to be locked at time of inspection. Per licensee, off limit rooms are locked during operating hours. At 1:00 PM, life-saving devices were inspected throughout the home. The smoke detector is located above the entrance of the kitchen. The carbon monoxide detector is in the kitchen but it was unplugged and the battery was low. All devices were tested and operable but needs a battery. The 2A 10 BC Fire extinguisher is located in the kitchen and indicates fully charged and there was not a service tag and Licensee could not produce a receipt. The fire extinguisher is deemed not in compliance. Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via cell phone/LAN line. 1 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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 11

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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 198008946
	VISIT DATE: 03/21/2025

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
26
27
28
29
30
31
32

At 1:10 PM, Living Room is the area was observed to be clean and orderly and used for isolation area for sick children. There are toys and other age-appropriate materials for the children. LPA observed the Living Room area to have two couches as well.

At 1:20 PM, LPA observed the kitchen area. LPA observed knives that were accessible to children. LPA told Licensee to move the knives immediately from the counter for the safety of the children. Licensee moved the knives to a high cabinet out of the reach of all children. LPA observed cleaning compounds under the sink and they were accessible to children. Other cleaning supplies were observed in the garage and at the time of arrival the garage was open and children were in the backyard playing. Licensee states that there are no poisons stored in the home and understands that all poisons must be locked, not only inaccessible to children. LPA did not observe any other hazards in the kitchen area other than the previously mentioned serious hazards. A Type A Deficiency will be cited for the knives and a Type B Deficiency will be cited for the cleaning compounds.

At 1:30 PM, LPA observed backyard for outdoor play. The outdoor play area was observed to be completely fenced. The outdoor play area has age-appropriate toys and a slide for children with a grassy area and shade for the children. Upon arrival there was a ladder in the backyard which is an immediate hazard. There was also a walker which is not allowed on the premises because it is banned.

At 1:40 PM, LPA observed the central air and heating system.

At 1:50 PM, LPA observed that the bathroom the children use is clean and free of floor hazards. There was toilet paper, hand-washing soap, and towels for the children. LPA did not observe any chemicals stored in the shower on the floor accessible to children. LPA asked Licensee to remove the hazards from the shower and she complied.

Per Licensee there are no firearms or weapons stored in the home. LPA did not observe any firearms or weapons in the home. Licensee states that there are no body of water present. LPA did not observe any bodies of water on the premises. Licensee further states that she does have one dog and a bird. The dog was observed to be caged in a small area in the living room. The bird was caged in the living room as well.

2 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

Page: 3 of 11

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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 198008946
	VISIT DATE: 03/21/2025

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
26
27
28
29
30
31
32

At 10:50 AM, Staff records were reviewed for approved Pediatric First Aid and CPR certification. Valid CPR/First Aide was available at the time of inspection expiring on 12/7/2026 for Licensee and Assistant. LIC-501: Personnel Record, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment was available at the time of the visits. LIC 9108- Statement Acknowledging Requirement to Report Child Abuse is available and current Mandated Reporter Training Certificate was expired for both and a Type B Deficiency will be cited.

Children’s records were reviewed LIC 700 Identification and Emergency Information, LIC 627 Consent for Emergency Medical Treatment, LIC 995A Notification of Parents rights and Immunizations were not current and up to date.

The following information was discussed:
LPA discussed the safe sleep regulations with Licensee Valenzuela and discussed the Child Care Licensing Safe Sleep. Also, webpage resources provided at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA P Bishop also informed Licensee Viramontes 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.

The following were discussed:
Incidental Medical Services (IMS) 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

3 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

Page: 4 of 11

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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 198008946
	VISIT DATE: 03/21/2025

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
26
27
28
29
30
31
32

Criminal Record Clearance - Family Child Care Homes – Licensee Valenzuela 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.

Licensee Valenzuela was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on the LPA P Bishops observations, record review, and interviews, there will be 4 deficiencies cited today in accordance with California Title 22 Regulations.

During the exit interview, the licensee, confirmed that there are no Registered Sex Offenders (RSO) living in the facility and LPA P Bishop completed the RSO search in Megan’s Law Website.

Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted and report was reviewed with the Licensee Valenzuela. Appeal rights were given as well.

4 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

Page: 2 of 11

Document Has Been Signed on 03/21/2025 04:37 PM - It Cannot Be Edited

Created By: Peter Bishop On 03/21/2025 at 03:55 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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 198008946
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation the licensee did not comply with the section cited above Licensee did not have proof of purchase or current service tag for 2A 10BC Fire Extinguisher which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/01/2025
	Plan of Correction
1 2 3 4	Licensee will send proof of purchase reciept to LPA Bishop

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation the licensee did not comply with the section cited above in 1 out of 1 did not put chemicals safely out of reach of children which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/01/2025
	Plan of Correction
1 2 3 4	Licensee states she will send pictures of correction although it was removed.

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:

Peter Bishop

LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

Page: 5 of 11

Document Has Been Signed on 03/21/2025 04:37 PM - It Cannot Be Edited

Created By: Peter Bishop On 03/21/2025 at 03:55 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: VALENZUELA FAMILY CHILD CARE	FACILITY NUMBER: 198008946
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(10)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation the licensee did not comply with the section cited above in 1 out of 1 LIcensee had a walker in the backyard poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/01/2025
	Plan of Correction
1 2 3 4	Licensee removed the Walker Immediately.

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
1 2 3 4	Based on observation the licensee did not comply with the section cited above in 2 out of 2 2 of 2 did not have current Mandated Reporter Certificate which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/01/2025
	Plan of Correction
1 2 3 4	Licensee and Assistant will complete and submit Certificate to LPA Bishop

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:

Peter Bishop

LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

Page: 6 of 11