198009945-2-3-2025-54-CC-KDUP-DDJTRN-20250203135750

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198009945
Report Date: 02/03/2025
Date Signed: 02/03/2025 01:58:02 PM

Document Has Been Signed on 02/03/2025 01:58 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:	ROBLEDO FAMILY CHILD CARE		FACILITY NUMBER:	198009945
ADMINISTRATOR/ DIRECTOR:	ROBLEDO, CONSUELO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 423-5081
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 3	DATE:	02/03/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:15 PM
MET WITH:	Assistant- Yesnia Robledo		TIME VISIT/ INSPECTION COMPLETED:	02:25 PM

NARRATIVE

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On February 3, 2025, at 12:15pm, 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 Assistant- Yesnia Robledo. There are 10 children enrolled, and 3 children present at the time of inspection. The hours of operation are Monday- Friday from 6:00am-6:00pm. All adults in the home were discussed and background and fingerprinted cleared.

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen/dining room, living room, a detached garage, front yard and backyard (fenced). The off limit areas include all 3 bedrooms, one bathroom, detached garage, and front yard.

License, facility sketch, earthquake disaster checklist, disaster plan, and PUB 394 posted. Licensee does have current LIC 9040 (facility roster).

At 1:00pm, LPA Dunlap requested a current disaster log drill. The Assistant stated that they do drills, however they did not know does have current log. LPA Dunlap provided a non department form that can be used to document future logs. This poses a potential health and safety risk to children in care. Technical Assistant Violation will be issued.

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

LPA observed a fire extinguisher with receipt of purchase date of 1/14/25.

The main care area is located in the living room. LPA observed age appropriate toys, storage bins with toys a couch, and a wall mounted television. LPA Dunlap observed main care area to be in good condition, free of sharp, loose, or pointed parts. Page 1 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

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 7

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: ROBLEDO FAMILY CHILD CARE	FACILITY NUMBER: 198009945
	VISIT DATE: 02/03/2025

NARRATIVE

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The kitchen area beneath the kitchen sink cabinet and drawers have safety latches making it inaccessible to children. The drawer where knives are stored in high cabinet making it inaccessible to children.

The dining area has dining table, chairs, a water dispenser and a wall mounted air conditioning unit.

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

The outdoor area for play with age-appropriate toys, bikes, scooters, dramatic play area, playhouse, tables, chairs, and balls. LPA Dunlap observed outdoor area to be in good condition, free of sharp, loose, or pointed parts.
Staff Files:

Staff # 1

CPR expiration date of 1/18/27

Mandated Reporter expiration date of 1/19/24 (The Assistant was able to show that they are registered to take class on 2/8/24)

All required licensing documents and immunization records in file

Expired Mandated Reporter. This poses a potential health and safety risk to children in care. Technical Assistant Violation will be issued.

Missing Health & Safety Certificate. This poses a potential health and safety risk to children in care. Technical Assistant Violation will be issued.

Child #1

All required licensing documents and immunization records in file.

The Licensee stated that they do provide meals for children.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

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: ROBLEDO FAMILY CHILD CARE	FACILITY NUMBER: 198009945
	VISIT DATE: 02/03/2025

NARRATIVE

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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 by door in the main care area.

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 provide transportation for children in the morning and afternoon.

The Licensee stated that they do have first aid kit.

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

There are no animals.

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

Criminal Record Clearance - Family Child Care Homes Assistant- Yesnia Robledo 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. Page 3 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

LIC809 (FAS) - (06/04)

Page: 3 of 7

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: ROBLEDO FAMILY CHILD CARE	FACILITY NUMBER: 198009945
	VISIT DATE: 02/03/2025

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maximum of 30 days per person will be assessed if this regulation is violated.

Safe Sleep

LPA discussed the safe sleep regulations with Assistant- Yesnia Robledo 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 Assistant- Yesnia Robledo 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 Assistant- Yesnia Robledo 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 Assistant- Yesnia Robledo 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 Assistant- Yesnia Robledo

3 Technical Violations will be issued during today’s visit.

Exit interview conducted and report was reviewed with the Assistant- Yesnia Robledo

Page 4 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

LIC809 (FAS) - (06/04)

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