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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400444
Report Date: 07/19/2023
Date Signed: 07/19/2023 12:15:52 PM

Document Has Been Signed on 07/19/2023 12:15 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:CASTRO & EYMAN FAMILY CHILD CARE HOMEFACILITY NUMBER:
198400444
ADMINISTRATOR:KELSIE CASTRO,ERIC EYMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 232-3491
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: 14TOTAL ENROLLED CHILDREN: 19CENSUS: 14DATE:
07/19/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee Kelsie Castro TIME COMPLETED:
12:30 PM
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On 7/19/2023 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection at the above facility. LPA met with Licensee Kelsie Castro. LPA informed Licensee of the purpose for the visit and provided Licensee with a copy of the facility entrance checklist (LIC 126). The facility provides care to children ages 2.5 years old to 5 years old. During this inspection, the Licensee stated they are providing care to two school age children for the summer. The facility is open 8AM to 4PM Monday to Friday (closed every other Friday). Present during today’s inspection were Licensees Kelsie Castro and Eric Eyman, Staff 1 and Staff 2 and 14 children. All residents living in the home were discussed and noted. Licensee provided a tour of the facility.
This is a one story, 3 bedroom, 2 bathroom home. Per Licensee areas on limits to children are: Living room, family room, dining room, kitchen (in passing), office (isolation room), bathroom in hallway and enclosed backyard. Per Licensee areas off limits to children are: 2 bedrooms(safety knobs installed), 1 bathroom and garage (attached)
All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA observed required posted documentation: Facility license, Publication (PUB) 394- Notification of Parent Rights, LIC 9148 Earthquake Preparedness checklist. LPA observed a current facility roster LIC 9040. Last documented drill was conducted on 5/25/23. Licensee was advised disaster drills shall be conducted every 6 months. LPA observed a smoke detector and a carbon monoxide detector in the facility which are operational. LPA observed a 2A10BC Fire Extinguisher in the kitchen. The valve on the fire extinguisher indicated full. Licensee was advised the fire extinguisher shall be serviced annually. There are toys and other age appropriate materials available for children in the facility. The home maintains telephone service (landline and cell phone). Food is provided by Licensee. Licensee was reminded if children bring food from home, it must be labeled with the child’s name and properly stored or refrigerated. Sharp objects, detergents and cleaning compounds and medicines are inaccessible. Knives are kept in a latched kitchen cabinet, cleaning products are kept in a latched cabinet, personal medicines are kept in the off limit bedrooms and detergents are kept in the garage.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2023
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: CASTRO & EYMAN FAMILY CHILD CARE HOME
FACILITY NUMBER: 198400444
VISIT DATE: 07/19/2023
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Per Licensee, there are no children who require medication enrolled. Heating and ventilation was evaluated. The home has central air and heating. LPA did not observe any wall heaters. LPA observed an inaccessible fireplace in the living room. Children use the bathroom in the hallway. LPA did not observe cleaning products or medicine in the on limits bathroom. LPA observed age appropriate toys for children in the backyard. Per Licensee, children are supervised while playing outside. Per Licensee, poisons are kept in the off limits garage which is kept locked. Isolation area for sick children waiting to be picked up is in the office. Per Licensee, there are no firearms or weapons stored in the home. Per Licensee, there is one pet dog in the home which is kept in an off limits bedroom or out of the facility during day care hours.
Infant Care: Currently the facility does not enroll infants. LPA discussed the following with Licensee regarding infant care: Napping equipment shall not block the entrances or exits. Licensee was advised Infants shall not be swaddled in care. Car seats shall not be used for sleeping. LPA discussed the new Safe sleep regulation, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months.
Overnight Care: Per Licensee, they do not provide overnight care. LPA discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
Children's records were reviewed. LPA verified that records contained: Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights. Per Licensee, the facility carries Liability Insurance

Staff records were reviewed: Both Licensees’ Pediatric first aid/cpr certification issued by the American Red Cross expires in 08/2024. Both Licensees and Staff 2 had proof of required immunization against measles, pertussis and flu (declination). Staff 1 did not have proof of required immunizations. Both Licensees and Staff 2 have a current Mandated Reporter for Child Care Providers training certificate on file; certificates expire in 2024 and 2025. Licensee was reminded Mandated Reporter training shall be renewed every 2 years.

During inspection the children present were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and were free from corporal and/or unusual punishment.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023
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: CASTRO & EYMAN FAMILY CHILD CARE HOME
FACILITY NUMBER: 198400444
VISIT DATE: 07/19/2023
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Incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. Per Licensee, no children enrolled require medication. 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 athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleephttps://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.
No deficiencies cited during today's visit.

Exit interview conducted and report was reviewed with Licensee Kelsie Castro. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023
LIC809 (FAS) - (06/04)
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