334843056-1-7-2025-09-CC-TDIP-DCQ37Y-20250107170039

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334843056
Report Date: 01/07/2025
Date Signed: 01/07/2025 05:01:09 PM

Document Has Been Signed on 01/07/2025 05:01 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	FELIX FAMILY CHILD CARE		FACILITY NUMBER:	334843056
ADMINISTRATOR/ DIRECTOR:	LOURDES FELIX		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 941-8580
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92507
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 4	DATE:	01/07/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Lourdes Felix		TIME VISIT/ INSPECTION COMPLETED:	05:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 01/07/2025 at 1:30 PM, Licensing Program Analysts (LPAs) Tiffanie Diep and Laura Mejorado arrived at the facility to conduct an annual inspection. LPAs toured inside and outside of the home, reviewed records, and observed and/or discussed the following: Licensee Lourdes Felix’s primary language is Spanish and LPA Laura Mejorado assisted with translation during the inspection. Licensee’s assistant (S2) was also present during the inspection. Normal days and hours of operation are Monday through Saturday from 4:00 AM to 2:00 AM. Per Licensee’s request, the off-limits areas will now include: the bedroom next to the front entrance, bedroom behind the bathroom, and backyard. The facility was operating within the licensed capacity and appropriate ratios. Appropriate supervision was provided during the inspection. A working telephone was present with current number on file. An appropriate fire extinguisher was present (2A10BC). A functioning dual smoke detector and carbon monoxide detector were present and tested by Licensee during the inspection. There is no fireplace in the home. All hazardous items were not stored inaccessible to children. LPAs observed multiple lotions and medicines in a drawer accessible to children and not latched in the on-limits bedroom. LPAs also observed multiple cleaning compounds in a cabinet that was accessible to children and not latched in the laundry room. Licensee placed the items in areas inaccessible to children during the visit. LPAs discussed the requirement to take safety precautions to ensure the home is safe. Toxins were locked. Continues on LIC 809-C

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

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 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FELIX FAMILY CHILD CARE	FACILITY NUMBER: 334843056
	VISIT DATE: 01/07/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC 809 (Page 2)

There are no weapons present in the home per Licensee. Licensee understands all firearms, weapons, and ammunition must be locked separately and made inaccessible to children in care according to Title 22 Regulations.
Facility is a one-story home.
Verification of control of property on file (Property Tax Bill).
Facility sketches, Emergency Disaster Plan (LIC 610A), Earthquake Preparedness Checklist (LIC 9148), and Notification of Parents' Rights poster (PUB 394) were posted.
Preventive health and safety trainings were completed on 09/08/2014 and 03/27/2021.
Pediatric CPR and first aid certification expires on 03/20/2025.
Mandated Reporter Training certificate expires on 03/21/2025.
Licensee confirmed there are no accessible bodies of water on the premises at this time. Licensee understands all bodies of water, including in-ground and above-ground pools, hot tubs, spas, and ponds, must be inaccessible to children in care and be properly covered or fenced according to Title 22 Regulations. The Department must be notified prior to installation of these and similar bodies of water. LPA referred Licensee to the Department website for new pool safety requirements effective January 1, 2025: Child Care Provider Webinar 2024 Q4.
Clean, safe, and age-appropriate toys were present in the living room.
Upon entry into the facility, LPAs observed a child (C1) sleeping in a bouncer. Per Licensee, the bouncer was requested to be used and provided by C1’s parent. C1 woke up shortly after LPAs’ arrival and S2 removed C1 from the bouncer. LPAs discussed with Licensee that baby walkers, bouncers, jumpers, and similar items are not permitted in the facility. Licensee placed the bouncer in an off-limits area during the visit and stated they will return the bouncer to C1’s parent. Licensee provided a written statement acknowledging their understanding during the visit.
A current roster of children was on file.
Documentation of fire and disaster drills was on file; last drill was conducted on 10/07/2024.
Children’s records were not complete. LPAs did not observe completed Individual Infant Sleeping Plan (LIC 9227) for one out of one infant present. LPA provided a copy of the LIC 9227 form for infants under 12 months.
Staff records were complete.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

LIC809 (FAS) - (06/04)

Page: 2 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FELIX FAMILY CHILD CARE	FACILITY NUMBER: 334843056
	VISIT DATE: 01/07/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC 809-C (Page 3)

Licensee was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting e-mail at UnusualIncidentReportsDO09@dss.ca.gov.
Licensee can submit transfer forms to associate new individuals or to disassociate someone from their facility via e-mail to Associations_Disassociations862@dss.ca.gov.
The Duty Officer is available to answer questions Monday through Friday from 8:00 AM to 5:00 PM at (951) 782-4200.
Resident and/or staff records reviewed during today’s inspection indicate that all adults who require caregiver background checks have received all required clearances or exemptions.

Licensee was reminded that all adults 18 and over living or working in the home, 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 five 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.

LPAs 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 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.

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 https://www.ada.gov/resources/child-care-centers/.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

LIC809 (FAS) - (06/04)

Page: 3 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FELIX FAMILY CHILD CARE	FACILITY NUMBER: 334843056
	VISIT DATE: 01/07/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC 809-C (Page 4)

To improve the quality and value of the new inspection process, a survey may be sent to the e-mail address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE Tool, please send e-mail inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. Licensee 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.

See attached LIC 9102 for advisory note. Based on LPAs’ observations, interview conducted, and records reviewed, deficiencies are being cited on the attached LIC 809-D. LPAs Tiffanie Diep and Laura Mejorado informed the licensee, Lourdes Felix, that this report dated 01/07/2025 documents two Type A citations which shall be posted for 30 consecutive days as there were immediate risks to the safety of children in care.

Also, LPAs informed Licensee to provide a copy of this licensing report dated 01/07/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgment of Receipt of Licensing Reports (LIC 9224), or other written statement, must be placed in the child’s file for verification.

An exit interview was conducted and report was reviewed with the licensee, Lourdes Felix. During the exit interview, Licensee confirmed that there are no registered sex offenders (RSO) living in the facility and LPAs completed the RSO profile in the Field Automation System. A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. A copy of Appeal Rights (LIC 9058) in Spanish was provided to Licensee.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

LIC809 (FAS) - (06/04)

Page: 4 of 6

Document Has Been Signed on 01/07/2025 05:01 PM - It Cannot Be Edited

Created By: Tiffanie Diep On 01/07/2025 at 04:14 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FELIX FAMILY CHILD CARE	FACILITY NUMBER: 334843056
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/07/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(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. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations, the licensee did not comply with the section cited above as licensee did not ensure multiple hazardous items, including lotions, medicines, and cleaning compounds, were inaccessible to children which poses an immediate safety risk to children in care. The lotions and medicines were located in a drawer that was not latched. The cleaning compounds were located in a cabinet that was not latched.
	POC Due Date: 01/08/2025
	Plan of Correction
1 2 3 4	LPAs discussed the requirement to take safety precautions to ensure the home is safe. Licensee placed the items in areas inaccessible to children during the visit.

Type A

Section Cited

CCR

102417(g)(10)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) 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(b) and (c). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations and interview conducted, the licensee did not comply with the section cited above as LPAs observed a child (C1) sleeping in a bouncer upon entry into the facility which was requested to be used and provided by C1’s parent. This poses an immediate safety risk to children in care.
	POC Due Date: 01/08/2025
	Plan of Correction
1 2 3 4	LPAs discussed with Licensee that baby walkers, bouncers, jumpers, and similar items are not permitted in the facility. Licensee’s assistant (S2) removed C1 from the bouncer and Licensee placed the bouncer in an off-limits area during the visit. Licensee stated they will return the bouncer to C1’s parent and provided a written statement acknowledging their understanding during the visit.

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:

Ana Noble

LICENSING EVALUATOR NAME:

Tiffanie Diep

LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025

LIC809 (FAS) - (06/04)

Page: 5 of 6