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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016840
Report Date: 09/26/2024
Date Signed: 09/27/2024 08:46:06 AM

Document Has Been Signed on 09/27/2024 08:46 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:CONTRERAS FAMILY CHILD CAREFACILITY NUMBER:
198016840
ADMINISTRATOR/
DIRECTOR:		CONTRERAS, ELSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 233-7154
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
09/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Elsa ContrerasTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On 9/26/24 at 2:00pm Licensing Program Analysts (LPAs) Alicia Mooberry and Joshua Ortega conducted an unannounced complaint inspection to investigate the above allegation(s). Upon arrival LPAs met with Facility Representative Elsa Contrreras, licensee and informed licensee of the purpose of inspection. LPAs toured the facility and inspected the areas used by children in care. LPAs observed 5 children in care including 2 infants.

At 2:10pm LPAs observed Child #1, infant age 18 months napping in play yard in bedroom with door closed. Posing a potential risk to the health and safety of children in care.

LPA observed 2 rocker/bouncers in daycare, licensee confirmed that the bouncers are used for infants but they don't sleep in them. This poses a potential risk to the health and safety of children in care.

LPA provided Safe Sleep technical assistance to Licensee and reviewed PIN 20-24-CCP.
The licensee removed the bouncer/rockers from the day care area and stated that they will not be used for the children in care. The licensee provided a written statement confirming that the rockers/bouncers will not be used in the facility for children in care.

A notice of site visit was given and must remain posted for 30 days.
Exit interview was conducted with Facility Representative Elsa Contreras. Appeal Rights were discussed and provided.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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 09/27/2024 08:46 AM - It Cannot Be Edited


Created By: Alicia Mooberry On 09/26/2024 at 03:12 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: CONTRERAS FAMILY CHILD CARE
FACILITY NUMBER: 198016840

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
09/25/2024
Section Cited
CCR
102425(j)(5)(A)

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If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open... The provider shall be able to visually observe the infant without moving the door. This requirement is not met as evidenced by:
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Per licensee, the door to the bedroom is usually open, the licensee will place a door stop to make sure the door does not close. LPA Mooberry observed licensee place a door stop an
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LPAs obserrved that Child #1, Age 18 months was sleeping in room with the door closed, this poses a potential risk to the health and safety of children in care
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Request Denied
Type B
09/26/2024
Section Cited
CCR102417(d)

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102417 Operation of a Family Child Care Home (d) The home shall provide safe toys, play equipment and materials.

This requirement is not met as evidenced by:

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Per licensee, the rocker/bouncer will not used for daycare children and remove them from the facility. The written plan to make sure the rockers/bouncer are not used.
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LPA's observed 2 rocker/bouncers in the facility (no infants were observed using them), per licensee, the equipment is used for infants in care. This poses a potential risk to the health and safety of children in care.
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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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2024


LIC809 (FAS) - (06/04)
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