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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400478
Report Date: 03/26/2024
Date Signed: 03/26/2024 11:11:06 AM

Document Has Been Signed on 03/26/2024 11:11 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CASTRO PINEDA & AMAYA FAMILY CHILD CAREFACILITY NUMBER:
198400478
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
03/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Co-Licensee - Ana CastroTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Randy Derraco conducted an unannounced case management inspection to the above mentioned address on 03/26/24 at 9:30 AM. LPA met with co-licensee, Ana Castro, who guided LPA on a tour of the home. LPA observed 2 adults, 1 infant, and 4 toddlers present during inspection. Individuals residing in the home have been noted and discussed. Co-licensee, Iris Amaya was observed arriving to the facility at 10:10 AM and continued the tour with LPA. The licensee is requesting a capacity increase to their small family childcare home license. Per licensee, operation hours will be Monday through Friday, 5:00 AM to 4:00 AM. Licensee states that they will care for children 0 to 13 years old. Licensees were 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.

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a one story home that consists of 2 bedrooms, 1 bathroom, living room, dining room, kitchen, and front yard. Off limit areas include bedroom 1, kitchen, front yard and back yard. The licensee understands that licensing staff may have access to off-limit areas during inspection visit if necessary.

Main care areas include the living room, dining area, and bedroom 2. The living room was observed with age appropriate toys, a wooden cubby locker for personal belongings, children's rug, a futon couch, and a wall mounted television. An air conditioning / heating unit was observed to be mounted to a window and is inaccessible to children in care. A parent board with all required postings was observed in the main care area. Bedroom 2 was observed with two cribs, a baby changing station and sleeping cots. Custom wooden gates mounted to the doorway were observed at the entrance of the kitchen and the hallway. Another custom gate was observed to separate the off-limits kitchen from the dining area. LPA observed child sized tables and chairs in the dining area. Per licensee, food is provided to children in care. Licensees
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/26/2024
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CASTRO PINEDA & AMAYA FAMILY CHILD CARE
FACILITY NUMBER: 198400478
VISIT DATE: 03/26/2024
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understand that children that bring food from home must have it in a container with a label and properly stored or refrigerated. No sharp or pointy objects were observed to be accessible in the off-limits kitchen area. LPA observed cleaning supplies kept beneath the off-limits kitchen sink. The bathroom was observed to be clean with an operable sink, faucet and toilet. A child lock was observed beneath the bathroom sink making contents inaccessible to children in care. Per licensee, outdoor playtime is taken by walking the children to the local park.

Areas that will be used by children were inspected for safety, comfort, cleanliness. LPA observed operable telephone service. Licensees were advised that any poisons such must be locked, not just inaccessible. Per licensee there are no pets, there are no firearms or weapons stored in the home and there are no bodies of water. LPA did not observe any of the above items. LPA observed that the licensee has a 2A10 BC fire extinguisher in the home, with a service tag dated 12/15/23. Smoke and carbon monoxide detector were tested and are operable.

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.

The licensee has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training and Pediatric First Aid and CPR. Licensees have proof of required immunization's. Assistants have required training certificates and immunization records. There are first aid supplies available.
Incidental Medical Services (IMS):
This facility may provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024
LIC809 (FAS) - (06/04)
Page: 2 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CASTRO PINEDA & AMAYA FAMILY CHILD CARE
FACILITY NUMBER: 198400478
VISIT DATE: 03/26/2024
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(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 applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov

Licensees are requesting a large family child care. Fire clearance was approved on 02/27/24. A large family childcare license may be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the licensees are required to comply with the terms and limitations stated on the license.

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 co-licensee Iris Amaya Castro.

(page 3 of 3)

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3