198019836-11-8-2024-54-CC-KDUP-DATPXL-20241108104232

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019836
Report Date: 11/08/2024
Date Signed: 11/08/2024 10:42:39 AM

Document Has Been Signed on 11/08/2024 10:42 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	GARCIA FAMILY DAY CARE		FACILITY NUMBER:	198019836
ADMINISTRATOR/ DIRECTOR:	JASMIN GARCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	5626077969
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	11/08/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Licensee- Jasmine Garcia		TIME VISIT/ INSPECTION COMPLETED:	10:50 AM

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On November 8, 2024 at 9:00a.m., Licensing Program Analyst (LPA) Keneisha Dunlap and Licensing Program Manager (LPM) Karen Chambers arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee Jasmin Garcia. There are 14 children enrolled, and 6 children present at the time of inspection. The hours of operation are Monday- Friday from 7:00am-4:00pm. All adults in the home were discussed and background and fingerprinted cleared. License, facility sketch, earthquake disaster checklist, disaster plan and PUB 394 posted. Licensee does have a current disaster log drill with the date of 10/15/24. Licensee does have current LIC 9040 (facility roster).

This is a one-story home which consists of four bedrooms, three bathrooms, kitchen/dining room, living room, a detached garage, front yard, and a fenced backyard. The off-limit areas include one bedroom, two bathrooms, detached garage, and front yard.

The main care area has a small area rug with age appropriate toys for children. Bedroom #2 has cribs, age appropriate toys for children and this area also used for sleeping and to store cots in the closet. Bedroom #3 appropriate toys for children. LPA observed all material and equipment in good working condition.

LPA Dunlap observed a firearm in a locked safe in, and ammunition in a separate location.

The kitchen area has 2 baby gates at each entrance. All of the cabinets have magnetic locks that make items in accessible to children. All knives are stored in high cabinet with magnetic lock.

The bathroom is in good working condition and has a storage area for children pampers and wipes. There were no items accessible to children.

The backyard has picnic tables, shade structure, appropriate toys for children, and bikes. LPA observed all

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GARCIA FAMILY DAY CARE	FACILITY NUMBER: 198019836
	VISIT DATE: 11/08/2024

NARRATIVE

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materials and equipment to be in good working condition.

LPA observed the smoke detector and carbon monoxide detector to be operable.

LPA observed a fire extinguisher with an expiration date of 10/4/24.

Staff Files:

Staff # 1

Files have required licensing documents and immunization record & TB in folders.

CPR expiration date of 4/16/25

Mandated Reporter expiration date of 10/25/26

Staff # 2

Files have required licensing documents and immunization record & TB in folders.

CPR expiration date of 4/16/25

Mandated Reporter expiration date of 12/22/26

Children Files:

Child #1

All required licensing forms and immunization record are in file.

Child #2

All required licensing forms and immunization record are in file. File also included LIC9227 & Safe Sleep Logs

Child #3

All required licensing forms and immunization record are in file. File also included LIC9227 & Safe Sleep Logs Page 2 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GARCIA FAMILY DAY CARE	FACILITY NUMBER: 198019836
	VISIT DATE: 11/08/2024

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The Licensee stated that they do provide meals for children.

The Licensee stated that they communicate with parents via text and/or person.

The Licensee has a cell phone that they use.

The Licensee stated they do not have any children that they administer medication to at this time.

The Licensee states that when children are in sick, they are placed in the bedroom #3.

The Licensee stated that there are no smokers in the home.

The Licensee stated that they do not provide transportation for children.

The Licensee stated they do not have any children with allergies.

The Licensee stated that they do have first aid kit.

There are no large bodies of water on premises.

There are 3 dogs locked in separate area from backyard.

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

Criminal Record Clearance - Family Child Care Homes Licensee- Jasmin Garcia 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 Page 3 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GARCIA FAMILY DAY CARE	FACILITY NUMBER: 198019836
	VISIT DATE: 11/08/2024

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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.

Safe Sleep

LPA discussed the safe sleep regulations with Licensee- Jasmin Garcia and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Licensee- Jasmin Garcia 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-carecenters/.

MyChildCarePlan.org – Centers and Family Child Care Homes Licensee- Jasmin Garcia 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.

Megan’s Law - Family Child Care Homes During the exit interview, the Licensee- Jasmin Garcia confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No defeicies isuued during todays visit.

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

Appeal rights explained and given to Licensee- Jasmin Garcia

Exit interview conducted and report was reviewed with the Licensee- Jasmin Garcia.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

LIC809 (FAS) - (06/04)

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