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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417734
Report Date: 07/18/2024
Date Signed: 07/18/2024 03:41:46 PM

Document Has Been Signed on 07/18/2024 03:41 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
197417734
ADMINISTRATOR/
DIRECTOR:		RODRIGUEZ, RIKIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 291-6178
CITY:TORRANCESTATE: CAZIP CODE:
90504
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
07/18/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Riki RodriguezTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On July 18, 2024, Licensing Program Analysts (LPAs), Veronica Wheatley and Tyra Chavies conducted an Annual Inspection and was met by Licensee Riki Rodriguez. The licensee is operating days and hours of operation are Monday through Friday, 7:00am to 6:00pm. Parents and children enter through the front door.
LPAs toured the home and a census was taken. LPAs observed 10 day care children present today. Capacity as specified on the license is being maintained. Current facility sketch reviewed and confirmed that bedroom 1 and 2 on the first floor, the living room and dining room are used for providing care to children. All upstairs rooms are off-limits and made inaccessible. Detergents, and cleaning solutions are made inaccessible. There is a working fire extinguisher, smoke detector, carbon monoxide detector (dual) and adequate heating and air condition for safety and comfort. There are stairs in the home. The home has a fireplace which is barricaded. Safe toys and play equipment are observed. Bedding is kept separate and laundered by the licensee weekly. The home has working telephone service and LPAs confirmed the phone number.. LPAs observed a children's roster.

LPAs discussed Safe Sleep Regulations with licensee. Cribs and play yards will be kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. LPAs observe one infant on the premises.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197417734
VISIT DATE: 07/18/2024
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LPA reviewed children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training expired 7/2026. Licensee’s pediatric CPR/First Aid expires September 2025. A review of records indicates that all employees and/or volunteers do have immunization records on file for influenza, pertussis and measles.

The children play in the backyard which is fenced. LPAs observed several age appropriate toys and equipment. LPA did not observe any bodies of water. There are three dogs on the premises which are kept inaccessible to children. Licensee states there are no firearms on the premises.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm. LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, there are no deficiencies cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Exit interview conducted. A copy of the report provided to the licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC809 (FAS) - (06/04)
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