198009897-6-21-2023-33-CC-MGAA-CSZNF8-20230621102508

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198009897
Report Date: 06/21/2023
Date Signed: 06/21/2023 10:25:49 AM

Document Has Been Signed on 06/21/2023 10:25 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	GUERREIRO FAMILY CHILD CARE		FACILITY NUMBER:	198009897
ADMINISTRATOR:	GUERREIRO, ALBA L.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 462-8206
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90038
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 10	CENSUS: 3	DATE:	06/21/2023
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Licensee, Alba Guerreiro		TIME COMPLETED:	10:35 AM

NARRATIVE

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************************This inspection was conducted in Spanish************************

Licensing Program Analyst (LPA) Mireya García conducted an unannounced Case Management inspection due to an incident that was reported to the Department on April 11, 2023. LPA met with Licensee, Alba Guerreiro who guided LPA on a tour of the facility. Census was taken. The purpose of this report is to address the investigative findings of the unusual incident report that was reported to the Department.

On April 11, 2023, an incident was self reported to the Department via telephone by the facility who reported a parent alleges that child's personal rights were violated while in care back in 2022.

During the inspection conducted on June 12, 2023, LPA Garcia conducted interviews with Licensee and three (3) day care children and several attempts to interview Parent #1 were made via telephone.

REPORT CONTINUES ON NEXT PAGE 1 OF 2.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023

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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GUERREIRO FAMILY CHILD CARE	FACILITY NUMBER: 198009897
	VISIT DATE: 06/21/2023

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During interviews conducted with Licensee and day care children it was determined an incident occurred back in 2022 where a child alleges another child kissed them while in care. Statements from Licensee confirm that the incident took place at the facility sometime in 2022. Although child #1 made no disclosure. Staff providing care and supervision disclosed being in the kitchen area of the home while child #1 and child #2 were playing in the dining room area and did not see the incident occur. Child #2 confirms kissing child #1 back in 2022 at the facility when Licensee was in the kitchen. This poses a potential health and safety risk to children in care. Title 22 Regulation Section 102417 Operation of a Family Child Care Home states (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times…The Licensee is therefore being cited for failure to ensure that children in care are supervised at all times. The deficiency listed on the following page is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d.

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

Exit interview conducted and report was reviewed with Licensee, Alba Guerreiro

REPORT ENDS HERE PAGE 2 OF 2.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/21/2023 10:25 AM - It Cannot Be Edited

Created By: Mireya Garcia On 06/21/2023 at 09:49 AM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GUERREIRO FAMILY CHILD CARE	FACILITY NUMBER: 198009897
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/21/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/21/2023 Section Cited HSC 102417(a)	1 2 3 4 5 6 7	102417-Operation of a Family Child Care Home: (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times….. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per Licensee she has modified the play areas to allow for visual supervision. In addition, licensee has removed the privacy tent from the play area to ensure that children can be visually seen at all times, LPA verified this in person during inspections conducted on 06/12 & 06/21.
	8 9 10 11 12 13 14	Based on interview disclosures from staff and child #2 reveal an incident occurred back in 2022 where a child kissed another child while in care and staff providing care and supervision did not see incident occur. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14	Also, Licensee has employed a new assistant effective May of 2023 to asssit in the supervision of children. A written supervision plan was obtained from Licensee on LIC855 Declaration on this date.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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:

Brandi VanOosten

LICENSING EVALUATOR NAME:

Mireya Garcia

LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023

LIC809 (FAS) - (06/04)

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