<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400498
Report Date: 05/12/2023
Date Signed: 05/12/2023 03:41:46 PM

Document Has Been Signed on 05/12/2023 03:41 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:CASTRO FAMILY CHILD CAREFACILITY NUMBER:
198400498
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
05/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Assistant - Ismary Aguilar RivasTIME COMPLETED:
03:55 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
Licensing Program Analyst (LPA) Randy Derraco conducted an unannounced case management inspection to the above mentioned address on 05/12/23 at 2:05 PM. LPA met with assistant, Ismary Aguilar Rivas, who guided LPA on a tour of the home. LPA did not observe any additional adults in the home. There were 2 napping children present upon arrival. LPA observed licensee arriving at the facility at 3:20PM. Individuals residing in the home have been noted and discussed. The licensee is requesting a capacity increase to his family childcare home license. Per licensee, operation hours will be Sunday through Saturday, 23 hours a day. Applicant states that they will care for children 0-12 years old.

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a one-story home which consists of 2 bedrooms, 1 bathroom, kitchen, living room, a detached garage, front yard and backyard (fenced). The off limit areas include 1 bedroom, kitchen, and front yard. The detached garage has been converted into a living space and is also off-limits. Two additional living spaces are located in the off limits section of the back yard. The assistant understands that licensing staff may have access to off-limit areas during inspection visit if necessary

Main care area is located in the living room. LPA observed two leather couches, a child sized table with chairs, a wooden baby changing station, a kitchen play set, a wooden locker cubby for children's personal belongings, age appropriate toys, a wall mounted television, and a carpet. Required postings (facility license, disaster plan, parents rights poster) was observed on the wall near the entrance to the main care area. A monitor showing the available security cameras throughout the home was also observed in the main care area. The bedroom designated for care was observed with two wooden baby cribs, sleeping cots, a wall mounted television, a ceiling fan and additional age appropriate toys. The bathroom designated for children to use was observed to be sanitary with an operable sink, toilet, and faucet. The outdoor play area is located in the backyard and was observed with perimeter fencing. Additional toys, outdoor play equipment and various sporting balls were also observed in the backyard. (page 1 of 3)

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2023
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: CASTRO FAMILY CHILD CARE
FACILITY NUMBER: 198400498
VISIT DATE: 05/12/2023
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
26
27
28
29
30
31
32
Areas that will be used by children were inspected for safety, comfort, cleanliness. LPA observed operable telephone service, ventilation and heating (central). Detergents, cleaning compounds and hazardous items that can pose a danger to children are made inaccessible beneath the sink in the off-limits kitchen. A wooden gate anchored with screws at the entrance of the kitchen was observed to separate the main care area from the off-limits area.

LPA discussed the safe sleep regulations with assistant 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 assistant 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.

Per assistant firearms are stored in the home. LPA observed the storage of firearms and ammunition to be in compliance with Title 22 regulations. LPA observed that the Applicant has a 2A10 BC fire extinguisher in the home, service tag dated 01/10/23. Smoke and carbon monoxide detector were tested and are operable. The assistant states that she provides food for children in care. Assistant understands that any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated. The assistant has completed Mandated Reporter Training and Pediatric First Aid and CPR. Assistant has proof of required 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 (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 assistant on how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov
(page 2 of 3)
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CASTRO FAMILY CHILD CARE
FACILITY NUMBER: 198400498
VISIT DATE: 05/12/2023
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
26
27
28
29
30
31
32
Licensee is requesting a capacity increase to his family child care license. Fire clearance was approved on 03/15/23. A capacity increase to the licensee's family childcare license may be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the licensee is required to comply with the terms and limitations stated on the license.

Prior to approval of a capacity increase to the license, the licensee must complete the following:

-A declaration indicating how licensee plans to administer safe sleep for infants and other children during overnight care.

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 Hernan Castro

(page 3 of 3)

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3