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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017254
Report Date: 02/02/2023
Date Signed: 02/02/2023 05:47:29 PM

Document Has Been Signed on 02/02/2023 05:47 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:TOMAS FAMILY CHILD CAREFACILITY NUMBER:
198017254
ADMINISTRATOR:TOMAS, FRANCISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 927-4853
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
02/02/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:53 PM
MET WITH:Francis Tomas, LicenseeTIME COMPLETED:
06:00 PM
NARRATIVE
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This inspection was conducted in Spanish---
Licensing Program Analyst (LPA) Alicia Mooberry conducted a Required Annual Inspection on this date. LPA arrived at the facility at 2:53pm and met with Francis Tomas, Licensee. LPA explained the purpose of the inspection toand 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. There were 6 children present including 2 infants. Also present was Sandra Padilla, Assistant. As well as Julian Tomas and Julie Tomas. All adults present have obtained background clearance and are associated to the facility.
At 2:59 pm LPA observed there was a can of Raid at the entrance to the kitchen, accessible to children in care (photo taken) this poses an immediate risk to the health and safety of children in care. Licensee removed the can of Raid and placed it in the locked garage. Per Licensee the hours of operation are 24 hours 7 days a week. Currently children are in care from 7:30am-12:30am Monday - Sunday. LPA discussed with Licensee overnight care regulations.

This is a one-story home which consists of 3 bedrooms, 2 1/2 bathrooms, living room, kitchen, and detached garage converted into a storage room. Child care conducted in living room. Children do have access to the kitchen and 1/2 bathroom located by the living room.

Areas off limits include: 3 bedrooms, 2 bathrooms in the bedrooms, and garage (adjacent to the children's play yard).

Per CCL records, licensee has two handguns in secured location in the home. On today's visit, Licensee was unable to locate the two (2) firearms. LPA toured Licensee's bedroom and observed as licensee attempted to locate the firearms. Licensee stated they are unable to find them. At 4:28pm LPA observed as licensee went to the locked garage and brought out one (1) firearm wrapped in a towel (photo taken). Licensee confirmed that the firearm was stored in the locked garage wrapped in a towel. Licensee placed the firearm in the garage and locked it. The second firearm could not be located. This poses an immediate risk to the health and safety of children in care. Page 1 - Report Continued

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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 4
Document Has Been Signed on 02/02/2023 05:47 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 02/02/2023 at 04:41 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: TOMAS FAMILY CHILD CARE

FACILITY NUMBER: 198017254

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above due to can of raid was on a table in the kitchen accessible to children in care which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/02/2023
Plan of Correction
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Licensee removed the can of raid and placed it in the locked garage. Deficiency was corrected during visit.
Type A
Section Cited
CCR
102417(g)(4)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in 2 out of the 2 firearms in the facility are unsecured which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/03/2023
Plan of Correction
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Licensee secured one out of two firearms. Per licensee, they will locate the second firearms and turn both firarms in to be destroyed. Proof of correction will be sent to the department by POC due date (withing 24 hours)
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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 02/02/2023 05:47 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 02/02/2023 at 04:41 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: TOMAS FAMILY CHILD CARE

FACILITY NUMBER: 198017254

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
Plan of Correction
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Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023


LIC809 (FAS) - (06/04)
Page: 3 of 4
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: TOMAS FAMILY CHILD CARE
FACILITY NUMBER: 198017254
VISIT DATE: 02/02/2023
NARRATIVE
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Per licensee, they will locate the firearms and turn them in to be destroyed. Deficiencies Cited that pose an immediate risk to children in care need to be corrected within 24 hours to ensure to health and safety of children in care,

Due to time constraints, this inspection will be continued at a later date. Deficiencies observed during this inspection will be cited at that time.

Exit interview conducted with Francis Tomas Appeal right explained.

LIC 9224 and Notice of Site visit provided

----End of Report
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4