<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400127
Report Date: 03/08/2022
Date Signed: 03/08/2022 12:43:19 PM

Document Has Been Signed on 03/08/2022 12:43 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:SANCHEZ FAMILY CHILD CAREFACILITY NUMBER:
198400127
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
03/08/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Blanca SanchezTIME COMPLETED:
01:00 PM
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 March 08, 2022 at 9:30 AM, Licensing Program Analyst (LPA) Elka Chavez conducted an unannounced case management inspection for the purpose of increasing Licensee's capacity from 8 to 14 children. LPA was guided on a tour of the facility by Licensee, Blanca Sanchez. Upon arrival there was a total of 4 children. Per Licensee, hours of operation are Monday-Friday from 07:00 AM to 5:30 PM. Licensee states that they will care for children 0-12 years of age.

At 9:35 AM, all areas identified on the facility sketch were inspected. This is a single-story home which consist of 4 bedrooms, (1 bedroom was converted to an office space), 1 and a 1/2 bathrooms, living room, kitchen, dining room and attached garage (without access to the home). Childcare is mainly conducted in the living room. Children have access to the kitchen. LPA observed the kitchen has safety latches in the cabinets and no sharp objects are accessible to children in care. Children do not have access to the bedrooms on the right side of the bedroom hallway. LPA observed child safety latches in the bedrooms that are off-limit to children in care. Children have access to the bedroom (office) located in the left side of the bedroom hallway facing the backyard. Children have access to the bathrooms. At 10:00 AM LPA observed the backyard (fenced) to be free of hazardous items. LPA observed a small dog (terrier mix) inside the home. The licensee understands that licensing staff may have access to off-limit areas during inspection visit if necessary. **Rooms that are off-limits need to be made inaccessible during operating hours**

At 10:15 AM, LPA observed all posting requirements accessible to parents in the front entrance. The valve on the required 2A10BC fire extinguisher indicates fully charged and was purchased on 01/19/22, as indicated on receipt. Smoke and carbon monoxide detectors were tested and are operable. LPA observed them in the living room and bedroom hallway.

Individuals who reside in the home were noted and discussed. All adults present in the home have obtained a criminal record clearance.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 198400127
VISIT DATE: 03/08/2022
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
26
27
28
29
30
31
32
The licensee has completed training on preventive health practices including Child and Infant First Aid and CPR. The licensee's Child and Infant First Aid and CPR expires on 10/2023. At 10:40 AM LPA did not observe EMSA stickers on the card issued by the Medic First Aid International (HSI) instructor. LPA confirmed with the Emergency Medical Services Authority (EMSA) that approved instructors by Medic First Aid International (HSI) provide EMSA stickers upon course completion whenever they teach a child care provider. Proof of immunization against influenza, pertussis, and measles for the Licensee was readily available during today's inspection. Licensee has taken the Mandated Reporter Training. There are first aid supplies available in the hallway closet and off-limit garage. LPA advised that if a child shows signs of illness he/she/they shall be separated from other children.

Licensee states that there are no weapons or firearms in the home. LPA did not observe any bodies of water on the premises. LPA observed a wall heater in the bedroom hallway and near the front door. LPA observed the gas pipers to the heaters have been capped off. Licensee uses an AC/heat unit for ventilation. Storage areas for poisons, detergents, cleaning compounds, medicines, and other items which pose a danger to children were observed to be inaccessible. LPA observed them under the kitchen sink with a child safety latch making it inaccessible to children in care.

Licensee, Blanca Sanchez was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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, Blanca Sanchez 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 [applicant, licensee, or facility representative] 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 198400127
VISIT DATE: 03/08/2022
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
26
27
28
29
30
31
32
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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: http://www.ada.gov/childqanda.htm

LPA reviewed with licensee, Blanca Sanchez the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Prior to Capacity Increase the following deficiencies need be corrected and in compliance with Title 22, California Code of Regulations; Deficiencies cites are on the attached LIC809d.



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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Exit interview conducted and report was reviewed with the licensee, Blanca Sanchez.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 03/08/2022 12:43 PM - It Cannot Be Edited


Created By: Elka Chavez On 03/08/2022 at 11:38 AM
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: SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 198400127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2022
Section Cited
HSC
102416(c)

1
2
3
4
5
6
7
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
This requirement was not met as evidenced by
1
2
3
4
5
6
7
Licensee stated that she will sign up today for a course today using the EMSA provider list. Going forward licensee will make sure that the instructor is in the EMSA instructor approved list from EMSA.CA.GOV.
8
9
10
11
12
13
14
based on records review the licensee has child and infant CPR & First Aid from an instructor that is not EMSA approved. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Karen Chambers
LICENSING EVALUATOR NAME:Elka Chavez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2022


LIC809 (FAS) - (06/04)
Page: 4 of 4