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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017282
Report Date: 08/26/2021
Date Signed: 08/26/2021 03:26:38 PM

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:ONTIVEROS FAMILY CHILD CAREFACILITY NUMBER:
198017282
ADMINISTRATOR:JUAN ONTIVEROSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 742-4937
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY:14CENSUS: 0DATE:
08/26/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Juan Ontiveros, LicenseeTIME COMPLETED:
03:45 PM
NARRATIVE
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Licensing Program Analysts (LPAs)Katrina Chicote and Lilli Babcock conducted an Unannounced Required Annual inspection to the above facility on 08/26/2021 at 2:05 PM. This home is an approved Resource Family. Property is shared with a back house that has separate address (1429 E. 90th St). Upon arrival, LPA disclosed the purpose of the inspection and met with Licensee, Juan Ontiveros, who guided the LPAs on a tour of the facility. Also present was Licensee's Assistant, who lives in the home and has criminal record clearance. There are five people living in the home and all adults have criminal record clearance. There were no day care children present during today’s inspection. Licensee states that there are currently six children enrolled. The children's roster was reviewed and is current. Per Licensee, the facility’s hours of operation are 24 hours, 7 days a week. LPA discussed overnight care procedures with Licensee, Licensee understands but stated that they have not had any overnight children in care. Emergency Disaster Plan, License, and Parents’ Rights were posted at the time of inspection. Disaster drill log was also available during today’s inspection, last disaster drill conducted on 07/2021.

This is a single-story home which consists of three bedrooms and one bathroom, Kitchen, Living Room, and Dining Room. At 2:02 PM, LPAs observed a wall heater in the home that is barricaded by a gate. Main Care Areas used by the children include the Living Room, Dining Room, and Bathroom 1. Per Licensee, areas off limits to children and parents include all three bedrooms and storage shed in the backyard. Per Licensee, off limit areas are locked during operating hours, LPAs observed doors to be locked.

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. LPAs observed portable A/C unit in Living Room. There is a working telephone maintained in the home. At 2:03 PM, LPA observed a cat in the home that came out of Bedroom 2. Per Licensee he also has a German Shepherd that is kept separate from kids during
Report continues- Page 1 of 4
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
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 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ONTIVEROS FAMILY CHILD CARE
FACILITY NUMBER: 198017282
VISIT DATE: 08/26/2021
NARRATIVE
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daycare hours, LPAs observed German Sherpherd in backyard at time of inspection. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. at 2:05 PM, LPAs observed Bathroom 1 down the hall way to the left that will be used children in care to be free of hazards at time of inspection. At 2:07 PM, LPAs observed under cabinet Kitchen sink that contains cleaning compounds and detergents to have an operable child safety lock at time of inspection. At 2:08 PM, LPAs observed knives in a Kitchen drawer with operable child safety lock. Licensee states they keep ant spray in their bedroom that LPAs observed to be locked by a keypad. The Licensee does understand that poison must be locked with a key or combination lock.

Per Licensee, the children will have access to backyard area. At 2:12 PM, LPAs observed backyard has turf grass and adequate perimeter fencing through-out the yard. At 2:13 PM, LPAs observed plastic playhouses, bicycles, basketball court with hoop, large wooden play structure with slide and swings that has wood chips at the bottom for fall absorption, and other age appropriate toys free of loose and sharp parts available for the children. LPAs observed the backyard has all trees, shrubs, and plants are maintained. At 2:14 PM, LPAs observed bicycles and large wooden play structure to have multiple cobwebs and dog feces under wooden playground equipment, this poses a potential health and safety risk to children in care. Per Licensee he cleans the playground every two days but has not had kids in care for over a week.

Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPAs observation did not see any bodies of water around the premises and did not observe any firearms at time of inspection. Per Licensee, they provide food for children in care. LPAs observed refrigerator to be well stocked and of proper temperature.

The valve on the required 2A 10BC fire extinguisher indicates fully charged. At 2:08 PM, LPAs observed smoke and carbon monoxide detectors are in operable condition at time of inspection. LPAs observed First Aid kit and was inventoried for necessary supplies. The Licensee has current Pediatric First Aid and CPR. At 2:32 PM, LPAs did not observe proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has not taken the Mandated Reporter Training
—CPR Card valid until: 03/10/2024
—Fire Extinguisher was last serviced on: 06/23/2021
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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
LIC809 (FAS) - (06/04)
Page: 2 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ONTIVEROS FAMILY CHILD CARE
FACILITY NUMBER: 198017282
VISIT DATE: 08/26/2021
NARRATIVE
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The following were discussed:
Incidental Medical Services (IMS)
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee (or facility representative) was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Rooms that are off-limits need to be made inaccessible during operating hours. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.



The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. The Licensee was advised how to access forms and Regulations online at www.ccld.ca.gov. Licensee was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: http://www.mandatedreporterca.com/www.mandatedreporterca.com

Report Continues - Page 3 of 4
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
LIC809 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ONTIVEROS FAMILY CHILD CARE
FACILITY NUMBER: 198017282
VISIT DATE: 08/26/2021
NARRATIVE
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Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.

Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.



Exit interview was conducted and report was reviewed with the Licensee (or facility representative), Juan Ontiveros.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ONTIVEROS FAMILY CHILD CARE
FACILITY NUMBER: 198017282
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/09/2021
Section Cited

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102417(g) Operation of a Family Child Care Home
The home shall be free from defects or conditions which might endanger a child.

This regulation was not met as evidenced by:
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LPAs observated multiple cobwebs on bicycles and large wooden play structure as well as dog feces below wooden play structure where children play. Licensee states he cleans up every 2 days but has had no kids in care for over a week. This poses a potential health and safety risk to children in care.
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Type B
09/09/2021
Section Cited

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1596.8662(d)(1) Health and Safety Code
a person who is a licensed child care provider... of a licensed child day care facility shall complete the mandated reporter training, complete renewal... every two years following the date on which he or she completed...
This regulation was not met as evidenced by:
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Based on interviews and record review, the licensee did not have proof of completion of mandated reporter training available.

This poses a potential health, safety, or personal rights risk to 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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 08/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/26/2021
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ONTIVEROS FAMILY CHILD CARE
FACILITY NUMBER: 198017282
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/09/2021
Section Cited

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1597.622 Health and Safety Code
...September 1, 2016, a person shall not
be employed..a family day care home if he
or she has not been immunized against
influenza, pertussis, and measles.

This regulation was not met as evidenced by:
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Based on interviews and record review, the licensee did not have immunization records available for review at time of inspection.

This poses a potential health, safety, or personal rights risk to 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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 08/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/26/2021
LIC809 (FAS) - (06/04)
Page: 6 of 6