198008778-8-17-2023-54-CC-RDEO-CUSMG3-20230817093517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198008778
Report Date: 07/06/2023
Date Signed: 08/17/2023 09:46:20 AM

Document Has Been Signed on 08/17/2023 09:46 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MURILLO FAMILY CHILD CARE		FACILITY NUMBER:	198008778
ADMINISTRATOR:	MURILLO, MELISSA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 562-1158
CITY:	MAYWOOD	STATE: CA	ZIP CODE:	90270
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 10	CENSUS: 8	DATE:	07/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Licensee - Melissa Murrillo		TIME COMPLETED:	12:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) R. Derraco conducted an unannounced required one year inspection to the above facility on 07/06/23. LPA arrived at 9:15 AM and met with licensee Melissa Murillo, who guided analyst on a tour of the facility. Also present during this inspection were 2 adults and 1 teenager. Per Licensee, there are 10 children that are currently enrolled. There were 7 children present upon arrival. LPA observed 1 child being dropped off for care at 11 :20 AM. This is a two-story home which consists of 3 bedrooms, 2 bathrooms, kitchen/dining room, living room, garage, front yard (fenced) and backyard. The off limit areas include 2 bedrooms, 1 bathroom, kitchen, backyard area, and garage. The main care area is located in the bedroom 1. LPA observed age appropriate toys, sleeping mats, a wooden cubby locker for children's personal belongings, a window mounted air conditioning unit, a wall mounted television, child sized tables, child sized chairs, and a Graco Playpen. The bathroom was observed to be sanitary with an operable sink, faucet and toilet. The living room was observed to have a couch, a first aid kit, a wall mounted television, and another Graco Pack and Play playpen. Emergency Disaster Plan, Parent's Rights Poster and the Facility License were observed to be posted in the main care area. Per licensee, isolation area for children showing signs of illness will be located in the living room while the child awaits parent pick up. The dining room was observed with a dining table and chairs. The licensee states that she provides food for children in care. LPA observed a mesh tension children's gate at the entrance of the kitchen, making it inaccessible to children in care. Per licensee cleaning supplies are kept locked beneath the off-limits kitchen sink. Another children's tension gate was observed at the entrance of the stairway making the 2nd floor inaccessible to children in care. The front yard was observed with perimeter fencing, outdoor play equipment and additional age appropriate toys. LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs. No bodies of water were observed in the back yard play area. Per licensee, she owns one pet dog that is kept in the off-limits backyard area. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes (page 1 of 3)

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

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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Document Has Been Signed on 08/17/2023 09:46 AM - It Cannot Be Edited

Created By: Randy Derraco On 08/17/2023 at 08:48 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MURILLO FAMILY CHILD CARE	FACILITY NUMBER: 198008778
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/06/2023

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 and record review, the licensee did not renew mandated reporter training since 2019 which poses a potential Health, safety and/or personal rights risk to persons in care.
	POC Due Date: 07/15/2023
	Plan of Correction
1 2 3 4	Licensee states she will email LPA a copy of the completed training certificate.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Karen Chambers

LICENSING EVALUATOR NAME:

Randy Derraco

LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

LIC809 (FAS) - (06/04)

Page: 2 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MURILLO FAMILY CHILD CARE	FACILITY NUMBER: 198008778
	VISIT DATE: 07/06/2023

NARRATIVE

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in the home.

Individuals who reside in the home were noted and discussed. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a land line. LPA observed window mounted air conditioning units throughout the home. Per licensee, the home is equipped with central heating. Day care area was observed with safe toys, play equipment and materials. Licensee states that there are no firearms stored in the home. The licensee understands that storage areas for poisons must be locked, not just inaccessible. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced and was purchased on 06/26/22, as indicated on receipt. LPA advised licensee to either purchase a new fire extinguisher or service the existing fire extinguisher annually. Smoke and carbon monoxide detectors were tested and are operable.

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-an<'.l-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 licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licen􀀱ee's Pediatric First Aid and CPR expires in 05/2025. LPA observed that the Licensee and assistants do not have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. Licensee states that she forgot to renew the training. LPA advised licensee that a citation under Health and Safety Code Section 1596.8662 will be issued. File review was observed to have proper
(page 2 of 3)

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

LIC809 (FAS) - (06/04)

Page: 8 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MURILLO FAMILY CHILD CARE	FACILITY NUMBER: 198008778
	VISIT DATE: 07/06/2023

NARRATIVE

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mandated immunization records. Children's records were reviewed, including emergency information and were observed to be complete. A current children's roster was available for review.

Incidental Medical Services (IMS):
IMS was discussed with licensee. Per licensee, there are no children enrolled that require IMS at this time. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.cdss.ca.gov. LPA also discussed and provided the following documentation:
PIN 20-24-CCP - Recently Approved Safe Sleep Regulations in Effect
UC 9227 - Individual Infant Sleep Plan
Infant sleep chart
LPA advised licensee that infant sleep chart is not a resource and is not available on the department's website.

The following deficiencies listed on the attached UC 809 (deficiency page) are being cited in accordance with Health and Safety Code and the California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children's health & safety.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Melissa Murillo.

(page 3 of 3)

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

LIC809 (FAS) - (06/04)

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