304312729-7-13-2023-06-CC-ABOI-CTPNQ9-20230713103934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304312729
Report Date: 07/13/2023
Date Signed: 07/13/2023 10:40:30 AM

Document Has Been Signed on 07/13/2023 10:40 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	GALVEZ, GLORIA		FACILITY NUMBER:	304312729
ADMINISTRATOR:	GLAVEZ, GLORIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(949) 566-4587
CITY:	ALISO VIEJO	STATE: CA	ZIP CODE:	92656
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	07/13/2023
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Gloria Galvez		TIME COMPLETED:	11:00 AM

NARRATIVE

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LPA Araceli Bootorabi and LPM Patricia Magana met with the licensee to discuss the following citations and assist the licensee in meeting the requirements of the California Code of Regulations, Title 22, Division 12. The meeting was held in Spanish, both LPA and LPM speak Spanish.

The following was discussed:

06/07/2023 – Type A - 102417(g)(4) - (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

06/07/2023 – Type B - 102425(a)(6) - (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (6) Each infant's bedding shall be used for him/her only. Bedding that touches the infant’s skin shall be cleaned at least weekly or before use by another infant.

06/07/2023 – Type B - 102425(b) - (b) Cribs or play yards shall be free from all loose articles and objects.

06/07/2023 – Type B - 102425(j) - The provider shall supervise infants while they are sleeping and adhere to the following requirements:

06/07/2023 – Type B - 102419(b) - (b) The licensee shall post the PUB 394 (8/02), Family Child Care Home Notification of Parents’ Rights Poster in a prominent, publicly accessible area in the family child care home at all times children are in care.

06/07/2023 – Type B - 102421(b) - (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GALVEZ, GLORIA	FACILITY NUMBER: 304312729
	VISIT DATE: 07/13/2023

NARRATIVE

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06/07/2023 – Type B - 102425(c) - An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

06/07/2023 – Type B - 102425(j)(2)(D) - Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:

The licensee stated the following:

Type A - 102417(g)(4) – The licensee stated that moving forward she will clean and put things away right away.

Type B - 102425(a)(6) – The licensee stated that she cleared her napping room and now every child has their own play yard and older children will be using cots for the older children.

Type B - 102425(b) – Licensee stated she will be making sure not to put items in cribs where children sleep and ensure other children do not put their personal items in cribs infants sleep in.

Type B - 102425(j) – The licensee stated she was conducting the logs but stopped. Moving forward she has a sample log and will continue to do the checks.

Type B - 102419(b) – The licensee has arranged them in a more publicly accessible area.

Type B - 102421(b) – The licensee stated when she goes to the park with children she will carry emergency cards and LIC 700 with her on her phone and have completed forms in children’s files.

Type B - 102425(c) – The licensee received a Spanish form and consultation during the office meeting to complete the form properly. The licensee will confirm the documentation is completed via email to LPA.

Type B - 102425(j)(2)(D) – The licensee stated files are in order.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GALVEZ, GLORIA	FACILITY NUMBER: 304312729
	VISIT DATE: 07/13/2023

NARRATIVE

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Child Care Licensing Program Webinars: The Child Care Licensing Program is pleased to continue offering webinars to share important information with the child care licensing community in 2023.
2023 Webinar Schedule

• Tuesday, June 27, 2023, 6:00 p.m.
• Tuesday, September 26, 2023, 6:00 p.m.
• Tuesday, December 12, 2023, 6:00 p.m.
To register for webinars, see Provider Information Notice (PIN), PIN 22-30-CCP. Providers may wish to view previously recorded webinars.
• Child Care Licensing Program Provider Webinar (Nov/Dec 2022)
• Child Care Licensing Program Provider Webinar (October 2022)
• Child Care Licensing Program Provider Webinar (September 2022)
• Child Care Licensing Program Provider Webinar (August 2022)

Licensee agreed to complete the following training and provide a training certificate to LPA in three weeks 08/03/2023

Safe Sleep Academy: https://cribsforkids.teachable.com/p/safe-sleep-ambassador/

CECO Website: https://www.caearlychildhoodonline.org/es_home.aspx

Health and Safety for Family Child Care Settings – Salud y seguridad en los entornos de cuidado infantile en el hogar (Spanish)

Health & Safety – Salud y Seguridad (Spanish)

Links were provided to licensee via email on 07/13/2023

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GALVEZ, GLORIA	FACILITY NUMBER: 304312729
	VISIT DATE: 07/13/2023

NARRATIVE

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LPM discussed Technical Support Program (TSP), and the license accepted.

LPM discussed: Webinars for DSS and Resource & Referral Agency - LPM discussed unannounced visits to ensure that the TV was corrected, and visits during the next 2 years.

Printed Resources Provided:

· LIC 311D – Forms/Records To Keep in Your Family Child Care Home (Spanish)
· Safe Sleep – Frequently Asked Questions/What Does a Safe Sleep Environment Look Like?/ Infant Safe Sleep – 102425 (Spanish)
· Child Care Licensing Program Webinars PIN 22-30-CCP
· TSP Brochure (Spanish)
· Infant Safe Sleep Log Sample (Spanish)
· Safe Sleep Regulations
· Orange County Early Care & Education Resources & Support Agencies Flier

Resources: CCLD website www.ccld.ca.gov was provided to licensees to access regulations, updates, and licensing forms.

The licensee was informed of the important updates available at www.ccld.ca.gov and may request to be added to an email list to receive Community Care Licensing Important Notifications from the above website and selecting Receive Important Updates: https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care

Other Resources:
https://www.rcocdd.com/

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

LIC809 (FAS) - (06/04)

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