198012018-4-28-2025-54-CC-FWHE-DG6RM9-20250428130821

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198012018
Report Date: 04/28/2025
Date Signed: 04/28/2025 01:08:40 PM

Document Has Been Signed on 04/28/2025 01:08 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:	PRECIADO CAMARENA FAMILY CHILD CARE		FACILITY NUMBER:	198012018
ADMINISTRATOR/ DIRECTOR:	PRECIADO, SILVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 581-9254
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90002
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	04/28/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:25 AM
MET WITH:	Silvia Preciado		TIME VISIT/ INSPECTION COMPLETED:	01:30 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) Franchesca White arrived at the above facility for the purpose of an unannounced 3yr Required Annual Inspection. LPA White announced the purpose of the visit and was granted entry into the home by licensee Silvia Preciado. There are 6 children enrolled and two children present at the time of inspection. The hours of operation are 6:00 a.m. to 6:00 p.m. (Monday - Friday). The ages of children currently served are 2 to 12 years old. The adults in the home were discussed and all adults have current criminal background clearance. The Parent board was observed to have the following documents posted at the time of inspection: The License, PUB 394, LIC 9148, LIC 610A. The Emergency Disaster drill log was not available at the time of inspection. LPA White explained that this poses a potential risk to the health and safety of the children in care. A technical warning was given. The Facility Roster was available during today's inspection. All life saving devices were inspected and found to be operable during today's inspection. The dual carbon monoxide and smoke detector is located in the hallway of the home. The 2A 10BC fire extinguisher is located the entrance of the home mounted tot he wall. The fire extinguisher has a service tag dated for 11/5/2024. This is a single-story home which consists of three bedrooms and two bathrooms, kitchen, living room, and attached garage converted to daycare space. Property is bottom unity of duplex property with top unit having separate address (825 E. 87th St). Areas available tot he children and parents are the Living room, bathroom one, and the front yard for play. Areas marked as off limits are all bedrooms, and bathroom 2, kitchen, and back yard. Licensee states that she will provide an updated facility sketch to reflect areas that are now off limits to children in care. .......................................................................Report continues 1 of 4 Pages...........................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: PRECIADO CAMARENA FAMILY CHILD CARE	FACILITY NUMBER: 198012018
	VISIT DATE: 04/28/2025

NARRATIVE

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All areas identified on the facility sketch as 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 in the home. The isolation is near the front entrance of the home.

LPA White observed the Living room/dining room to be located at the entrance of the home. There is a large dining table with 8 chairs. The living room has hardwood floors throughout. There is a sectional reclining couch with a mounted flat screen tv. There are cubbies for the children's belongings and a dramatic play kitchenette situated in the corner of the living room.

The kitchen is located behind the dining room table and it is made inaccessible to children in care with the use of a baby gate. Licensee states that the cabinets in the kitchen are made inaccessible to children in care with the use of child safety locks. LPA White observed the cabinets to have child safety locks.

LPA White observed the off limits rooms to be made inaccessible by being locked during today's inspection. Licensee states that they have two dogs that are locked in an off limits room during hours of operation.

LPA White observed the bathroom to have one sink, one toilet, and hand washing soap, toilet paper, and paper towels for the children in care. There were no flooring hazards observed.

LPA White obsered the outdoor play area to be located in the front yard. The entire perimeter of the play area is fenced in with a motorized gate, and locked walk in gate making the play area inaccessible to individual outside the facility. Licensee states that she supervises the children when playing outside.

LPA White reviewed five of the children files and found all files to have required department forms and immunization records available at the time of inspection. LPA advised Licensee to ensure that the Regional office information is printed on all documents given to parents. Licensee agreed.

LPA White reviewed Licensee's staff file. Proof of immunization was available at the time of inspection. Licensee had a CPR/1st Aid certification available at the time of inspection with an expiration date of 4/24/2027. Licensee did not have proof of Mandated Reporter Training certification. LPA White explained that poses a potential risk to the health an safety of the children in care.
.................................................................Report Continues 2 of 4 Pages...........................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025

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: PRECIADO CAMARENA FAMILY CHILD CARE	FACILITY NUMBER: 198012018
	VISIT DATE: 04/28/2025

NARRATIVE

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Licensee states that there are no bodies of waters, weapons or firearms in the home. LPA White did not observe any bodies of water, firearms or weapons in the home.

The following were discussed:
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.

Licensee Silvia Camarena 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.

LPA discussed the safe sleep regulations with licensee Silvia Camarena and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Silvia Camarena 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/.
....................................................................Report Continues 3 of 4 Pages............................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025

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: PRECIADO CAMARENA FAMILY CHILD CARE	FACILITY NUMBER: 198012018
	VISIT DATE: 04/28/2025

NARRATIVE

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Licensee Silvia Camarena 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.

During the exit interview, the LICENSEE Silvia Camarena, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Based on today's observations, interviews, and record review the following deficiency is cited on LIC 809D in accordance with California Title 22 regulations.

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

Exit interview conducted and report was reviewed with the licensee Silvia Camarena . PIN 22-05-CCP Page Six

A copy of the report and appeal rights was given to Licensee Silvia Camarena.

.................................................................................Report Ends 4 of 4 Pages.............................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/28/2025 01:08 PM - It Cannot Be Edited

Created By: Franchesca White On 04/28/2025 at 12:46 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: PRECIADO CAMARENA FAMILY CHILD CARE	FACILITY NUMBER: 198012018
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/28/2025

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, the licensee did not comply with the section cited above licensee did not have proof of mandated reporter training which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/12/2025
	Plan of Correction
1 2 3 4	Licensee states that she will have proof of certifification on or before the POC date.

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.

	Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:

	Franchesca White
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2025

LIC809 (FAS) - (06/04)

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