198017758-3-12-2025-54-CC-KDUP-DEPQMT-20250312121804

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017758
Report Date: 03/12/2025
Date Signed: 03/12/2025 12:18:15 PM

Document Has Been Signed on 03/12/2025 12:18 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	PLASCENCIA FAMILY CHILD CARE		FACILITY NUMBER:	198017758
ADMINISTRATOR/ DIRECTOR:	PLASCENCIA, REYNALDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(563) 470-6012
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	03/12/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:35 AM
MET WITH:	Licensee Reynalda Plascencia		TIME VISIT/ INSPECTION COMPLETED:	12:30 PM

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The Licensee was offered translation services. LPA Dunlap used translation service during inspection. Operator ID #48.

On March 12, 2025, at 10:35a.m., Licensing Program Analyst (LPA) Keneisha Dunlap arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee- Reynalda Plascencia. There are 12 children enrolled, and 2 children present at the time of inspection. The hours of operation are Monday- Sunday from 6:00am-6:00pm. All adults in the home were discussed and background and fingerprinted cleared. License, earthquake disaster checklist (LIC9148), disaster plan, and PUB 394 posted. The Licensee does have a current disaster log drill with the date of 12/3/24. The Licensee does have current LIC 9040 (facility roster).

This is a one-story home which consists of 4 bedrooms, 2 bathrooms, kitchen/dining room, living room, a detached garage, front yard, and fenced backyard (fenced). The off-limit areas include 3 bedrooms, 1-bathroom, detached garage, front yard, and part of the backyard. HVAC system.

The main care area is in the living room. LPA Dunlap observed two couches, a children's rug, child sized table, child sized chairs and a wall mounted television. A fireplace was observed in the main care area to have a lock making it inaccessible to children in care and covered by a futon bed. Children also nap in the main care area. LPA observed all furnishings, equipment, and material to be in good condition.

LPA Dunlap observed a bedroom designated as an activity space for children in care. Age-appropriate toys, art materials, a cubby storage locker, dramatic play, manipulative play, and reading materials were observed in the bedroom. LPA observed sleeping cots stored in the closet area. LPA observed all furnishings, equipment, and material to be in good condition.

LPA Dunlap observed the bathroom an operable toilet and sink. Cabinets and drawers have safety latches Page 1 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PLASCENCIA FAMILY CHILD CARE	FACILITY NUMBER: 198017758
	VISIT DATE: 03/12/2025

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making it inaccessible to children in care.

LPA observed the kitchen/dining area to have safety latches on all the cabinets. Cleaning products and detergents were observed to be locked beneath the kitchen sink making it inaccessible to children in care. The knives are stored in box in a high cabinet. Stove knob covers observed.

The outdoor area for play is the back yard which is fenced. The yard has shaded structure, playhouse, age-appropriate tables & chairs, tricycles, dramatic play, and age-appropriate toys. LPA observed outdoor area to be in good condition, free of sharp, loose, or pointed parts. LPA observed all furnishings, equipment, and material to be in good condition.

LPA observed a fire extinguisher with service tag date of 1/25/25.

LPA observed a smoke detector and carbon monoxide detector to be operable.

The Licensee stated that they do provide meals for children.

The Licensee stated they use a landline & cell phone.

The Licensee stated they do not have any children that they administer medication to at this time.

The Licensee stated that when children are sick, they are placed by the door in the main care area.

The Licensee stated there are no firearms in the home.

The Licensee stated that there are no smokers in the home.

The Licensee stated that they do provide transportation for children.

The Licensee stated that they do have a first aid kit.

The Licensee stated that they do provide nap time.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PLASCENCIA FAMILY CHILD CARE	FACILITY NUMBER: 198017758
	VISIT DATE: 03/12/2025

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Staff Files:

Staff # 1

File has all required licensing documents and immunization record in folder.

CPR expiration date of 7/29/26

Mandated Reporter expiration date of 10/10/26

Children Files

Child #1

All required licensing forms and immunization record are in file.

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

Criminal Record Clearance - Family Child Care Homes Licensee- Reynalda Plascencia 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 a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Safe Sleep

LPA discussed the safe sleep regulations with Licensee- Reynalda Plascencia 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- Reynalda Plascencia of theimportance 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 all infant devices Page 3 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

LIC809 (FAS) - (06/04)

Page: 3 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PLASCENCIA FAMILY CHILD CARE	FACILITY NUMBER: 198017758
	VISIT DATE: 03/12/2025

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with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS)

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-carecenters/.

MyChildCarePlan.org – Centers and Family Child Care Homes Licensee- Reynalda Plascencia 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.

Megan’s Law - Family Child Care Homes During the exit interview, the Licensee- Reynalda Plascencia confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

Appeal rights explained and given to Licensee- Reynalda Plascencia.

No deficiency cited during today’s visit.

Exit interview conducted and report was reviewed with the Licensee- Reynalda Plascencia.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

LIC809 (FAS) - (06/04)

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