198010919-12-4-2023-33-CC-SPEY-CY7Q55-20231204105122

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198010919
Report Date: 12/04/2023
Date Signed: 12/04/2023 11:28:59 AM

Document Has Been Signed on 12/04/2023 11:28 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	DE LLANO FAMILY CHILD CARE		FACILITY NUMBER:	198010919
ADMINISTRATOR:	DE LLANO, BERTHA & AYMARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 960-2505
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90038
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	12/04/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:49 AM
MET WITH:	Bertha and Aymara De Llano		TIME COMPLETED:	11:05 AM

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Licensing Program Analysts (LPAs) Staicy Perry and Nolan Tcheng conducted an unannounced 3-Yr random inspection to the above facility. LPAs met with licensees Bertha and Aymara De LLano. The licensee states that they currently has 4 children enrolled. A current children’s roster is available and is current. Licensee’s hours of operation are 8:00am-5:30pm, Monday- Friday.

This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room, front yard (fenced) and backyard. The children use Living Room, Kitchen, 1 bathroom, and front yard (fenced) during pick up time. Per Licensee, 2 back bedrooms and 1 bathroom are off limits to children in care as well as the backyard. Per Licensee, backyard has not been used since 2020. All areas identified on the facility sketch were inspected. The licensee provides food for children in care, Lunch, PM snack and dinner.

The licensee states that 2 adults currently live in the home. Persons living in the home are identified on the attached LIC811. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Per licensee, there are no weapons, firearms or bodies of water on the premises.

At 9:00am LPAs were led on a tour of the facility by the licensee. Upon entry into the home, LPAs reviewed the living room which is the primary area for childcare. There were 2 children present during the inspection in which were infants. LPAs observed age-appropriate toys and equipment present. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are observed to be posted. The tour continued to the kitchen. Sharp knives are made inaccessible by being in an inaccessible cabinet where children can not reach. Fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on January 26,2023, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. REPORT CONTINUES PAGE 1 of 4

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DE LLANO FAMILY CHILD CARE	FACILITY NUMBER: 198010919
	VISIT DATE: 12/04/2023

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LPAs discussed the importance of ensuring the fire extinguisher is serviced or a new canister is purchased annually. The bathroom was reviewed next. Detergents, cleaning compounds, medications, and other items which could pose a danger are inaccessible to children. The tour continued to front yard. LPAs observed the front yard area. The outdoor play area was observed to be fenced. At this time, children are using the front yard for outdoor play time while they wait to get picked up.

The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. There are first aid supplies available. Smoke and carbon monoxide detectors were tested and are operable. Licensee uses both landline and cell phone. LPAs observed a working telephone. Per licensee, living room couch will be used as an area for an ill child until an authorized representative comes to pick up child. LPAs observed napping equipment in the form of mat for the infant age child in care. LPAs did see 2 playpens that are used for infants in care. The licensee is observed to be operating within the license capacity limitations.

The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's, Aymara and Berthas Pediatric First Aid and CPR expires on 02/12/2024. Licensees have not completed mandated reporter training, last training expired on 8/13/2022. LPAs informed that training must be completed. The licensees do have proof of immunization against influenza, tuberculosis, pertussis, and measles. Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all the information specified by regulation.

-There are 3 small dogs on the premises, that are kept in Licensees room locked and in dog run located in backyard.

-Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that falls into these categories are not permitted in a family childcare facility.
-Smoking is prohibited in a license family childcare home.

Licensees were 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. REPORT CONTINUES PAGE 2 of 4

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DE LLANO FAMILY CHILD CARE	FACILITY NUMBER: 198010919
	VISIT DATE: 12/04/2023

NARRATIVE

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LPAs discussed the safe sleep regulations with licensee 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 [or facility representative] 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) 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-care-centers/.

Licensee 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency page) 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

REPORT CONTINUES PAGE 3 of 4

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DE LLANO FAMILY CHILD CARE	FACILITY NUMBER: 198010919
	VISIT DATE: 12/04/2023

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Exit interview conducted and report was reviewed with the licensees Bertha and Aymara, Plan of corrections was developed and reviewed. Copy of report provided.

During the exit interview, the Licensee, 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.

REPORT CONTINUES PAGE 4 of 4

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/04/2023 11:28 AM - It Cannot Be Edited

Created By: Staicy Perry On 12/04/2023 at 10:17 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: DE LLANO FAMILY CHILD CARE	FACILITY NUMBER: 198010919
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/04/2023

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
1 2 3 4	Based on record review, licensees did not comply with the section cited above as both staffs Mandated Reporter training expired on 8/13/2022, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/15/2023
	Plan of Correction
1 2 3 4	Per Licensee, Mandated Reporter training will be completed and certificates will be emailed to LPA by POC date of 12/15/2023

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 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:

Claudia Guangorena

LICENSING EVALUATOR NAME:

Staicy Perry

LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

LIC809 (FAS) - (06/04)

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