198019544-10-15-2024-54-CC-AMOY-DA3V2H-20241015160309

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019544
Report Date: 10/15/2024
Date Signed: 10/15/2024 04:03:20 PM

Document Has Been Signed on 10/15/2024 04:03 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	BENITEZ FAMILY CHILD CARE		FACILITY NUMBER:	198019544
ADMINISTRATOR/ DIRECTOR:	SANDRA BENITEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 359-5551
CITY:	BELL GARDENS	STATE: CA	ZIP CODE:	90201
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	10/15/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:45 AM
MET WITH:	Sandra Benitez, Licensee		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

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On 10/15/24, Licensing Program Analysts (LPA) Alicia Mooberry conducted a required annual inspection to the above facility in Spanish. The facility is on probation status for 3 years effective October 7, 2021. Upon arrival at 10:00am LPA met with Sandra Benitez, Licensee, and explained the purpose of the inspection. LPA provided the inspection Entrance Checklist, LIC 126 and was guided on at our of the facility including the off limit area. There were 8 children present including 1 infant. Children were observed in daycare room supervised by the licensee and Anna Rocha, Assistant. Also present was Gabriela Reyes, Assistant. All adults present today have obtained the required background clearance. Per licensee the hours of operation are Monday-Friday 5:00am - 10:00pm. Overnight care guidelines were discussed. Individuals residing in the home were discussed and noted.

This is a two story home which consists of three bedrooms and two bathrooms. Areas used by the children include the living room, day-care room, bathroom located on the first floor, and gated sideyard.

Per Licensee, areas off limits to children in care include: Entire 2nd floor - consisting of two bedrooms and bathroom. Areas off limit on the main floor: One bedroom (by stairs), kitchen, front and back yard. There are safety gates making the kitchen and hallway inaccessible to children in care. The stairs leading to the 2nd floor have a safety gate at the base of stairs preventing children from going upstairs.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness.

LPA observed the facility license, Publication (PUB) 394- Notification of Parent Rights (Spanish and English) and Licensing Form (LIC) 9148- Earthquake Preparedness form posted in the living room in a location visible to parent/guardians of children in care.

LPA reviewed completed facility records including; LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan.

LPA observed a wall heater in the daycare room that is barricaded. Page 1 – Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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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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: BENITEZ FAMILY CHILD CARE	FACILITY NUMBER: 198019544
	VISIT DATE: 10/15/2024

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Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicated fully charged and was serviced on 3/8/24, Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via cell phone/LAN line. Isolation area for sick children waiting to be picked up is in the living room, supervised and away from the other children.

The home is observed to be clean and orderly, LPA observed that cleaning compounds are in kitchen inaccessible to children in care. The bathroom that children use is located in the hallway and observed to be clean and free of hazards. Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children. Per Licensee there are no firearms or weapons stored in the home.

LPA observed 1 infant in care. LPA discussed the safe sleep regulations with licensee in Spanish and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance 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 with the CPSC to be notified of any recalls on their purchased equipment.

Currently, children are using the sideyard for outdoor play. The outdoor play area was observed to be fenced with gate leading to the street locked with padlock. LPA observed that the outdoor yard has toys and other materials for children to freely use. LPAs observed a large bird enclosures that are not accessible to children in care. Licensee states, the children are always supervised during outdoor playtime. There were no objects observed that could be hazardous to children in care. The facility does not have a pool or similar bodies of water.

Children’s records were reviewed and found completed. The licensee administers inhaled medication to child #10, LPA observed that the medication is properly stored in are not accessible to children in care.

Staff records were reviewed. Licensee and 2 staff have current CPR/1st aid. Staff #3's MMR vaccine was not on file, this poses a potential risk to the health and safety of children in care.

LPA observed proper napping equipment including mats and cribs. There are individual cubbies for children's bedding.

-------------------Page 2 – Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BENITEZ FAMILY CHILD CARE	FACILITY NUMBER: 198019544
	VISIT DATE: 10/15/2024

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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-care-centers/

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

Licensee 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.

Licensee 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.

Based on the LPA's observations and records review 1 B deficiency was cited today in accordance with California Title 22 Regulations.

During the exit interview, Sandra Benitez, Licensee, 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. Exit interview conducted and report was reviewed with the licensee Sandra Benitez, appeal rights were provided in Spanish.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/15/2024 04:03 PM - It Cannot Be Edited

Created By: Alicia Mooberry On 10/15/2024 at 01:28 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: BENITEZ FAMILY CHILD CARE	FACILITY NUMBER: 198019544
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(a)(1)

General Provisions and Definitions

(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:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 3 staff present did ot have proff of MMR vaccination which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/29/2024
	Plan of Correction
1 2 3 4	Per licensee, Staff #3 will obtain provide proof of vaccination against measles by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 10/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

LIC809 (FAS) - (06/04)

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