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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015539
Report Date: 06/24/2024
Date Signed: 06/24/2024 01:33:52 PM

Document Has Been Signed on 06/24/2024 01:33 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:NUNEZ FAMILY CHILD CAREFACILITY NUMBER:
198015539
ADMINISTRATOR/
DIRECTOR:		NUNEZ, AMPAROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 810-4865
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY: 14TOTAL ENROLLED CHILDREN: 41CENSUS: 14DATE:
06/24/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:49 PM
MET WITH:Amparo NunezTIME VISIT/
INSPECTION COMPLETED:
01:48 PM
NARRATIVE
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At 12:49 p.m. Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced POC (Plan of correction) inspection to ensure the Type A deficiency cited on 06/10/24 has been cleared. LPA met with Amparo Nunez, licensee who guided analyst on a tour of the facility. There were 14 children present during the inspection. Licensee's assistant Faith Nunez was also present.

The following was observed:
-Licensee was observed to be within ratio
-Licensee has been documenting infant sleep every 15 minutes
-Licensee has proof of liability insurance

The following still needs to be corrected:
-Licensee's assistant Faith Nunez is missing proof of immunizations
-Fire extinguisher needs to be serviced or purchase a new one and provide proof of purchase

LPA cleared deficiencies and issued a POC clearance letter.

The following deficiencies were cited in accordance with Title 22 of the California Code of Regulations and Health & Safety Codes. Please see 809D for documentation of deficiencies.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Exit interview conducted and report was reviewed with licensee, Amparo Nunez.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2024
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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Document Has Been Signed on 06/24/2024 01:33 PM - It Cannot Be Edited


Created By: Veronica Martinez-Garza On 06/24/2024 at 01:19 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: NUNEZ FAMILY CHILD CARE
FACILITY NUMBER: 198015539

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/08/2024
Section Cited
CCR
102417(g)(1)

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(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:
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Per licensee, the fire extinguisher will be serviced today and proof of service will be sent to LPA by POC due date.
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Licensee last serviced the fire extinguisher on 01/17/23.
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Type B
07/08/2024
Section Cited
HSC1597.622(a)(1)

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(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
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Per licensee, assistant will pick up immunization record tomorrow and will submit proof to LPA by POC due date.
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Licensee's assistant Faith Nunez does not have proof of immunizations
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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:Ana Chico
LICENSING EVALUATOR NAME:Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:
DATE: 06/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/24/2024


LIC809 (FAS) - (06/04)
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