198400361-2-13-2023-54-CC-RDEO-CNZNUQ-20230213094640

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400361
Report Date: 02/03/2023
Date Signed: 02/13/2023 09:46:49 AM

Document Has Been Signed on 02/13/2023 09:46 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ZELAYA FAMILY CHILD CARE		FACILITY NUMBER:	198400361
ADMINISTRATOR:	ZELAYA-GARCIA, KARLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 284-9606
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 2	DATE:	02/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Licensee - Karla Zelaya		TIME COMPLETED:	03:30 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	This report was final printed after the visit date due to a consistency check that occurred during inspection Licensing Program Analyst (LPA) R. Derraco conducted an unannounced required one-year inspection to the above facility on 02/03/23. LPA arrived at the facility at 12:00 PM and met with Licensee, Karla Zelaya-Garcia, who guided analyst on a tour of the facility. Also present during this inspection was an assistant S2. Per Licensee, there are 8 children that are currently enrolled. There were 2 children present upon arrival This is a one-story home which consists of 2 bedrooms, 1 bathroom, kitchen/dining room, living room, a detached garage, front yard and backyard (fenced). The off-limit areas include 1 bedroom, living room, detached garage, and front yard. Part of the main care area is located in the bedroom. LPA observed age appropriate toys, child sized table, child sized chairs, art supplies, a wooden baby crib, sleeping mats, children’s art supplies and reading material. The kitchen was observed to have locks on all the cabinets. No sharp or pointy objects were observed to be accessible in the kitchen. Per licensee, detergents and cleaning compounds are kept locked beneath the kitchen sink. Licensee also states that she provides food for the children in care and understands that food brought from home must be labeled with each child’s name and properly stored. Baby gates were observed at the hallway entrance to the living room and to the dining area making it inaccessible to children in care. The bathroom was observed with an operable sink, toilet and faucet. Locks were observed on the cabinets beneath the bathroom sink. The outdoor play area was observed with adequate shade and perimeter fencing. A white plastic gate was observed on the sides of the home making the area inaccessible. LPA observed the detached garage and a storage shed to be locked. Children’s outdoor play equipment, additional age-appropriate toys, children’s tables and chairs, and additional art supplies were observed in the outdoor play area. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ZELAYA FAMILY CHILD CARE	FACILITY NUMBER: 198400361
	VISIT DATE: 02/03/2023

NARRATIVE

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were observed to be posted at the entrance of the facility. Per licensee, isolation area for children showing signs of illness will be located in the dining area. LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home. No bodies of water were observed in the back yard play area. There are no pets on the premises

Individuals who reside in the home were noted and discussed. 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. Licensee states that there are no firearms stored at the home

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a cellphone that is used and the cellphone stays at the facility during operation hours. LPA observed that the home is equipped with central heating and air conditioning. Day care area was observed with safe toys, play equipment and materials. The licensee understands that storage areas for poisons must be locked, not just inaccessible. The restroom that children use was observed to be safe and sanitary. Kitchen cabinets containing cleaning compounds were observed to be properly latched. No sharp objects were observed to be accessible in the kitchen area. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was purchased on 01/16/23 as indicated on purchase receipt. Smoke and carbon monoxide detectors were tested and are operable. LPA did not observe any objects that can pose a danger to children in care.

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.

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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: ZELAYA FAMILY CHILD CARE	FACILITY NUMBER: 198400361
	VISIT DATE: 02/03/2023

NARRATIVE

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The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 07/2023. LPA observed that the Licensee and assistant do have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. File review was observed to have proper mandated immunization records. Children’s records were reviewed, including emergency information and were observed to be complete. A current children’s roster was available for review.

Incidental Medical Services (IMS):
IMS was discussed with licensee. Per licensee, there are no children enrolled that require IMS at this time. 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 Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.cdss.ca.gov. LPA also discussed and provided LIC 311D – Forms to Keep in your Family Child Care Home

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

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 Karla Zelaya

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

LIC809 (FAS) - (06/04)

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