197494628-5-8-2024-58-CC-ECAO-D53R8W-20240508124836

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494628
Report Date: 05/08/2024
Date Signed: 05/08/2024 12:48:51 PM

Document Has Been Signed on 05/08/2024 12:48 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	CHUAQUICO & SERRANO FAMILY CHILD CARE		FACILITY NUMBER:	197494628
ADMINISTRATOR/ DIRECTOR:	CHUAQUICO, VALERIE-ANN S.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 747-4568
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	05/08/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:14 AM
MET WITH:	Marwin Serrano, Licensee		TIME VISIT/ INSPECTION COMPLETED:	01:00 PM

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Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced annual required inspection to the above facility on 05/08/2024. LPA arrived at the facility at 08:14 AM, identified self and met with Marwin Serrano, Licensee, who guided analyst on a tour of the inside and outside of the facility. There were 8 children present at arrival. Also present was Staff #1 (S1). LPA provided Licensee with a copy of the LIC125 Entrance Checklist to help facilitate the inspection. Facility operation hours are Monday to Friday from 08:00 AM to 5:30 PM.

Because the licensee rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

The family child care home is a one-story dwelling, includes living room, dining room, kitchen, bonus room, 3 bedrooms, 2 bathrooms and detached garage. LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed, and Licensee confirmed that living room, dining room, bonus room, and 1 bathroom are used for providing care and are accessible to children. The children use the bathroom in the hallway near the living room and bedroom #3. Licensee stated bonus room is used for an indoor classroom, sleeping, and child care activities; dining room is used for sleeping; living room is used child care activities.

The licensee provides food for children in care. The kitchen is off-limits and made inaccessible by use of child proof locks. There is telephone service via a cellphone that is used, and the cellphone stays at the facility during operation hours

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SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHUAQUICO & SERRANO FAMILY CHILD CARE	FACILITY NUMBER: 197494628
	VISIT DATE: 05/08/2024

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Per Licensee, the areas off limits to children and parents are bedroom # 1, bedroom #2, bedroom #3, bathroom #2, and detached garage.

The outdoor area includes a fenced play area that is located behind the house, is fenced and there are no hazards to children present. LPA observed appropriate tables, chairs, toys, play equipment, and a climbing structure (secured to the ground) with flooring to absorb falls. Per the licensee, the outdoor area is set up for children to have meals and snacks.

LPA did not observe any pools, spas, hot tubs, fish ponds, or similar bodies of water during the inspection.

Per Licensee, there are no firearms or ammunition on the premises. All poisons are kept in a locked storage area located in the laundry room. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There are no pets on the premises. LPA did not observe a fireplace.

There is a working fire extinguisher, smoke detector (located in dining room), carbon monoxide detector (located in hallway) and adequate heating and ventilation for safety and comfort.

There are currently four infants in care, LPA confirmed four infants are over 18 months and currently sleep on matts in the sleeping area. 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.

Licensee was reminded that children in care are to be supervised at all times and made aware that children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

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SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHUAQUICO & SERRANO FAMILY CHILD CARE	FACILITY NUMBER: 197494628
	VISIT DATE: 05/08/2024

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Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete and documented on the LIC857.

An emergency fire/disaster drill has been completed and documented within the last 6 months on 10/13/2023. Licensee’s Mandated Reporter Training was completed on 03/11/2021 and a current Mandated Reporter Training was not readily available upon request. Licensee’s pediatric CPR/First Aid expires on 11/15/2025

There were one personnel record for LPA to review and observed file was not complete and documented on LIC859. For Staff #1 a current Pediatric CPR and First Aid Certification was not readily available upon request and a current Mandated Reporter Training Certificate was not readily available upon request.

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.

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.

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/.

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

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SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHUAQUICO & SERRANO FAMILY CHILD CARE	FACILITY NUMBER: 197494628
	VISIT DATE: 05/08/2024

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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.

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.

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.

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.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted, report and appeal rights was reviewed with the Marwin Serrano, Licensee.

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SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/08/2024 12:48 PM - It Cannot Be Edited

Created By: Elicia Calvillo On 05/08/2024 at 11:57 AM

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: CHUAQUICO & SERRANO FAMILY CHILD CARE	FACILITY NUMBER: 197494628
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. 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 in that Marwin Serrano and Staff #1 did not have a current Mandated Reporter Training Certificate readily available upon request which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/24/2024
	Plan of Correction
1 2 3 4	Licensee stated they will complete the Mandated Reporter Training and email LPA a copy of the Mandated Reporter Training Certification for Licensee and Staff #1 by the plan of correction due date 05/24/2024.

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 observation, interview, record review, the licensee did not comply with the section cited above in that Staff #1 did not have a current Pediatric CPR and First Aid certification readily available upon request which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/03/2024
	Plan of Correction
1 2 3 4	Licensee stated Staff #1 will complete Pediatric CPR and Frist Aid certification and email LPA a copy of the Pediatric CPR and First Aid certification by the plan of correction due date 06/03/2024.

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:

Raul Navarro

LICENSING EVALUATOR NAME:

Elicia Calvillo

LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC809 (FAS) - (06/04)

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