198011474-10-10-2023-54-CC-WBIS-CWGQ2W-20231010114750

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011474
Report Date: 10/10/2023
Date Signed: 10/10/2023 11:48:05 AM

Document Has Been Signed on 10/10/2023 11:48 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	COLOCHO FAMILY CHILD CARE		FACILITY NUMBER:	198011474
ADMINISTRATOR:	COLOCHO, GINA M.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 421-9560
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	10/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Gina Colocho		TIME COMPLETED:	12:05 PM

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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) Warren Birks conducted an unannounced Required - 1 Year inspection. LPA met with Licensee Gina Colocho who guided LPA on a tour of the facility. Upon arrival, LPA observed the Licensee providing care for six children (4 preschool, two infants). LPA also observed a cleared adult resident as well. There are currently seven children enrolled. The children's roster is updated. At approximately 9:00am LPA conducted an inspection of all areas of the facility sketch. This is a one story home which consists of three bedrooms and two bathrooms. Areas used by the children include a family room, living room, one restroom, side yard and front yard. LPA informed Licensee to contact the department if she wants to use other areas of the home and to always ensure hazards are inaccessible. Per Licensee, areas off limits to children and parents include: all bedrooms, one bathroom, the backyard, the garage. Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. There is a working telephone maintained in the home. LPA observed age appropriate toys and equipment inside the home and front and side yard. LPA advised Licensee to keep all hazardous items indoors and outdoors inaccessible. The side yard is surrounded by fencing approximately 5 feet high. Per licensee vehicles are not stored in the side yard driveway. Licensee has two medium sized dogs and two cats that are accessible to children. LPA observed an ashtray on a table in the side yard. Licensee had item removed during the visit (no children were present). Licensee conducts yard sweeps before children play outside. The facility was cited smoking prohibition. LPA advised Licensee to provide extra care and supervision as animals may be unpredictable. LPA observed most detergents, cleaning compounds, medications, and other items which can pose a danger to children to be inaccessible; LPA advised Licensee to take special notice of lotions and everyday toiletries in the bathroom for inaccessibility (place higher than 5 feet). LPA informed Licensee that poisons must be locked with a key or combination lock. LPA observed ointment that was semi-inaccessible in a shelf above the toilet. LPA advised that the Licensee to audit the home for accessibility of items as they are on the borderline

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: COLOCHO FAMILY CHILD CARE	FACILITY NUMBER: 198011474
	VISIT DATE: 10/10/2023

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of inaccessibility (out of reach for preschool children) This includes ointment and soaps in the restroom cabinet above the toilet, dishwashing detergent on the kitchen counter, and knives (pushed back in the corner in kitchen). LPA discussed firearm regulations and weapons. Licensee indicated there were no bodies of water and LPA did not observe any. The License, Parents Rights Poster, and Earthquake Preparedness was posted. The valve on the required 2A 10BC fire extinguisher indicates fully charged however there is no evidence that extinguisher was serviced or purchased within one year. Smoke and carbon monoxide detectors in the hallway area were tested and are in operable condition. The children's roster and the Disaster drill is current (last date of drill October 2023). The Licensee and staff's Mandated Reporter Training expired in 2021. LPA observed the Licensee has documentation indicating immunization/exemption regarding pertussis and tuberculosis. Licensee and will need to provide MMR documentation or Titer's Test documentation which is not on file.

LPA reviewed five children's files. LPA reminded Licensee files should include the following documentation: Parent's Rights, Personal, Affidavit for Liability insurance, Identification and Emergency, Consent for Emergency Treatment, Additional Children in Care and Immunization records, no children under 1 for LIC 9227. Sleep logs were documented.

The following was discussed: Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty. LPA advised to ensure all adults that come into the home are fingerprint cleared and associated.

No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, and any other item that falls into that category are not permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present. Licensee's CPR expires Oct 2024.
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 Info Line at (800) 514-0301

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: COLOCHO FAMILY CHILD CARE	FACILITY NUMBER: 198011474
	VISIT DATE: 10/10/2023

NARRATIVE

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(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 LPA advised the Licensee that infants shall be placed on their backs for sleeping and shall be supervised. Infants shall be checked on every 15 minutes and document the child's condition. The LIC 9227 Individual Infant Sleeping plan shall be completed for each infant up to 12 months of age. LPA explained form is available on CCLD website.

The Licensee was advised on the inaccessibility of hazards, Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. LPA informed Licensee regarding PIN 20-24-CCP. LPA discussed LIC 311D - Forms/Records to Keep in Your Family Child Care Home. Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Licensee was advised how to access forms and Regulations online at www.ccld.ca.gov. Licensee was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

LPA consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices which always Baby is sleeping on his/her back. Capacity Handout (Small & Large) was provided during this inspection. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing (use LIC624B for written report). Mandated reporter training must be completed every 2 years. www.mandatedreporterca.com.

LPA discussed with Licensee the Entrance form, Safe Sleep Pin 20-24-CCP (Form provided last year), Capacity and Ratio, and Items not Permitted. LPA explained these regulations and advised Licensee to ensure that she provides care and supervision adhering to the information provided.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Licensee Gina Colocho.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/10/2023 11:48 AM - It Cannot Be Edited

Created By: Warren Birks On 10/10/2023 at 11:10 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: COLOCHO FAMILY CHILD CARE	FACILITY NUMBER: 198011474
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/10/2023

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 LPA observed fire extinguisher without proof of purchase or service within a year which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/24/2023
	Plan of Correction
1 2 3 4	Licensee will provide evidence of service or purchase of new extinguisher.

Type B

Section Cited

CCR

102424(a)

Smoking Prohibition

(a) Smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a) 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: LPA observed an ashtray in the outdoor play side yard which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/11/2023
	Plan of Correction
1 2 3 4	Licensee had item removed during the visit (no children were present). Licensee conducts yard sweeps before children play outside.

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:

Warren Birks

LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

LIC809 (FAS) - (06/04)

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