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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400623
Report Date: 02/23/2024
Date Signed: 02/23/2024 11:39:49 AM

Document Has Been Signed on 02/23/2024 11:39 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:SANCHEZ & CRUZ FAMILY CHILD CAREFACILITY NUMBER:
198400623
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 10CENSUS: 10DATE:
02/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Co-Licensee - Elizabeth CruzTIME COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Randy Derraco conducted an unannounced case management visit to the above mentioned address on 02/23/24 at 9:00 AM. LPA met with co-licensee Elizabeth Cruz, who guided LPA on a tour of the home. LPA observed 2 additional adults and 8 children present during inspection. Per licensee, no child that is in attendance is 6 years of age. Licensee also states that no child present is enrolled in or attending kindergarten at an elementary school. LPA advised licensee that citation under Health and Saftey Code (HSC) section 1597.44(a) will be issued. Individuals residing in the home have been noted and discussed. The licensee is requesting a capacity increase to their family childcare home license. Per licensee, operation hours will be 7 days a week from 5:00 AM to 4:00 AM. Applicant states that they will care for children 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 one story home that consists of 3 bedrooms, 2 bathrooms, living room, dining room, kitchen, laundry area, detached garage, front yard and backyard (fenced). The off limit areas include 3 bedrooms, kitchen, laundry area, detached garage and front yard.

Main care area is located in the living room. LPA observed a wall mounted television, age appropriate toys, a couch, a computer desk, a Graco Pack n Play playpen, and a baby changing station. The dining area was observed with child sized tables, child sized chairs and a dining table with chairs. Required postings were observed on the wall next to the entrance to the home. Child gates were observed to be mounted onto the cabinet to make the kitchen inaccessible to the children. A tension gate was also observed at the entrance of the hallway making the hallway leading to the bedrooms inaccessible to children. Both bathrooms were observed to be sanitary with an operable sink, faucet and toilet. Outdoor play area is located in the back yard. LPA observed that the yard to have perimeter fencing, shaded areas, and outdoor play equipment for children.



Areas that will be used by children were inspected for safety, comfort, cleanliness. LPA observed operable
(page 1 of 3)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2024
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 4
Document Has Been Signed on 02/23/2024 11:39 AM - It Cannot Be Edited


Created By: Randy Derraco On 02/23/2024 at 11:09 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SANCHEZ & CRUZ FAMILY CHILD CARE
FACILITY NUMBER: 198400623

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2024
Section Cited
HSC
1597.44(a)

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1597.44 A small family day care home may provide care for more than six and up to eight children... (a)At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age. This requirement is not met as evidenced by:
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Licensee states she will review the California Code of Regulation and Health and Safety code regarding capacity limitiations. Licensee will complete a declaration indicating that CCR and HSC section have been reviewed and understood.
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Based on observation, interview and record review, the licensee had 8 children present; no child present was at least 6 years old or enrolled or attending kindergarten which poses a potential Health, safety and/or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Denise Gibbs
LICENSING EVALUATOR NAME:Randy Derraco
LICENSING EVALUATOR SIGNATURE:
DATE: 02/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2024


LIC809 (FAS) - (06/04)
Page: 2 of 4
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: SANCHEZ & CRUZ FAMILY CHILD CARE
FACILITY NUMBER: 198400623
VISIT DATE: 02/23/2024
NARRATIVE
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telephone service. A heating / air conditioning unit was observed to be mounted on the wall and is inaccessible to children in care. Detergents, cleaning compounds and hazardous items that can pose a danger to children are made inaccessible in the off limits kitchen beneath the kitchen sink. Licensee understands that any poisons must be locked, not just inaccessible. Per licensee there is a pet bird kept in the off limits detached garag; 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 purchase receipt dated 11/23/23. Smoke and carbon monoxide detector were tested and are operable. The licensee states that they will provide food for children in care. Any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated. The licensee has completed the required Health and Safety Training, Nutrition, and Lead Training, and Mandated Reporter Training. Licensee has proof of required immunization's. Assistants have required training's and immunization's. There are first aid supplies available.

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.

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 licenseehow to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SANCHEZ & CRUZ FAMILY CHILD CARE
FACILITY NUMBER: 198400623
VISIT DATE: 02/23/2024
NARRATIVE
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Licensee is requesting a capacity increase to a large family child care. Fire clearance was approved on 01/08/2024

A large 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 large family child care license, licensee must make the following corrections:
-Plan of correction for citation issued on LIC 809D must be completed
-Clarity is needed on Pediatric CPR and First aid training certificates on modules covered.

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 Elizabeth Cruz.

(page 3 of 3)

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

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4