364845388-5-1-2023-09-CC-DBRL-CRETCL-20230501143656

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364845388
Report Date: 05/01/2023
Date Signed: 05/01/2023 02:37:09 PM

Document Has Been Signed on 05/01/2023 02:37 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	ALVIAR FAMILY CHILD CARE		FACILITY NUMBER:	364845388
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 4	DATE:	05/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Laura Alviar		TIME COMPLETED:	02:40 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 the above noted date and time Licensing Program Analyst (LPA) Diana Brasel arrived at the facility to conduct an annual 1 year inspection. LPA was granted entry by Licensee, Laura Alviar. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: Normal days and hours of operation are: Monday- Friday 6:00 am - 8:00 pm OFF-LIMIT AREAS INCLUDE: The front two bedrooms, master bed, master bath, laundry room, and the garage. Currently the licensee is not using outside front, back or side concrete area for outdoor play. There are no bodies of water or immediate risks. The licensee will provide pictures and updated outdoor facility sketch prior to using the concrete side or back portion of the facility. LPA discussed with the licensee if the side yard is being used for outdoor play there shall be no vehicles parked in the space. · The inspection consisted of reviews of the following domains: Physical Plant Care and Supervision Records Facility Administration Staffing Ratio and Capacity Personal Rights · The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. Deficiencies cited this visit. · The facility is operating within the licensed capacity and appropriate ratios · The Licensee is present in the home and has ensured that children in care are supervised. ·When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ALVIAR FAMILY CHILD CARE	FACILITY NUMBER: 364845388
	VISIT DATE: 05/01/2023

NARRATIVE

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· A working telephone is present.
· Appropriate fire extinguisher, smoke detector and carbon monoxide detector are present and were
tested by the Licensee during this inspection. · All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications
and other items which could pose a danger to children.· Storage of poisons is inaccessible to
children and locked
· The fireplace is located in the front of the home which is the living room area now being used as a
off limits bedroom.
· Weapons present as stated by the Licensee. Licensee understands all guns, weapons
and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Home is clean and orderly, with heating and ventilation for safety and comfort
· Safe and appropriate toys and equipment are present for indoor activities. Currently not doing
outdoor play.
· The facility is fenced and the dogs have their own fenced area.
· Verification of control of property on file
· Pediatric CPR and First Aid Card expired on 01/09/2023, see LIC 809D
Health & Safety Certificate - completed on 10/26/2018. Mandated reporter: General: The licensee will provided a completed Certificate for the General training course. Child Care Expired: 04/06/2023 The licensee current certificates within 10 days. Documentation of fire & earthquake drills to be conducted every six months: Last drill on 10/26/22. The licensee will conduct a fire/disaster drill this week and submit proof of completion. Advisory notice given.
· There are no bodies of water, at this time. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Clean, safe and age appropriate toys
· Each child’s file contains a copy of the emergency information card with required information
NOT PROVIDING IMS continued on LIC 809C----

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ALVIAR FAMILY CHILD CARE	FACILITY NUMBER: 364845388
	VISIT DATE: 05/01/2023

NARRATIVE

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·For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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
· Licensee was reminded that all adults 18 and over living or working in the home, 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.
· LPA discussed the safe sleep regulations with licensee, discussed and printed 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.
· To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
· Please subscribe at www.childcareadvocatesprogram@dss.ca.com to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. This website can also be accessed through www.ccld.ca.gov

-continued on LIC 809C--

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/01/2023 02:37 PM - It Cannot Be Edited

Created By: Diana Brasel On 05/01/2023 at 01:46 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: ALVIAR FAMILY CHILD CARE	FACILITY NUMBER: 364845388
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's record review, the licensee did not comply with the section cited above due to the CPR and First Aid expired on 01/09/2023 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/01/2023
	Plan of Correction
1 2 3 4	The licensee has agreed to provide proof of a current EMSA approved CPR & First Aid no later than 06/01/2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Gilbert Sena

LICENSING EVALUATOR NAME:

Diana Brasel

LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ALVIAR FAMILY CHILD CARE	FACILITY NUMBER: 364845388
	VISIT DATE: 05/01/2023

NARRATIVE

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See LIC809 D for cited deficiencies.

An exit interview conducted, and appeal rights were reviewed with the licensee.

A notice of site visit was given and must remain posted for 30 days, failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA provided a blank LIC 279 for updating.

A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

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