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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304204556
Report Date: 10/11/2024
Date Signed: 10/11/2024 01:17:00 PM

Document Has Been Signed on 10/11/2024 01:17 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:GUDINO, ALICIA & GUDINO, ESTHERFACILITY NUMBER:
304204556
ADMINISTRATOR/
DIRECTOR:		GUDINO, ALICIA & ESTHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 873-6569
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
10/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:24 PM
MET WITH:Esther GudinoTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 10/11/2024, Licensing Program Analyst (LPA) A. Silva conducted a Case Management – Deficiencies visit. Upon arrival, the LPA met with licensee Esther Gudino. An on-site Facility Personnel Report Summary review indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Census was 4 children. The facility was operating within ratios and capacity.

During the tour, the LPA observed one infant (C1) sleeping in the bedroom with the door closed. The licensee was informed that according to 102425(j)(5)(A) Infant Safe Sleep the provider shall supervise infants while they are sleeping and adhere to the following requirements: (5) If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times. (A) The provider shall be able to visually observe the infant without moving the door.

During the visit, the LPA observed a saucer chair and a rocking chair in the daycare area. The licensee was informed that according to CCR 102417(g)(10) Operation of A Family Child Care Home, A baby walker (and similar items like saucer chair and rocking chairs) shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846. The licensee removed the articles from the daycare area. The licensee stated the parent brought the saucer chair for C2.

The facility was not in compliance. Deficiencies of the CCR Title 22 regulations were observed and cited during the visit, including: 102417(g)(10) Operation of A Family Child Care Home and 102425(j)(5)(A) Infant Safe Sleep.

Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with the daycare representative.

END.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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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Document Has Been Signed on 10/11/2024 01:17 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 10/11/2024 at 12:38 PM
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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GUDINO, ALICIA & GUDINO, ESTHER
FACILITY NUMBER: 304204556

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2024
Section Cited
CCR
102425(j)(5)(A)

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102425(j)(5)(A) Infant Safe Sleep, If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times. (A) The provider shall be able to visually observe the infant without moving the door. This regulation was not met:
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The licensee stated she will keep the door open to ensure she can visually supervise the child. The licensee will send a declaration to the LPA by the due date.
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Based on observation, the licensee did not meet the regulation for infant C1; C1 was sleeping in a separate room with the door closed. This poses a potential risk to the health and safety of children in care.
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Type B
10/11/2024
Section Cited
CCR102417(g)(10)

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102417(g)(10) Operation of A Family Child Care Home. A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846.
This requirement was not met as evidenced by:
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The licensee removed the saucer chair and rocking chair from the daycare area. The licensee stated she would return the saucer chair and the stop using the rocking chair for daycare children. The licensee will send a declaration to the LPA by the due date.
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Based on observation and interview, the licensee did not meet the requirement above for two prohibited items; the licensee had a saucer chair and a rocking chair in the daycare are. License stated C2's parent brought it.
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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:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2024


LIC809 (FAS) - (06/04)
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