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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198401050
Report Date: 05/21/2024
Date Signed: 05/21/2024 03:52:07 PM

Document Has Been Signed on 05/21/2024 03:52 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:QUESADA FAMILY CHILD CAREFACILITY NUMBER:
198401050
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/21/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Applicant, Yalla QuesadaTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
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On May 21, 2024 at 1:00 pm, Licensing Program Analyst (LPA) Angelica Wallin conducted an announced Pre-Licensing inspection. The purpose of the visit was to ensure that health, safety and personal rights, as required by Title 22 Regulations governing California Family Child Care Homes, will be met by applicant, Yalla Quesada. Applicant applied for a Small Family Child Care Home with maximum capacity of eight children. LPA met with applicant and was guided on a tour of the home, indoor and outdoor.

LPA discussed residents in the home. Applicant's home is a one story three-bedroom, three bathroom home with a living room, studio, dining room with laundry room area and kitchen. The primary childcare area of the home shall be in the studio as the day care room, one restroom in the studio, living room as isolation area, kitchen, dining room, front yard and back yard. Areas off limits include: three bedrooms, two bathrooms, storage shed, and left side of backyard. LPA discussed with applicant regarding securing off-limit areas. Per applicant stated all off-limit bedrooms doors are made secure via child-proof safety door knob covers and safety door knob latches. LPA observed off-limit bedrooms locked covered with child-proof safety door knob covers and safety door knob latches. LPA observed off-limit storage shed door locked with lock and key.

The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. LPA noted space with age-appropriate toys. LPA observed working smoke detector and carbon monoxide detector. During inspection, LPA observed the following two fire extinguishers: one 1A10BC and one 3A40BC. LPA informed applicant regarding Title 22 regulations regarding fire extinguishers and stated a 2A10BC fire extinguisher was needed. During inspection, LPA observed all chemicals and cleaning supplies located on high shelf in laundry room area of dining room inaccessible to children in care. LPA observed knives located in kitchen drawer with a child proof safety latch in accessible to children in care. According to the applicant, there are no weapons or firearms at the home; LPA did not observe any firearms or weapons at the time of the inspection. During inspection, LPA discussed with applicant regarding Title 22 regulations regarding fire arms, weapons and ammunition on the facility premises.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: QUESADA FAMILY CHILD CARE
FACILITY NUMBER: 198401050
VISIT DATE: 05/21/2024
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Per applicant, outdoor play to be conducted in the back yard. During inspection, LPA observed back yard to be fenced. During inspection, LPA observed the following items accessible to children in care in the backyard: a trampoline, two piles of cement sidewalk tiles, a wheelbarrow located behind locked storage shed, a few trash and recycle bins, and a generator. LPA discussed with applicant regarding on and off-limit areas of backyard. LPA advised applicant that items pose a hazard or safety risk to children in care should be made off-limits. LPA discussed with applicant Title 22 regulations regarding use of trampolines. During inspection, LPA observed a cactus plant located in the back yard with fencing barrier around it. During inspection, LPA observed a dog house located in the back yard. Per applicant, she has three dogs. During inspection, LPA observed several potholes in the grass area of the backyard. Per applicant, dogs dig holes in the grass. LPA discussed with applicant regarding concern of tripping hazard that potholes cause. LPA advised applicant that best practice is to have all pets located in off-limit areas inaccessible to children in care during operating hours. Per applicant, a fence to be placed on the left side of outdoor back yard to separate on-limits right side of backyard from off-limits left side of backyard. Per applicant, trampoline, dogs, generator, trash bins and off-limits storage shed to be located on off-limits left side of back yard. LPA advised applicant that supervision to be maintained at all times during outdoor play. LPA did not observe bodies of water on the facility.

Per applicant file review, a review of staff records indicates that applicant and one staff have the following updated documents: updated pediatric CPR/First Aid certificates with expiration date of 4/2026, updated mandated reporter certificate for licensee with expiration date of 2/2026, updated mandated reporter certificate for staff with expiration date of 3/2026, a completed health and safety orientation by licensee with lead and nutrition component dated 4/14/2024 and updated immunization records on file for measles, pertussis, influenza and TB clearance for licensee, staff and all adult residents in the home. LPA reviewed with applicant 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.

The Applicant 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: QUESADA FAMILY CHILD CARE
FACILITY NUMBER: 198401050
VISIT DATE: 05/21/2024
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The applicant provided proof of control of property via mortgage loan statement for two properties. One mortgage statement for facility address and one mortgage statement for temporary relocation address listed on LIC 610A.

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) or (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 applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

On 5/21/24, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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 platforms.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC809 (FAS) - (06/04)
Page: 3 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: QUESADA FAMILY CHILD CARE
FACILITY NUMBER: 198401050
VISIT DATE: 05/21/2024
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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-carelicensing/subscribe and select the Child Care option to receive email communication.

Applicant to address the following prior to licensure to ensure safety at all times:
· Applicant to obtain a 2A10BC fire extinguisher by 6/21/24.
· Fencing or secure barrier to be placed around on-limit areas of backyard by 6/21/24.
· Trampoline, dog house, generator, trash bins and off-limits storage shed to be located on off-limits left side of back yard by 6/21/24.
· Cement sidewalk tiles to be removed or placed securely in grass by 6/21/24.
· Pot holes in grass area of outdoor back yard to be filled by 6/21/24.

Exit interview conducted and report was reviewed with the applicant, Yalla Quesada.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4