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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013023
Report Date: 09/17/2024
Date Signed: 09/17/2024 12:37:00 PM

Document Has Been Signed on 09/17/2024 12:37 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MANZANERO FAMILY CHILD CAREFACILITY NUMBER:
198013023
ADMINISTRATOR/
DIRECTOR:		MARTHA MANZANEROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 844-4662
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
09/17/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH:Monica Manzanero - AssistantTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced annual inspection to the above facility. At 10:35am, LPA met with Assistant Monica Manzanero. Per assistant, Licensee was at an appointment and would be arriving later. Licensee arrived at 11:10am. Licensee is primarily Spanish speaking. Assistant helped interpret. The licensee states that they currently have 6 children enrolled. A current children’s roster is available and current. Hours of operation are 7am-7pm Monday- Friday.

This is a one-story home which consists of 4 bedrooms, 3 bathrooms, kitchen, dining room, living room, garage, front yard and backyard (fenced). The children use the living room, dining area, kitchen, one bathroom, and the backyard. Per licensee, areas off limits to children and parents include: 4 bedrooms, 2 bathrooms, garage, and front yard. At this time, due to a dog staying in the home backyard, the licensee is having the children play in the front yard. Licensee states all staff are providing visual supervision at all times during outdoor play in front yard. All areas identified on the facility sketch were inspected. The licensee provides food for children in care.

The licensee states that 4 adults and 2 minors currently live in the home. Persons living in the home are identified on a confidential document. Licensee states that they currently have two assistants. 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 10:45am, LPA was led on a tour of the facility by the licensee. Upon entry into the home, LPA reviewed the living room which is used as the primary child care area. 4 children were observed playing. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are observed to be posted. Fireplaces and open face heaters are inaccessible to prevent access by children. Smoke and carbon monoxide detectors were tested and are operable. There are first aid supplies available. LPA observed napping equipment in the form of cots. Equipment is stored in in the living room corner. There are also play yards available for infant age children. REPORT CONTINUES PAGE 1 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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 4
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: MANZANERO FAMILY CHILD CARE
FACILITY NUMBER: 198013023
VISIT DATE: 09/17/2024
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The dining area was reviewed next. Licensee states that children will have their meal time here. Per licensee, the dining room will be used as an area for an ill child until an authorized representative comes to pick up child. The kitchen is not a normal child care area but children pass through to access the bathroom. LPA observed sharp knives to be kept in the drawers with a lock. At 10:55am, a fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 04/24/2024, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually.

LPA reviewed the bathroom which was clean and free of hazards. Detergents, cleaning compounds, medications, and other items which could pose a danger are inaccessible to children. 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. Licensee states that they use both a landline and a cell phone.

At 11am, LPA observed the back yard area. The outdoor play area was observed to be fenced. There were play houses and other age appropriate equipment present. There was table and chairs for activities as well. At this time, children are using the front yard for outdoor play time due to the dog in backyard. Front yard has grass area and shade for children. The licensee is observed to be operating within the license capacity limitations.

At 11:25am, facility records were reviewed. The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 05/2026. Licensee and other personnel have completed mandated reporter training that expires on 01/18/2026. The licensee does have proof of immunization against influenza, tuberculosis, pertussis, and measles, but could not locate the immunization record for review. LPA discussed getting another record to keep available for review. And Advisory Note is being provided. 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.

The following was discussed:


-There is currently one large dog that is staying the in the backyard at this time. The dog is moving out with owner soon. Until then, children are playing in the front yard with staff supervision.
-Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that falls into these categories are not permitted in a family child care facility.
-Smoking is prohibited in a license family child care home.
REPORT CONTINUES PAGE 2 of 3
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: MANZANERO FAMILY CHILD CARE
FACILITY NUMBER: 198013023
VISIT DATE: 09/17/2024
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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 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 repeat violation, for maximum of 30 days per person will be assessed if regulation is violated.

LPA 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 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 infant devices with CPSC to be notified of any recalls on 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.

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.

At this time, licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.


A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Assistant Monica Manzanero, at 12:35pm. Copy of report provided.
END OF REPORT PAGE 3 of 3
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC809 (FAS) - (06/04)
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