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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015836
Report Date: 08/22/2023
Date Signed: 08/23/2023 03:12:35 PM

Document Has Been Signed on 08/23/2023 03:12 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:UMANA FAMILY CHILD CAREFACILITY NUMBER:
198015836
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Steven Umana TIME COMPLETED:
01:30 PM
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Licensing Program Analyst, Seung Lee conducted an unannounced annual random site visit to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Steven Umana and toured the facility. There were 0 children present. Licensee stated that the children in care are picked up after 3pm after school are present at the home until closing time. Individuals residing in the home are the licensee, licensee's brother, sister in law. Licensee’s operating hours are Monday-Friday 7am-7pm.

This is a single story home consisting of 4 bedrooms and 2 bathrooms. The following areas are used for day-care: 1 bedroom, 1 restroom, and back yard. Off limit areas include: 3 bedrooms, 1 bathroom, living room area, and kitchen.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the living room. First Aid/CPR certificate for the Licensee is valid thru 09/2023. Licensee stated he has practiced fire/emergency drills with day-care children on 08/21/2023, providing LPA with disaster drill log. Licensee has a working telephone.

Detergents and cleaning supplies were inaccessible. Fire extinguisher has been serviced, card on extinguisher notes 11/11/2022. There is an operational smoke detector and carbon monoxide detector in the home. The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. LPA inspected the backyard. There are no pools or spas, or other bodies of water. Currently there is one small dog that resides in the off limits bedroom.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2023
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: UMANA FAMILY CHILD CARE
FACILITY NUMBER: 198015836
VISIT DATE: 08/22/2023
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This facility currently has a pending change of capacity application. The Fire clearance from the LA fire department (STD 850) was received by the LPA Lee prior to this inspection. Licensee was advised that the application will be processed and a new license will be provided. LPA advised the Licensee to receive the new license before providing care for additional children

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting. The licensee did not have the mandated reporter training certificate available during the inspection. This is a potential risk to children in care.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.



No Deficiencies were cited on this visit

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs.

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

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.



Exit interview was conducted with Licensee Steven Umana . Appeal rights discussed and explained
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023
LIC809 (FAS) - (06/04)
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