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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400638
Report Date: 08/28/2023
Date Signed: 08/28/2023 03:40:47 PM

Document Has Been Signed on 08/28/2023 03:40 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:TOMA FAMILY CHILD CAREFACILITY NUMBER:
198400638
ADMINISTRATOR:ZOILA TOMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 988-7652
CITY:LAKEWWODSTATE: CAZIP CODE:
90712
CAPACITY: 14TOTAL ENROLLED CHILDREN: 25CENSUS: 9DATE:
08/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Licensee Zoila Toma TIME COMPLETED:
03:50 PM
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On 8/28/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1-year inspection at the above facility. LPA met with Licensee Zoila Toma and informed her of the purpose for the visit. Licensee was provided a copy of the Facility Entrance Checklist. There were 8 day care children present during the inspection. The facility was in compliance for a large fcc. All residents were noted and verified. Facility provides care to children ages 4 months to 12 years old. The hours of operation for the facility are 6:00 AM to 10:00 PM. The facility is open Monday through Friday.
This is a one story three bedroom, two bathroom home.
Per Licensee areas off limits to children are: Three bedrooms, one bathroom, kitchen, main living room and front yard. The off limit areas of the home are accessible through a door that separates the kitchen from the main day care area. This door is kept closed during day care hours.
Per Licensee areas on limits to children are: The den/ day care area, a bathroom accessible through the den, a section of the backyard and the converted garage (used for activities).
All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA observed required posted documentation located in the converted garage used for activities - Facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA observed and reviewed a current roster LIC 9040. There is disaster drill log available for review. Licensee was advised disaster drills shall be conducted every six months. There is an operable carbon monoxide detector and an operable smoke detector in the den/day care area. LPA observed a 2A10BC Fire Extinguisher in the day care area and in the activity area. Fire extinguishers indicated full, and Licensee provided a copy of the receipt of purchase dated 7/11/23. The home maintains telephone service (landline and cell phone). The Licensee provides food for children in care. Licensee was reminded if children bring food from home, it must be labeled with the child’s name and properly stored or refrigerated. Children eat in the den/day care area. There are toys and other age-appropriate materials available for children to use in the day care areas. Children nap in the den/day care room and are provided appropriate napping equipment.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2023
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: TOMA FAMILY CHILD CARE
FACILITY NUMBER: 198400638
VISIT DATE: 08/28/2023
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Sharp objects, detergents and cleaning compounds were inaccessible to children in care. Knives, sharp objects, cleaning supplies, detergents and medicine are kept in the kitchen which is off limits to children in care. Kitchen is only accessible through the door next to the den/day care room. Door is kept locked throughout the hours of operation.
There is central air and heating in the main home and an A/C unit in the activities area (converted garage). There is a floor heater in the living room, that is not in use and is inaccessible to children in care as children do not use the living room. There is a fireplace in the den/daycare room. LPA observed a safety gate installed on the fireplace, blocking access to children in care. Children use the restroom in the den/day care room. LPA observed latched cabinets in the restroom where personal items are stored. LPA did not observe any cleaning products or medicine in the on-limits restroom.
Per Licensee, children use a section of the enclosed backyard for outdoor play. There is another section that is off limits. Off limits section is separated by a gate. Per Licensee, children are supervised while playing outside. Per Licensee, there are no pets in the home. LPA did not observe any pets. Per Licensee there are no poisons in the home. Licensee was advised that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in either day care area separated from other children while under adult supervision. There are no pools, spas or bodies of water in the facility. Per Licensee, there are no weapons in the home.
Infant Care: Currently there are four infants enrolled in the facility. LPA observed four play yards available in the den/day care room. LPA observed that napping equipment does not block the entrance of the room. LPA did not observe any items in the play yards. LPA observed infants being supervised by one of the assistants. The following was discussed with the Licensee, infants shall not be swaddled in care, infants’ heads shall not be covered, there shall be no items in cribs or play yards, bumper pads shall not be used, Car seats shall not be used for sleeping. LPA observed the 15 minute sleeping logs.
Overnight Care: There is no overnight care provided at the moment. LPA discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2023
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: TOMA FAMILY CHILD CARE
FACILITY NUMBER: 198400638
VISIT DATE: 08/28/2023
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Children's records were reviewed: Children's records contained (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227 Individual Infant Sleeping Log, 15 Minute sleeping log
Staff records were reviewed: Licensee’s pediatric first aid/cpr issued by the American Red Cross expires in July 2024. Staff 1’s pediatric first aid/ cpr issued by the American Red Cross expires on 6/2024, Staff 2’s pediatric first aid/ cpr issued by the American Heart Association expires on 2/25. Licensee and staff 1 had proof of required immunizations on file. Licensee’s mandated reporter training for child care providers was completed on 8/12/23, Staff 2’s mandated reporter training expired on 7/22, Staff 3’s mandated reporter training for child care providers was completed on 8/23/23. Per Licensee, Staff 2 is currently working on renewing the training but requires assistance. Licensee was advised mandated reporter training shall be completed every two years.
Incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm
Licensee was reminded that all adults 18 and over living or working in the home, 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 Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleephttps://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.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2023
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: TOMA FAMILY CHILD CARE
FACILITY NUMBER: 198400638
VISIT DATE: 08/28/2023
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
No deficiencies cited today.
Exit interview conducted and report was reviewed with the Licensee, Zoila Toma . A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2023
LIC809 (FAS) - (06/04)
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