198021118-2-27-2024-33-CC-SPEY-D2UN2R-20240227090511

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021118
Report Date: 02/27/2024
Date Signed: 02/27/2024 09:05:22 AM

Document Has Been Signed on 02/27/2024 09:05 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	MADRIGAL FAMILY CHILD CARE		FACILITY NUMBER:	198021118
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 4	CENSUS: 3	DATE:	02/27/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:13 AM
MET WITH:	Rebecca Madrigal, Licensee		TIME COMPLETED:	09:15 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On February 27, 2024, Licensing Program Analysts (LPA) Staicy Perry conducted a case management - licensee initiated inspection. A COVID-19 risk assessment was conducted. The home is currently licensed for 8 children and a request for a capacity of 14 children was received. All areas identified on the facility sketch were toured. Hours of operation are Monday through Friday 6:00am to 6:00pm. Licensee states she is working with children ages 3 months - 12 years old. LPAs observed a census of 3 children in care during the visit. The facility has requested an increase of capacity from 8 to 14 on 12/8/2023. Fire clearance was granted on 2/12/24. Capacity Increase will be granted, pending final file review. License will be amended to reflect new capacity of fourteen (14) children. Increase is contingent upon a Licensing Program Manager review and approval. All areas identified on the facility sketch were inspected. This is a one-story home which consists of 3 bedrooms, 1 bathroom, kitchen, living room (day care room), and front and back yards. The home has a basement with the entrance located in the back yard with latch. Areas Accessible to children include bathroom, kitchen, living room and the back yard will be used for outside play. Areas off limits to children and parents include. 3 bedrooms and basement. The LPA inspected the facility and found the facility to be clean and safe. Telephone service was verified. Licensee has a cell phone for the daycare that remains at the facility at all time. Heating, lighting, and ventilation are adequate. LPA observed age-appropriate toys and materials. LPA did see a fish tank with goldfish and is placed on a high shelf made inaccessible to the children. Page 1 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MADRIGAL FAMILY CHILD CARE	FACILITY NUMBER: 198021118
	VISIT DATE: 02/27/2024

NARRATIVE

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LPA reviewed infant safe sleep regulation and ratios with licensee. A copy of the Safe Sleep Regulation was provided to the licensee along with Safe Sleep Plan LIC9227. LPA provided recall website, https://www.cpsc.gov/Recalls. Licensee was provided a sample of the 15-minute sleep log. LPA observed sleep logs.

Carbon/Smoke Detectors were tested and found to be operable. It is located in the kitchen. LPA tested and heard a loud beeping noise. There is currently a fire extinguisher observed with a service date of 11/21/2023. Licensee provided LPA with licensee’s CPR/1^st Aid for licensee will expire 08/2025 and Mandated reporting Certificate will expire 4/24/2024. As well as assistant’s CPR/1^st Aid for licensee will expire 2/2025 and Mandated reporting Certificate will expire 02/12/2026. along with all immunization's at the time she requested for a capacity increase. Documents on file.

LPA reviewed if there are any weapons. Licensee stated that their are no weapons in the home. Licensee stated that she has 1 pet cat at the facility. LPA observed a small cat. There were no Bodies of Water observed on the premises. Cleaning products are kept in the kitchen under the sink with a child proof lock. No children are currently on medication, but Incidental Medical Services (IMS) policy was discussed. LIC 9149 Property owner/ landlord consent on file.

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

Exit interview conducted and report was reviewed with the Licensee, Rebecca Madrigal.

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

LIC809 (FAS) - (06/04)

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