198400273-5-23-2024-54-CC-AWAN-D5JRRZ-20240523131559

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400273
Report Date: 05/23/2024
Date Signed: 05/23/2024 01:16:11 PM

Document Has Been Signed on 05/23/2024 01:16 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	LAGUNAS FAMILY CHILD CARE		FACILITY NUMBER:	198400273
ADMINISTRATOR/ DIRECTOR:	MAYRA L. LAGUNAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 399-8040
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	05/23/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:00 AM
MET WITH:	Licensee Mayra Lagunas		TIME VISIT/ INSPECTION COMPLETED:	01:35 PM

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On May 23, 2024 at 11:00 am, Licensing Program Analyst (LPA) Angelica Wallin, conducted an unannounced Annual Required Inspection and was met by Licensee, Mayra Lagunas. Hours of operation are from Monday to Friday, 7:00 AM to 5:00 PM. LPA toured the home inside and outside and a census was taken.

This one single story home which consists of four bedrooms and two bathrooms. Areas accessible to children in care include: living room, kitchen, one bathroom, one room used as infant room and nap room, one open space next to the infant room identified as the toddler room and nap room, and the backyard. Per Licensee, areas off limits include: 4 bedrooms, one bathroom, laundry room and front yard. During inspection, there are nine children and two staff present. Per licensee, 11 children enrolled at this time.

The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. LPA noted space with age-appropriate toys. There is a working smoke and carbon monoxide detector. LPA observed wall heater located in the living room with a metal barricade. LPA observed fire extinguisher with service tag dated 2/2024. During inspection, LPA observed cleaning supplies located in off-limits laundry room secured by screen barrier on a high shelf inaccessible to children in care. LPA observed knives located in kitchen drawer with child proof latch inaccessible to children in care. During inspection, LPA observed two Febreze spray bottles located on sink counter in children’s restroom. Licensee immediately addressed issue by removing the Febreze spray bottles and placing them in the off-limits laundry room inaccessible to children in care. According to the applicant, there are no weapons or firearms at the home; LPA did not observe any firearms or weapons at the time of the inspection.

Per licensee, outdoor play is conducted in the backyard. LPA observed backyard is fenced and fully enclosed. LPA observed no hazards in outdoor play area. LPA advised licensee that total supervision to be maintained at all times during outdoor play when outdoor play is conducted.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024

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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LAGUNAS FAMILY CHILD CARE	FACILITY NUMBER: 198400273
	VISIT DATE: 05/23/2024

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LPA observed there no swimming pool or bodies of water. Per licensee, the following services are provided: food service, transportation and prescribed medications as needed. Per licensee no overnight care conducted at this time. LPA advised licensee total supervision and safety when conducted transportation services.

During inspection, five children’s records were reviewed. Per record review, LPA observed one child’s file missing parent signatures. A technical violation citation issued. Per record review, LPA observed two children’s files missing updated immunizations for MMR and TB clearance. A type B citation issued.

A review of staff records indicates that licensee and two staff have the following updated certificates:

mandated reporter certificates: for licensee with expiration date of 1/2025, for S1 with expiration date of 11/2024 and for S2 with expiration date of 3/2026
CPR/1^st aid certificates: for licensee with expiration date of 9/2025, for S1 with expiration date of 11/2024, and for S2 with expiration date of 2/2026
updated immunization records for licensee, S1 and S2 on file for measles, pertussis, influenza and TB clearance.

LPA reviewed the following documentation to be kept in facility: facility license, LIC610A, facility fire drill logs, PUB 394, and LIC9040.

Licensee Lagunas was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPA reviewed with Licensee Lagunas items prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs, and any other item that falls into that category are not permitted in the facility.

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.

LPA discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LAGUNAS FAMILY CHILD CARE	FACILITY NUMBER: 198400273
	VISIT DATE: 05/23/2024

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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.

This facility does not provides Incidental Medical Services – IMS. 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/

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 platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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.

Exit interview conducted and report was reviewed with licensee, Mayra Lagunas. During the exit interview, the 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/23/2024 01:16 PM - It Cannot Be Edited

Created By: Angelica Wallin On 05/23/2024 at 12:44 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: LAGUNAS FAMILY CHILD CARE	FACILITY NUMBER: 198400273
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102418(a)

Immunizations

(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in two children’s files missing updated immunizations for MMR and TB clearance which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/13/2024
	Plan of Correction
1 2 3 4	Per licensee, updated children's immunization records for missing MMR and TB clearance to be obtained and picture proof as evidence of completed updated immunizations to be submitted via email.

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:

Karen Chambers

LICENSING EVALUATOR NAME:

Angelica Wallin

LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024

LIC809 (FAS) - (06/04)

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