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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700345
Report Date: 08/27/2024
Date Signed: 08/27/2024 12:24:36 PM

Document Has Been Signed on 08/27/2024 12:24 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:OLVERA FAMILY CHILD CAREFACILITY NUMBER:
367700345
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
08/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Cindy OlveraTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
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Licensing Program Analyst (LPA) Babatunde Ibitoye made an unannounced visit to the Olvera Family Child Care Home to conduct an Increase in the Capacity inspection. LPA met with Licensee Cindy Olvera. During the visit, LPA toured the home and grounds accessible to daycare children.Upon arrival, LPA observed four children in care with the Licensee and 2 staff,Days/hours of operation Monday through Sunday 23 hours. Currently residing in the home is the Licensee, licensee mom,two adult family member) and three minor children . Main care is provided in the living room (upon entry) ,Family room, infant care in (bonus room) ,bathroom #1 and backyard. The off-limit areas include Upstairs: Bedroom #1, Bedroom #2, Bedroom #3, Bedroom #4 (Master), Bathroom #2, Bathroom #3, Downstairs: Kitchen, Garage. LPA observed stairs are gated. Garage has a safety knob.

Daycare equipment was evaluated. There are no "bodies of water" or firearms in this home. Operable 2A10BC fire extinguisher, smoke alarm, and carbon monoxide detector are operable and in place. Central heat and air are available. LPA observed safe toys, safe indoor and outdoor play areas, and child safety plugs in unused electrical outlets. The home was inspected inside and out for safety, comfort, and cleanliness.The fireplace was observed in the family room and is covered with glass and safety latch.

Pets: Per the licensee, there are two dogs in the home in the cage- off-limit Inaccessible to day-care children.

The licensee was informed that in the future if any other adult moves in and lives in this home they must be live scan cleared and TB cleared. The assistant providing care/supervision also needed to be fingerprinted and cleared, TB cleared, immunized against influenza, pertussis, and measles, and complete the online mandated reporter training. The licensee has current CPR and First Aid Training with an expiration date of 08/27/2025 and the Mandated Reporter expires 03/26/2025. LPA discussed the practice of fire drills at least every 6 months, and documented the time and who was present. The licensee documented fire drill was conducted on 08/02/2024. Fire clearance was granted for 14 children with large capacity on 08/16/2024.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: OLVERA FAMILY CHILD CARE
FACILITY NUMBER: 367700345
VISIT DATE: 08/27/2024
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Incidental Medical Services (IMS) policy was discussed. 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 the 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 the licensee and also instructed the Licensee to visit 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.

The license advised of the requirement to report Unusual Incidents. The licensee was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of the family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

Prior to making alterations or additions to a family childcare home or grounds, the Licensee shall notify the Department of the proposed change, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "childcare" room; Room additions to the family child care home. Any change from an area of the family childcare home previously identified as "off limits" to an area where care and supervision will be provided to children in care. The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition, or construction.

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: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: OLVERA FAMILY CHILD CARE
FACILITY NUMBER: 367700345
VISIT DATE: 08/27/2024
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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-care-licensing/subscribe and select the Child Care option to receive email communication

Per the licensee, transportation is being provided for children. LPA observes the licensee’s valid California driver’s license with an expiration date of 07-21-2026, vehicle insurance with an expiration date of 01-07-2025, and vehicle registration with an expiration date of 05-25-2025.

This home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of the California Code of Regulations.

An exit interview was conducted, and a copy of this report was reviewed and provided to the licensee Cindy Olvera.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
LIC809 (FAS) - (06/04)
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