198400626-9-8-2022-54-CC-ECHZ-CJ3QS5-20220908122458

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400626
Report Date: 09/08/2022
Date Signed: 09/08/2022 12:25:12 PM

Document Has Been Signed on 09/08/2022 12:25 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 CARE		FACILITY NUMBER:	198400626
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	09/08/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Veronica Garcia		TIME COMPLETED:	12:45 PM

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Licensing Program Analysts (LPAs) Elka Chavez & Patricia Medel conducted a pre-licensing inspection for the above address on September 09, 2022 in Spanish. LPAs arrived at 9:20 AM. and met with Veronica Garcia, Applicant, who guided LPA on a tour of the facility. Individuals residing in the home were discussed and noted. Per applicant, operating hours will be from 7:30AM to 5:30PM from Monday through Friday. Applicant states that she will care for children age 2 to 10 years of age.

This home consists of five bedrooms, two bathrooms, kitchen, dining room, living room, laundry room, two rooms located in the backyard area, detached garage, front yard and backyard (fenced). The home was inspected for safety, comfort, cleanliness, telephone service (cell phone), central heating and AC wall units are used for ventilation. At 9:30 AM LPAs observed the detached garage and two rooms located in the backyard. LPAs observed the room located towards the front will be used for activities. Applicant was reminded that the room next to the detached garage can only be utilized as activity space. There is no eating or sleeping permitted in the room next to the detached garage. The applicant understand that licensing staff may have access to off-limit areas during inspection visit if necessary. ** Rooms that are off-limits need to be made inaccessible during operating hours** LPAs observed child safety door knobs in the off-limit bedroom making them inaccessible to children in care.

Areas used by children include: Bedroom #4, bathroom #2, living room, kitchen, dining room, room located in the backyard next to the detached garage, front yard and backyard (fenced).

Areas off limits include: Bedrooms #1-3, bathroom #2, second room located in the backyard and laundry room.

At 9:40 AM LPAs observed knives are kept in a kitchen cabinet with a child safety latch. At 9:47 AM LPAs observed the laundry room. LPAs observed the laundry room is accessible. LPA observed detergent and

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022

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: 198400626
	VISIT DATE: 09/08/2022

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laundry softener in a top shelf in a cabinet. Applicant stated that she will purchase a gate to make the area inaccessible to children in care. LPAs observed cleaning supplies and disinfectants are stored in the hallway cabinet with a child safety latch making it inaccessible to children in care. The home is clean and orderly, there are outlet covers throughout the home. Smoke detector and carbon monoxide detectors were observed, tested and are in operable condition. LPA observed them in the dining room and room in the room next to the detached garage. LPA’s heard the alarm signal go off when the test was conducted.

Applicant has completed the required Pediatric First Aid and CPR. Applicant has proof of enrollment to the Health and Safety Training with one hour of nutrition and one hour of lead training included. Applicant has proof of immunization against pertussis and measles, influenza and proof of Mandated Reporter Training on file.

Applicant states he will provide food for children in care. Applicant was advised to properly label and store children's food if brought from home. LPA observed age appropriate toys and learning materials. The required (2A10BC) fire extinguisher was observed in the laundry room. First Aid kit is also available next to the bathroom used by children in care.

Per Applicant, there are no weapons or firearms in the facility, none were observed by LPA. Applicant has two dogs (cane corso and maltese poodle mix). LPA observed the dogs is kept in the side of the detached garage which is gated and inaccessible to children in care. At 9:30 LPAs observed a wall heater in the room located in the backyard. LPAs did not observe a barrier. LPAs observed exposed pipe at the bottom of the heater. Applicant stated that she will place a barrier and anchor it to the wall. LPA observed a fire place in the front living room. LPA observed the fireplace to have a fireplace shield. LPA did not observe the fireplace shield to be anchored. LPAs observed safe and age appropriate toys were available. There are no bodies of water on the premises. Per Applicant, children will use the front and backyard (fenced) for outdoor play. Applicant stated that supervision will always be provided.

Per Applicant parents will drop off/pick up at the front door. Daily temperature checks and health screenings will be done at the entrance. Per Applicant, highly touched areas, bathroom and toys will be disinfected at the end of the day or as needed. Per Applicant children will be encouraged to wash their hands for 20 seconds throughout the day as needed. Children will be provided their own blanket and sheet for nap. Bedding will be

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022

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: 198400626
	VISIT DATE: 09/08/2022

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washed weekly or as needed by the applicant. LPA advised applicant to ensure they are following the guidance from the local health authorities to prevent and reduce the transmission of diseases.

Applicant, Veronica Garcia 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, Veronica Garcia 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, Veronica Garcia 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

LPA reviewed with applicant, Veronica Garcia 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022

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: 198400626
	VISIT DATE: 09/08/2022

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To receive important licensed-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.

The following corrections need to be corrected prior to obtaining a small family child care license.
Corrections are due by 09/22/22.

· Applicant will install a child safety gate in the laundry room.
· Applicant will install a barrier for the wall heater located in the room in the backyard.
· Applicant will anchor the fireplace shield.

A small family child care licensee will be granted upon receipt of proof of correction for the above. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with the applicant, Veronica Garcia.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022

LIC809 (FAS) - (06/04)

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