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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020197
Report Date: 01/03/2023
Date Signed: 01/03/2023 03:09:03 PM

Document Has Been Signed on 01/03/2023 03:09 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MURILLO FAMILY CHILD CAREFACILITY NUMBER:
198020197
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 12CENSUS: 4DATE:
01/03/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Cristina Murillo, LicenseeTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Mireya Garcia conducted an announced licensee-initiated case management inspection. A risk assessment was conducted prior to entering the facility. LPA met with licensee, Cristina Murillo who guided analyst on a tour of the facility. The licensee's two (2) minor children were also present and one (1) female minor resident. There were four (4) children present, one (1) being an infant. Licensee states that there are currently twelve (12) children enrolled. The purpose for this inspection was due to the licensee's request to increase to a Large Family Child Care Home.

This is a home that consists of 3 bedrooms, 3 restrooms, kitchen, living room, dining room, den, back yard (fenced) front yard (unfenced), converted attached garage with restroom, detached storage room where dogs are kept, and side yard near garage where other dogs are kept. Family members residing in the home are 4 adults and 3 minor children. Per licensee operating hours will be Monday – Friday from 6:00am- 11:00pm and Saturday from 8:00am- 2:00pm. The licensee is caring for children 0-12 years of age. LPA inquired into the status of firearms in the home, which licensee stated she does not have any in the home. LPA inquired about pets, which licensee stated she does have 5 dogs in the home.
REPORT CONTINUES ON NEXT PAGE 1 of 3.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2023
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 3
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MURILLO FAMILY CHILD CARE
FACILITY NUMBER: 198020197
VISIT DATE: 01/03/2023
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During this inspection the Licensee took this LPA on a tour of the home. Licensee confirmed there were only four (4) children in care at the time. LPA was toured through the interior starting with the living room and dining room where four (4) children were observed. LPA asked for licensee to show the outlets in the room, which licensee showed, and LPA observed them to be covered. Licensee guided LPA through the restroom, the off-limits bedrooms and bathrooms. No hazards were observed. LPA was guided through the kitchen. LPA observed the kitchen is gated from the living room/dining room side of the home to keep access limited. LPA inquired as to where knives are stored, licensee showed LPA a cabinet that stores the knives in a box. This cabinet is out of reach by children and has a safety latch in place.
Per licensee, the children are escorted to the den and back yard area when they need to use the areas. The smoke/carbon monoxide detector in the hallway that leads to the restroom were tested and functioning at time of inspection. LPA was shown the fire extinguisher in the den room. LPA observed the date on receipt of purchase noted 04/17/2022.

LPA was toured through the backyard where they play. There is a gate that sections off the garage and a portion of the side yard designated for the dogs. LPA observed age appropriate toys and equipment. LPA did not observe any hazards or need for repair.

REPORT CONTINUES ON NEXT PAGE 2 OF 3.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MURILLO FAMILY CHILD CARE
FACILITY NUMBER: 198020197
VISIT DATE: 01/03/2023
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Areas accessible to children: living room, dining room, kitchen, den, one restroom (located in between bedroom #1 & bedroom #2), front yard (to enter and leave the home) and back yard (play yard). Off-limit areas: 3 bedrooms, 2 bathrooms, a section of the side yard for the dogs, detached storage room and attached garage.

Application and file have been reviewed. There is an approved fire clearance on file that was granted on 12/15/22. The home has no need for corrections at this time based on the inspection conducted. LPA inquired into the licensees practices related to COVID-19. Licensee stated children’s hands are washed right away. There is hand sanitizer available throughout the home. Furniture is cleaned before and after use.



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

Exit interview conducted and report was reviewed with facility representative, Cristina Murillo.

REPORT ENDS HERE PAGE 3 OF 3.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3