198020725-9-5-2023-33-CC-MSIA-CVDNDJ-20230905102226

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020725
Report Date: 09/05/2023
Date Signed: 09/05/2023 10:22:32 AM

Document Has Been Signed on 09/05/2023 10:22 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	BARRAGAN FAMILY CHILD CARE		FACILITY NUMBER:	198020725
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 5	CENSUS: 3	DATE:	09/05/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Licensee Jacqueline Barragan		TIME COMPLETED:	11:00 AM

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)Mary Silva conducted a Case Management - Licensee Initiated visit for the purpose of evaluating a request for a capacity increase from 8 to 14. LPA met with Licensee Jacqueline Barragan who guided LPA on a tour. LPA observed three children during this visit. Per Licensee, there are 5 children currently enrolled. The hours of operation are Monday through Friday from 7:30AM-5:00PM. Fire clearance for a capacity of 14 was granted on 08/21/23. All areas identified on the facility sketch were inspected. This is a single-story home, that consists of two-bedrooms, two-bathrooms, Kitchen, living room, dining room, family room, side back yard and detached garage. Also, on the property are two guest homes, first guest home consists of three bedrooms and one bathroom where 2 adults and 2 minors reside. The second guest home consist of one bedroom and one bathroom where 2 adults reside. Currently residing in the home are 7 adults and three minors. There was a total of two adults present during this inspection, Licensee, and Licensee’s assistant. Areas accessible to children and parents were inspected as follows: Living room that is designated for daycare, one bathroom located by the entrance, one bedroom used to access the backyard and side back yard. Parents and children enter through the front gate and back gate that leads to the Day Care area. Areas off limits include Kitchen, dining room, one bedroom, one bathroom, both guest homes, detached garage, laundry room, and front yard. Licensing staff reminded licensee bedrooms must be made inaccessible to children if they are designated to be off limits. LPA observed a fireplace in the living room barricade by a mesh and two long cubbies. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. There are age-appropriate toys and equipment on the premises. Licensee stated there are no weapons or firearms in the facility. Page 1 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BARRAGAN FAMILY CHILD CARE	FACILITY NUMBER: 198020725
	VISIT DATE: 09/05/2023

NARRATIVE

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LPA observed the valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 11/04/2022, as indicated on service tag. Smoke and carbon monoxide detectors were tested and are operable on this day. Licensee and assistant have current CPR/First Aid certification, expires on 11/05/2024 and Mandated Reporter Training Certificate, expires on 05/18/2025.

Licensee 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 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.

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-andresources/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.
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-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. Page 2 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BARRAGAN FAMILY CHILD CARE	FACILITY NUMBER: 198020725
	VISIT DATE: 09/05/2023

NARRATIVE

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During the exit interview, the Licensee, Jacqueline Barragan confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited. The capacity increase request for a Large Family Child Care will be submitted for review. Once a capacity increase is issued, the Licensee is required to adhere to the terms and limitations as stated on the license.

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

Exit interview conducted and report was reviewed with the Licensee, Jacqueline Barragan.

Page 3 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023

LIC809 (FAS) - (06/04)

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