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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400386
Report Date: 06/06/2023
Date Signed: 06/06/2023 01:03:29 PM

Document Has Been Signed on 06/06/2023 01:03 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:SALAZAR FAMILY CHILD CAREFACILITY NUMBER:
198400386
ADMINISTRATOR:NELY SALAZARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 866-9318
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
06/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Nely SalazarTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Franchesca White and Licensing Program Manager Valarie Cook conducted an unannounced Annual inspection to the above facility. Upon arrival, LPA met with Licensee Nely Salazar who guided the LPA on a tour of the facility. There were 6 children present during today’s inspection. Licensee states that there are currently 14 children enrolled. The children's roster was reviewed and is current. Per licensee, the facility’s hours of operation are Monday - Saturday 7:00 - 7:00 p.m. Emergency Disaster Plan was posted at the time of inspection. Disaster drill log was also available during today’s inspection, last disaster drill conducted on December 2022. During the visit, Licensee demonstrated disaster drill with children in care. Type of drill was fire and children were evacuated.

LPA observed cubbies for children's belongings, carpets through out, a circle time area with day care posters, tall wooden doll house, play kitchen, books, and other toys free of lose and sharp parts. At 9:30 AM, LPA was toured Bathroom 1, located down the hallway to the left, which will be used by children in care. LPA observed operable child safety locks under sink cabinets.

At 9:40 AM, LPA observed gates blocking entrances to the kitchen separating Main Care Area from Kitchen. The Dining Room, through the Kitchen, is also be part of Main Care Area. LPA observed carpet and table in Main Care Area. Licensee states Main Care Area is used for eating and napping. Licensee provides food for children in care. At 9:45 AM, LPA also observed a standard wooden crib and a second crib that has not yet been assembled, Licensee states that this is used for napping infants. At 9:50 AM, LPA observed Kitchen to have operable child safety locks on cabinets. LPA observed sharp knives and utensils are kept in locked cabinet drawer in the Kitchen, making it inaccessible to children in care.

Based on the Facility Sketch submitted, areas off limits to children are all three bedrooms, Bathroom 2 (located in Licensee Bedroom), and Living Room. Per Licensee , all bedrooms will be locked during operating hours. At 9:55 AM, LPA observed child gates with locks blocking Living Room from rest of the
Report Continues Next Page - Page 1 of 3
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2023
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 3
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: SALAZAR FAMILY CHILD CARE
FACILITY NUMBER: 198400386
VISIT DATE: 06/06/2023
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 home making it inaccessible to children in care. Per Licensee, there are no pets, firearms, or weapons in the home. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. Licensee stated there are no poisons in the home.

LPA Franchesca White observed a 2A10BC fire extinguisher (Service Date: 3/2023) in the home located in walkway by the kitchen, there is also a second fire extinguisher (Service Date: 3/2023) hanging in Main Care Area. LPA White observed operating smoke detector and carbon monoxide monitor. All monitors are operable at time of inspection. The Licensee has current Pediatric First Aid and CPR (expiration date: 1/2025). Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has also taken the Mandated Reporter Training AB1207 Completed: 02/19/2023 Staff files contain all required documentation at time of inspection. LPA reviewed Children's records, and found all files to be complete at time of inspection.

LPA reminded Licensee that there should NO smoking, NO infant walkers, NO Johnny jumpers, NO saucer chairs, and any other item that falls into that category are permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.


AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: http://www.mandatedreporterca.com/

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [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.

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SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: SALAZAR FAMILY CHILD CARE
FACILITY NUMBER: 198400386
VISIT DATE: 06/06/2023
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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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

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. 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. To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.

Based on this information, there will be no citations today in accordance with California Code of Regulations Title 22.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.


Exit interview was conducted and report reviewed with Licensee Nely Salazar.

Report ends- Page 3 of 3
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC809 (FAS) - (06/04)
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