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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400778
Report Date: 03/22/2023
Date Signed: 03/22/2023 10:26:58 AM

Document Has Been Signed on 03/22/2023 10:26 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ORDAZ FAMILY CHILD CAREFACILITY NUMBER:
198400778
ADMINISTRATOR:ORDAZ, MAYRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 484-9003
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/22/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:53 AM
MET WITH:Mayra OrdazTIME COMPLETED:
10:50 AM
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Licensing Program Analyst (LPA) Raul Navarro conducted a pre-licensing inspection on 03/22/2023 at 8:53 AM. LPA met with Licensee Mayra Ordaz who guided analyst on a tour of the facility. Licensee is requesting a change of location and capacity change for a large family childcare home license. Licensee's fire clearance was approved on 3/3/23. Per Licensee, operating hours will be Monday through Sunday, 24 hours. Licensee understands that care for a child cannot exceed 23 hours in a day. Licensee states that she will care for children infant-13 years of age.

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 three bedrooms and two restrooms. Areas that the children will use include living room, one bedroom/day care room, one bathroom, dining room, kitchen and back yard. Off limit areas include, two bedrooms, one restroom, and front yard. Rooms are made inaccessible with a lock. The Licensee understands that licensing staff may have access to off-limit areas during inspection visit if necessary. Individuals in the home have been discussed and noted.

Areas that will be used by children were inspected for safety, comfort, cleanliness. LPA observed equipment, toys and age appropriate material for children in the main care areas. LPA observed operable telephone service via cell phone. Detergents and cleaning compounds that can pose a danger to children are made inaccessible, and are stored in a locked hallway closet which is off limits to the children in care.

Medication and knives are stored in a locked kitchen cabinet. LPA did not observe hazardous items in the kitchen. The Licensee was advised that any poisons must be locked, not only inaccessible. Children will nap on mats in the living room.

Per Licensee, there are no firearms or weapons stored in the home.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2023
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: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400778
VISIT DATE: 03/22/2023
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LPA observed that the Licensee has a 3A10 BC fire extinguisher in the home that was purchased on 1/12/23. Smoke/carbon monoxide detector was tested and is operable.

The Licensee states that she will provide food for children in care. LPA reminded Licensee that any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated. Licensee was reminded that they shall be present in the home and ensure children are supervised at all times. If Licensee temporarily leaves the home they must ensure a substitute adult with required training and documents supervise the children in their absence.

The Licensee has completed the required Health and Safety Training, Pediatric First Aid and CPR and Mandated Reporter Training. Licensee has proof of immunization against measles, pertussis and flu declination on file.

Licensee states that they do not have any infants in care at this time. LPA did observe a play yard in the main play room area. LPA informed Licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months and 15 minute sleep check documentation for infants 0-24 months.

Outdoor play area is located in the backyard that includes the side yard/driveway and the patio. LPA observed that the backyard is fenced and free of hazards. The outdoor play area has equipment, toys and age appropriate material for children. LPA did not observe any pool, spas or bodies of water on the premises.

Isolation area for sick children waiting to pick up by a parent will be located in the living room, away from other children. Capacity and ratio regulations was discussed with Licensee during inspection.

Licensee 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
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: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400778
VISIT DATE: 03/22/2023
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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 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 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.

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

Once licensed, the Licensee is required to adhere to the terms and limitation as stated on the license. Exit interview was conducted with Licensee Mayra Ordaz. A copy of this report and all other Licensing reports must be made available to the public for 3 years.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC809 (FAS) - (06/04)
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