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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017971
Report Date: 11/30/2022
Date Signed: 11/30/2022 04:30:09 PM

Document Has Been Signed on 11/30/2022 04:30 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:CERON FAMILY CHILD CAREFACILITY NUMBER:
198017971
ADMINISTRATOR:CERON, JUSTINO & ELVIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 581-0571
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 7DATE:
11/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Elvira Ceron, LicenseeTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Annual inspection to the above facility. This inspection was conducted in Spanish. Upon arrival LPA was met by Elvira Ceron, Licensee, observed supervising 7 napping children, 3 infants and 4 preschoolers (ages: 4, 3, 2 and 2) in living room of home. Licensee was over the licensed capacity, this poses an immediate risk to the health and safety of children in care. LPA provided the inspection Entrance Checklist, LIC 126 Licensee guided LPA on tour of the facility. Per licensee the hours of operation are Monday-Sunday 6am-6:00am. LPA discussed overnight care regulations for care and supervision of children in care. Individuals residing in the home were discussed and noted.

At 1:40pm Child 1 and Child 7 left with parents, bringing the facility to capacity. Juan and Justino Ceron arrived at 2:30PM. This facility is located in the rear of a multiple unit complex,Unit D. This is a one story home which consist of three bedrooms, two bathrooms, attached garage, living room, dining room and kitchen area.

Areas used by the children include the living room, dining room, kitchen, bathroom (located in the hallway by living room) and front yard/patio (enclosed).


Per Licensee, off limit areas for the children and parents are the three (3) bedrooms, one bathroom located in master bedroom, the backyard and attached garage. Off limit bedrooms had door safety knob covers to prevent access to children in care. The door to the garage was locked. All areas identified on the facility sketch that children use were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating. The following was observed and reviewed during this inspection:

Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be in latched cabinets and drawers in the kitchen and bathroom making items inaccessible to children in care. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. -------Page 1 Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CERON FAMILY CHILD CARE
FACILITY NUMBER: 198017971
VISIT DATE: 11/30/2022
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The home has central air and heating, No fireplaces or open face heaters were observed by LPA. The required 2A10BC Fire extinguisher was observed in the kitchen with current service tag, the smoke and carbon monoxide detectors were tested and found operable.

LPA observed required posted documentation in facility entrance.

LPA observed that detergents, cleaning compounds are in the kitchen and laundry area, inaccessible to children. Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in living room, away from the other children. Per Licensee there are no firearms or weapons stored in the home.

The bathroom that children use is located in the observed to be clean and free of hazards.


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.

Currently, children are using the fenced front yard/patio for outdoor play time and activity time. LPA observed tables and chairs, toys and other materials for children to play with. LPA observed napping equipment in the living room. The licensee states that supervision is always provided.

Licensee and co-licensees have completed training on preventive health practices including Pediatric First Aid and CPR. Elvira Ceron Pediatric First Aid and CPR expires on 01/22/24. There are first aid supplies available. LPA advised that if a child shows signs of illness they shall be separated from other children.

Children’s records were reviewed. LPA reminded licensee to complete the infant Sleep Log documenting infants sleep every 15 minutes.

The licensee and co-licensees have proof of immunization against influenza, pertussis, and measles. Licensee and co-licensees have proof of the Mandated Reporter AB 1207 Child Care Training Certificate on 06/2021. The last fire/emergency drill conducted: 10/20/22

-------------------Page 2 – Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CERON FAMILY CHILD CARE
FACILITY NUMBER: 198017971
VISIT DATE: 11/30/2022
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LPA did not observe any pools or similar bodies of water during the inspection.
Per licensee, there are no firearms or weapons in the home. There is a dog in the facility observed to be in a locked bedroom.

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.

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

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.

Based on the LPA's observations and records review 1 "A" deficiency will be cited today in accordance with California Title 22 Regulations (See 809D). Upon receipt of this report, a copy shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form LIC 9224 must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensees, Justino and Elvira Ceron

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
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Document Has Been Signed on 11/30/2022 04:30 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 11/30/2022 at 03:07 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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 198017971

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/30/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102416.5(e)
Staffing Ratio and Capacity
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that licensee was over the capacity caring for 3 infants and 4 preschoolers alone without an assistant which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/30/2022
Plan of Correction
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This deficiency was corrected during inspection, Child #1 (infant) and Child #7 (toddler) left with parents 1 hour after inspection began. Per licensee, they will ensure they are following the license capacity limitations a written statement will provided by licensee.
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: 11/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2022


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