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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400528
Report Date: 04/07/2022
Date Signed: 04/07/2022 12:31:40 PM

Document Has Been Signed on 04/07/2022 12:31 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
198400528
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
04/07/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Connie Garcia TIME COMPLETED:
12:45 PM
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On 4/7/22 at 9:16 AM Licensing Program Analyst (LPA) Jeanette Estrada conducted an announced pre-licensing inspection at 11908 Cresson St. Norwalk, CA 90650. The purpose of this inspection is to inspect and evaluate the facility for an initial license. LPA Estrada met with Applicant, Connie Garcia. Applicant is requesting a small license. Operating hours will be Monday to Friday 8AM to 5PM and care will be provided for children ages 3 months to 5 years old. All residents living in the home were discussed and verified.

This is a 3 bedroom/1 bathroom home with a front yard, living room (daycare room), kitchen, family room (napping room), back yard a garage with no access through the home.

Off Limit areas: Front yard, 2 bedrooms, garage and a section of the backyard. One bedroom is accessible through the hallway and the other bedroom is accessible through the family room. Both bedrooms will remain locked during operating hours. The garage is accessible through the backyard and will remain locked during operating hours. The section of the backyard that is off limits is surrounded by a gate and will remain locked as well.

On Limits area: 1 bedroom, bathroom, kitchen, living room, family room and backyard. The bedroom will be used as the diaper changing station and as a nap room for infants. LPA observed a crib in the bedroom. The main day care area will be in the living room. Children will have access to the kitchen as they walk through to access the back yard. Per Applicant, children will be escorted through the kitchen. The kitchen is separated from the living room by a safety gate. The family room will be used as the nap room. There is access to the back yard through the family room. LPA advised sliding door be kept locked when children are in the family room. Children will use the restroom in the hall way and per Applicant, will be escorted when in use. Part of the backyard will be accessible to children in care. LPA observed age appropriate materials and toys in the back yard. There is a play structure in the back yard. Per Applicant, children will be supervised while playing outdoors.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2022
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198400528
VISIT DATE: 04/07/2022
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The day care areas that will be used by children were observed for safety, comfort, cleanliness, telephone service (cell phone), ventilation and heating. LPA observed an A/C unit installed in the family room (out of reach of children) and per the Applicant, windows will be kept open if needed. LPA observed windows have a protective screen. There is wall heater in the living room and in the family room. LPA observed a heat proof cover installed over each heater.

Detergents, cleaning compounds, sharp objects and hazardous items that can pose a danger to children are inaccessible to children in care. Knives and sharp objects are kept in an upper cabinet in the kitchen. Medicines are kept in an upper cabinet in the kitchen and in the refrigerator. Cleaning compounds are kept in an upper cabinet in the pantry area off the side of the kitchen. Laundry detergent is kept in an upper cabinet in the hallway. Personal Hygiene items in the bathroom are inaccessible to children. Per the applicant, there are no poisons other than cleaning compounds in the home. LPA advised that if any poisons are kept in the home at a later date to keep them in a locked cabinet or container.

LPA observed an operable combination smoke detector and carbon monoxide detector in the family room. LPA observed a 2A10BC fire extinguisher which indicates full and the Applicant provided a receipt indicating it was purchased on 12/11/21. The fire extinguisher is installed on the wall next to the refrigerator. The home has electrical outlets covered throughout the day care area and maintains a first aid kit. LPA observed age appropriate materials and toys available for children. LPA observed that napping cots are available. Per the applicant there are no bodies of water on the premises. LPA did not observe any bodies of water on the premises. LPA observed a properly stored fire arm in the home inaccessible to children in care.

Per the Applicant, if a child becomes ill, they will be taken to the family room while the other children are in the living room. The children will also eat in the living room. LPA observed a child sized table and chairs in the living room. Per Applicant, food will be provided for children in care and children will be supervised while eating. LPA advised Applicant that high chairs are to only be used for eating during mealtimes. Applicant was advised that if food is brought from the children’s homes, the container shall be labeled with the child’s name and properly stored or refrigerated. Per Applicant, there are no pets in the home except for a fish tank in the family room.

Applicant has completed the required Health and Safety Training, Nutrition Training, Lead training and Pediatric First Aid and CPR which expires 10/2023. Applicant also completed the required Mandated Reporter Training which expires 2/4/24.

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

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198400528
VISIT DATE: 04/07/2022
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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 Applicant 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 Applicant 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information , see PIN 22-02-CCP. 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


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

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198400528
VISIT DATE: 04/07/2022
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LPA reviewed with Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted

Entrance Checklist was provided to the applicant.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensing related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.


A small family child care license will be granted upon manager approval. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with the Applicant Connie Garcia .
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4