197419789-2-12-2024-30-CC-SGAA-D2DVEL-20240212152230

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419789
Report Date: 02/12/2024
Date Signed: 02/12/2024 03:22:52 PM

Document Has Been Signed on 02/12/2024 03:22 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	ALVARADO FAMILY CHILD CARE		FACILITY NUMBER:	197419789
ADMINISTRATOR:	ALVARADO, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 650-0505
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90731
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 3	DATE:	02/12/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Licensee, Maria Alvarado		TIME COMPLETED:	03:45 PM

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On 02/12/2024 at 12:30pm, Licensing Program Analyst (LPA), Sarah Garcia conducted an unannounced Required Inspection at the above-mentioned facility. LPA was greeted by licensee, Maria Alvarado. During the initial inspection, LPA observed 3 children in care. Facility operates 23 hours a day, Sunday through Saturday from 12:00 a.m. to 11:00 p.m. Currently licensee is available to care for children 0 to 12 years old. Facility is Large Family Child Care Home with a max capacity of 14. Licensee provides transportation to children. LPA obtained a copy of licensee's driver's license. At around 2:00pm, an assistant arrived at the facility. All adults are fingerprint cleared.

LPA toured the home inside and outside. This is a one story, four bedroom, two and a half bathroom home with kitchen/dining, living room, and a detached garage. Licensee confirmed the following areas are designated for day care only: Living room, two and a half bathrooms, and bedroom #3, bedroom #4, and outdoor area. LPA inspected the living room and observed the space to be clean and orderly. LPA observed a screened wall heater. LPA observed one play yard and cots to utilize for sleeping children. LPA observed an infant asleep in a play yard. LPA observed blankets in the infant's play yard. LPA advised licensee that the crib shall be free from loose articles and objects. LPA observed licensee remove blankets from infant's play yard. LPA observed age-appropriate toys, materials, children's tables and books. LPA inspected the half bathroom near the living room and did not observe any medications, toxins or cleaning compounds accessible to the children in care. LPA inspected bedroom #3 and observed the space to be clean and orderly. LPA observed age-appropriate toys, materials, and cots. LPA inspected bedroom #4 and observed the space to be clean and orderly. LPA observed a bathroom in bedroom #4. LPA inspected the bathroom #2 and did not observe any poisons, detergents, cleaning compounds, medications and other items which can pose a risk to children in care. LPA observed a sliding door in bedroom #4 used to access the outdoor area. LPA inspected the kitchen and observed the knives and sharp objects to be out of reach to the children. LPA observed the poisons, detergents, cleaning compounds, medications and other items which can pose a risk to children in care made inaccessible in the top kitchen cabinet.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALVARADO FAMILY CHILD CARE	FACILITY NUMBER: 197419789
	VISIT DATE: 02/12/2024

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The following areas are OFF LIMITS to the children in care: Bedroom #1, bedroom #2, kitchen/dining area, and detached garage. Bedroom #1 and bedroom #2 have safety door knob covers to ensure inaccessible to children in care.

LPA inspected the outdoor area and observed safe toys and play equipment. LPA observed the detached garage. LPA advised licensee that the garage shall remain locked at all times when children are in the outdoor area. The outdoor area is fenced and will be supervised at all times.

Per licensee, there are no pets in the premise. No swimming pools or bodies of water were observed in the space. There are no firearms or ammunition on the premises.

All electrical outlets were observed to be covered. LPA reminded licensee to ensure all areas that have been designated as OFF LIMITS need to have doors closed, locked, and made inaccessible when children are present.

LPA observed licensee test the carbon monoxide detector in the home. LPA observed licensee test the smoke detector in the home. One working fire extinguisher 3A40BC was observed. LPA observed first aid kit with gauze and Band-Aids. LPA advised licensee to purchase a thermometer and send a picture to LPA via email. Licensee provides meals and snacks. LPA discussed the importance of maintaining a system where allergies and food restrictions are noted.

Licensee currently does not administer medication. Adequate ventilation for safety and comfort were observed in the space. The home has working telephone service and LPA confirmed the phone number (310) 650-0505.

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.

Capacity as specified on the license is being maintained during today’s inspection.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALVARADO FAMILY CHILD CARE	FACILITY NUMBER: 197419789
	VISIT DATE: 02/12/2024

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LPA reviewed 2 children’s files and observed files to be incomplete. LPA advised licensee to obtain complete children's files before enrollment. LPA observed the earthquake and fire drill log. LPA discussed all necessary forms needed in each children’s file and provided licensee with the LIC 311D- Records to be maintain in the facility and provided licensee with a current copy to use as a reference when auditing files.

LPA reviewed licensee's Pediatric CPR and first aid and observed certification with an expiration date of 08/2024. LPA reviewed Mandated Reporter certificate and observed certification with an expiration date of 10/2024.

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.

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.

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)/ (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/.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALVARADO FAMILY CHILD CARE	FACILITY NUMBER: 197419789
	VISIT DATE: 02/12/2024

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Licensee was informed of the MyChildCarePlan.org website; 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.

During the exit interview, the LICENSEE Maria Alvarado, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809D) Licensee was provided with a copy of appeal rights.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report along with appeal rights was reviewed with the licensee, Maria Alvarado.

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/inspection-process.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/12/2024 03:22 PM - It Cannot Be Edited

Created By: Sarah Garcia On 02/12/2024 at 02:56 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALVARADO FAMILY CHILD CARE	FACILITY NUMBER: 197419789
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/12/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above, licensee did not have immunizations (measles, pertussis, influenza) on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/19/2024
	Plan of Correction
1 2 3 4	Licensee will obtain an immunization record (measles, pertussis, influenza) and send to LPA email at sarah.garcia@dss.ca.gov by 5pm on 02/19/2024.

Type B

Section Cited

CCR

102421(b)

Child's Records

(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above, 1 out of 2 children's files did not have immunization record and emergency information (LIC 700) which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/19/2024
	Plan of Correction
1 2 3 4	Licensee will obtain children's immunization record and emergency information (LIC 700) and send to LPA email at sarah.garcia@dss.ca.gov by 5pm on 02/19/2024.

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:

Maureen Neal

LICENSING EVALUATOR NAME:

Sarah Garcia

LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024

LIC809 (FAS) - (06/04)

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