198400623-9-15-2022-54-CC-RDEO-CJASVV-20220915141323

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400623
Report Date: 09/15/2022
Date Signed: 09/15/2022 02:13:30 PM

Document Has Been Signed on 09/15/2022 02:13 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:	SANCHEZ & CRUZ FAMILY CHILD CARE		FACILITY NUMBER:	198400623
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 1	DATE:	09/15/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Applicants - Elizabeth Cruz / Marilu Sanchez		TIME COMPLETED:	02:30 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 announced pre-licensing inspection to the above mentioned address on 09/15/22 at 11:45 AM. LPA met with applicants, Elizabeth Cruz and Marilu Sanchez, who guided LPA on a tour of the home. LPA observed that there were no children present during inspection. No other adults were observed in the home. Children that live in the home were verified via LIC 279B. Individuals residing in the home have been noted and discussed. The applicants is requesting a small family childcare home license. Per applicants, operation hours will be Monday to Sunday 5:00 AM - 4:00AM. Applicants states that they will care for children ages 3 months to 6 years old. All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a single story home that consists of 3 bedrooms, 2 bathrooms, living room, dining room, kitchen, laundry area, detached garage, front yard and backyard (fenced). Off limit areas include 3 bedrooms, 1 bathroom, kitchen, laundry area, detached garage, front yard, and part of the backyard. The applicant 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 couches, a wall mounted television, a baby crib, child sized table, child sized chairs, and a baby changing station. Age appropriate toys and materials were observed in a cabinet located in the living room. A retractable mesh fence was observed to separate the dining area from the off-limits kitchen. The dining area was observed with a dining table and chairs. The bathroom designated for children in care was observed to be sanitary with an operable sink and toilet. Child locks were observed beneath the sink and on a drawer in the bathroom. Per applicants, health and beauty aides are kept beneath the bathroom sink. Outdoor play area is located in the back yard. LPA observed that the yard is fenced and free of hazards. LPA observed shade, age appropriate toys and outdoor play equipment. The off-limits areas of the backyard are separated by a wooden fence and a gate. (page 1 of 3)

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SANCHEZ & CRUZ FAMILY CHILD CARE	FACILITY NUMBER: 198400623
	VISIT DATE: 09/15/2022

NARRATIVE

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Areas that will be used by children were inspected for safety, comfort, cleanliness. LPA observed operable telephone service, ventilation and heating. Detergents, cleaning compounds and hazardous items that can pose a danger to children are made inaccessible beneath the sink in the off limits kitchen and locked in the off limits garage. The applicant was advised that any poisons must be locked, not just inaccessible.

Parent board is visible in the main care area with required postings. Children will nap on cots in the main care area. Applicants plan on enrolling infants 0-24 months.

LPA discussed the safe sleep regulations with applicants land 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 applicants 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 applicant 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 applicants have a 2A10 BC fire extinguisher in the home, with a purchase receipt dated 09/13/22. Smoke and carbon monoxide detector were tested and are operable.

The applicant states that they will provide food for children in care. Applicants understand that any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated.

The applicant has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training and Pediatric First Aid and CPR. Applicant have required immunization records. There are first aid supplies available.

LPA Provided COVID-19 Technical Assistance by emailing applicants COVID-19 resources and

(page 2 of 3)

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SANCHEZ & CRUZ FAMILY CHILD CARE	FACILITY NUMBER: 198400623
	VISIT DATE: 09/15/2022

NARRATIVE

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self-assessment prior to visit. LPA discussed self-assessment and answered question regarding COVID-19.

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 applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov. The following forms were provided and discussed with the applicants:

-Assistant's and Licensee's File Checklist
-Earthquake Preparedness Checklist - LIC 9148
-Small Family Child Care Home Capacity Flyer
-California Child Passenger Safety Law Flyer - PUB 269
-Infant Sleep Chart
-Forms/Records to keep in your family child care home - LIC 311D
-Individual Infant Sleep Plan - LIC 9227
-PIN 20-24-CCP - Recently Approved Safe Sleep Regulations in Effect

Applicants are requesting a small family child care license. A small family childcare license may be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the applicants are required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with the applicants Elizabeth Cruz and Marilu Sanchez.

(page 3 of 3)

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

LIC809 (FAS) - (06/04)

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