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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021405
Report Date: 11/08/2024
Date Signed: 11/15/2024 02:16:44 PM

Document Has Been Signed on 11/15/2024 02:16 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ROMERO FAMILY CHILD CAREFACILITY NUMBER:
198021405
ADMINISTRATOR/
DIRECTOR:		ROMERO, JOSEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 356-3706
CITY:LOS ANGELESSTATE: CAZIP CODE:
90063
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
11/08/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:13 AM
MET WITH:Jose RomeroTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
NARRATIVE
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 *This is an amended report to reflect the correct Type A citation/deficiency**

Licensing Program Analyst Veronica Martinez Garza conducted a Case Management-Deficiencies inspection on 11/08/24 at 09:13 a.m. to address volunteers Enoe Teran and Ignacia Miranda who were present at the facility without a fingerprint clearance and were left alone providing care and supervision on 11/07/24. LPA met with licensee Jose Romero, who guided LPA on a tour of the facility. There were 04 children present.

During today’s inspection, LPA arrived at the facility and observed (2) volunteers providing care and supervision; however, they do not have a fingerprint clearance. According to the licensee, both individuals are volunteers and therefore they are exempt from fingerprinting. Licensee also stated that he is working on processing their fingerprints and provided paperwork to LPA. Licensee was under the impression that he had 30 days to obtain their fingerprint clearance. On 11/07/24, the licensee left both volunteers alone with children while he was providing care and supervision at Diaz FCCH #198014422 from 09:30am through 04:00pm. LPA discussed with the licensee that volunteers are exempt from fingerprinting if they meet the following Title 22 regulation 102370(b).

The following deficiencies were cited in accordance with Title 22 of the California Code of Regulations and Health & Safety Codes. Please see 809D for documentation of deficiencies.

Exit interview conducted and report was reviewed with the licensee Jose Romero.

LPA Veronica MartinezGarza informed licensee Jose Romero that this report dated 11/08/24 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Veronica MartinezGarza informed the Jose Romero to provide a copy of this licensing report dated 11/08/24 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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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Document Has Been Signed on 11/15/2024 02:17 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/12/2024 02:20 PM


Created By: Veronica Martinez-Garza On 11/08/2024 at 01:02 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ROMERO FAMILY CHILD CARE
FACILITY NUMBER: 198021405

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/08/2024
Section Cited
CCR
102370(d)(1)

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*This is an amended report to reflect the correct Type A deficiency/citation*

102370 Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department

This requirement is not met as evidenced by:
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Per licensee, he was under the impression that it was ok to leave volunteers alone with children; however, licensee will ensure that staff left alone with children are qualified and fingerprint cleared. Licensee also stated that both volunteers will obtain a fingerprint clearance. A written declaration will be submitted to LPA by POC due date.
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Licensee left 2 volunteers alone with day care children on 11/07/24.
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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:Ana Chico
LICENSING EVALUATOR NAME:Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2024


LIC809 (FAS) - (06/04)
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