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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192004394
Report Date: 09/15/2023
Date Signed: 09/15/2023 01:44:46 PM

Document Has Been Signed on 09/15/2023 01:44 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LOZA & RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
192004394
ADMINISTRATOR:LOZA, G. & RODRIGUEZ, A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 587-2041
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
09/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gloria Loza, LicenseeTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted a Required Annual Inspection in Spanish on this date. LPA met with Gloria Loza, Licensee, who provided tour of facility. LPA explained the purpose of inspection and provided the inspection Entrance Checklist, LIC 126. LPA inspected rooms/areas on the facility sketch in which child-care services are provided and to which children have access, as well as off limit.

Per licensee the hours of operation are Monday-Sunday 6:35am - 12:30am. Licensee offers overnight care, and understands that care should not be provided for more that 24 hours at a time.

There was on (1) child present. Also present was Alejandro Rodriguez, co-licensee and Alejandra Hogan, Assistant. All adults present have been cleared and associated to the license. Individuals residing in the home were discussed and noted.


This is a one story home that consists of 2 bedrooms and 2 bathrooms. There is detached unit in the back yard of the home, that is used as laundry and storage room.

Per licensee, the areas used by children include: Living room, dining room, kitchen, den, 2 bedrooms, bedrooms, two bathrooms, front and backyard.

Off limit areas are: Backyard detached unit.

LPA observed the facility license posted in the living room. Publication (PUB) 394- Notification of Parent Rights and Licensing Form


LPA reviewed children and staff files. There is a functional Smoke and carbon monoxide detector, the fire extinguisher has purchase receipt for 8/31/23.
LPA discussed transportation safety, supervision while away from the facility on field trips, reporting requirements. The licensee has a large breed dog that is maintained in off limits detached unit. LPA discussed taking precautions if/when family pet interacts with children in care.
---Page 1 – Report Continues
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2023
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LOZA & RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 192004394
VISIT DATE: 09/15/2023
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The licensee is caring for one (1) infant over 12 months. LPA 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.
The facility does not care for children requiring Incidental Medical Services (IMS). LPA discussed COVID precautions and best practices.

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 5 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.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies were cited during inspection visit.

During the exit interview, Licensee Gloria Loza, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
LIC809 (FAS) - (06/04)
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