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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019998
Report Date: 12/15/2021
Date Signed: 12/15/2021 04:52:01 PM

Document Has Been Signed on 12/15/2021 04:52 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:NARANJO FAMILY CHILD CAREFACILITY NUMBER:
198019998
ADMINISTRATOR:DAYSI NARANJOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 413-4132
CITY:SOUTH GATESTATE: CAZIP CODE:
90280
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 8DATE:
12/15/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Licensee Daysi NaranjoTIME COMPLETED:
05:05 PM
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Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced annual required inspection at the above facility on 12/15/21 at 1:20PM. LPA met with Daysi Naranjo- Licensee, who guided analysts on a tour of the facility. There were 8 children present. Facility capacity is in compliance for a large Family Child Care Home. Currently the Licensee has 10 children enrolled.
This is a two-story condominium home which consists of 4 total bedrooms. The 1st floor consists of 1 half bathroom, 1 bedroom/garage, laundry room, living room and kitchen.
Off Limits: Per the Licensee and facility sketch, the off-limit areas in the 1st floor of the home are the bedroom/garage area and the laundry room. There is a door in the living room that leads to the off- limit bedroom and laundry room. This door is kept locked. The off- limits bedroom is also kept locked. The 2nd story is completely off limits and it consists of 3 bedrooms and 2 bathrooms. There is a set of stairs in the kitchen that lead to the 2nd floor. LPA observed a safety gate barricading the stairs and a safety gate preventing access to the kitchen.
On Limits:
The children use the half bathroom on the 1st floor near the kitchen and the living room which will be used as the main day care room. Areas that will be used by children were inspected for safety, comfort, cleanliness, telephone service (cell phone), ventilation and heating (central and inaccessible to children).
Food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. Individuals residing in the home have been discussed and noted.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2021
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 12/15/2021 04:52 PM - It Cannot Be Edited


Created By: Jeanette Estrada On 12/15/2021 at 03:18 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: NARANJO FAMILY CHILD CARE
FACILITY NUMBER: 198019998

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 out of 3 records, Staff 2 and Staff 3 did not have a mandated reporter certiicate completed which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/12/2022
Plan of Correction
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2
3
4
Licensee stated she will have Staff 2 and Staff 3 compelete mandated reporter training and submitt proof to LPA by 1/12/2022.
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 children which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/29/2021
Plan of Correction
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2
3
4
Licensee will have parents of Child 9 complete LIC 9227 form and submit proof by 12/29/21.
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:Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2021


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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: NARANJO FAMILY CHILD CARE
FACILITY NUMBER: 198019998
VISIT DATE: 12/15/2021
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The following was observed and reviewed during this inspection:
LPA reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan. A disaster drill log was available for review-the last noted drill took place on 9/10/21.
Smoke and carbon monoxide detectors were tested and are operable. The home maintains telephone service via cell phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. There are no fireplaces or open face heaters in the home. LPA observed that detergents, cleaning compounds are stored in the off limit garage area, inaccessible to children. medication is stored in a locked container in the kitchen. Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the living room or outside, away from the other children and will be under direct supervision. There is a firearm in the home. LPA observed that the firearm is stored separately in a locked container away from the ammunition. Firearm is located in an off limits bedroom that is kept locked during operating hours.
The bathroom that children use is located by the kitchen and was observed to be clean and free of hazards.

Infant Care: Currently the licensee has 3 infants in care. LPA discussed the following: Napping equipment shall not block entrances or exits. Infant mattresses shall be firm with tightly fitted sheets. There shall be no loose objects, bumpers, objects hanging, or objects attached to the cribs/play yards. Each infant shall have their own crib/ play yard and bedding. Bedding shall be washed as needed. LPA observed that each infant has their own play yard and appropriate bedding. Per Licensee she supervises and checks on the infants throughout their napping time. LPA informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months, and provided PIN 20-24-CCP.

Licensee is not currently providing overnight care.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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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: NARANJO FAMILY CHILD CARE
FACILITY NUMBER: 198019998
VISIT DATE: 12/15/2021
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On Limits Outdoor Area
The outdoor area used is the driveway area outside the front door of the home and the back patio. The home is part of a condominium complex and the driveway is also accessed by the other homeowners/ tenants. Per the Licensee, the children are directly supervised by herself, and/or the assistants while they play outside and the gate is kept closed so no cars can drive by without notice. The Licensee submitted a declaration stating that “the gate will be kept closed while children are outside, the gate will be opened when cars need to go in and children will be taken into the living room when cars go in or out”. When playing in the back patio area, children are also directly supervised.
Children’s records were reviewed (LIC) 282- Affidavit Regarding Liability Insurance, Immunizations Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights,
Staff records were reviewed for approved Pediatric First Aid and CPR certification (Licensee's expires 7/2023, Staff 2 Expires 7/2023, Staff 3 Expires 72/2022) , LIC 508-Criminal Record Statement, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement of Child and Mandated Reporter Training Certificate- Licensee's Mandated Reporter certificate expires 2/20/23. Staff 2 and 3 have not completed the mandated reporter training. LPA discussed Personal rights with Licensee: all children shall be treated with dignity and respect. Children shall receiving safe, healthful and comfortable accommodations, furnishings and equipment, and shall be free from corporal and/or unusual punishment.
LPA observed that licensee is implementing COVID-19 precautions and procedures.
Licensee was wearing a mask throughout the inspection. Per Licensee, children enrolled participate in frequent hand washing, wear masks inside the home and when outside. Per Licensee she speaks to parents regarding symptoms. Parents keeps children home if they experience any symptoms.
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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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: NARANJO FAMILY CHILD CARE
FACILITY NUMBER: 198019998
VISIT DATE: 12/15/2021
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To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Licensee 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at 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.

Based on the LPA’s observations and records reviewed, the following deficiencies listed on the attached LIC 809D (deficiency page) 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.

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

Exit interview conducted and report was reviewed with the Facility Representative/Licensee,Daysi Naranjo.


SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
LIC809 (FAS) - (06/04)
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