198400313-1-26-2023-54-CC-RDEO-CNFVNU-20230126153544

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400313
Report Date: 01/26/2023
Date Signed: 01/26/2023 03:35:55 PM

Document Has Been Signed on 01/26/2023 03:35 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:	ALARCON FAMILY CHILD CARE		FACILITY NUMBER:	198400313
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 10	CENSUS: 7	DATE:	01/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Licensee - Maria Alarcon		TIME COMPLETED:	03:50 PM

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) R. Derraco conducted an unannounced required one year inspection to the above facility on 01/26/23. LPA began the inspection at 2:05PM. Co-licensee, Maria Alarcon, guided analyst on a tour of the facility. Also present during this inspection was co-licensee, Veronica Alarcon. Per Licensee, there are 10 children that are currently enrolled. There were 7 children present upon arrival. This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen/dining room, living room, den garage, front yard and backyard (fenced). The off limit areas include 3 bedrooms, 1 bathroom, kitchen, garage and front yard. The main care area is located in the den. LPA observed a wall mounted television, a wall mounted heater/air conditioning unit, age appropriate toys, children's art material, children's reading material, sleeping cots and a play pen. LPA observed the living room to have a wall mounted television, two couches, child sized table, child sized chairs and a window mounted air conditioning unit. The dining area was observed with a dining table and chairs. The entrance to the off-limits kitchen was observed to have a baby gate. Locks were observed on the cabinet beneath the kitchen sink. LPA observed cleaning supplies kept beneath the kitchen sink. Per licensee, she provides food for children in care. Licensee understands that food brought from a child's home must have the child's name labeled on the container and be properly stored. The bathroom was observed to be clean with an operable sink, faucet and toilet. Locks were observed beneath the kitchen sink and on the bathtub door. The outdoor play area was observed to have perimeter fencing. Additional toys and outdoor play equipment were observed in the outdoor play area. Plants in the backyard were observed to have a gate in front making them inaccessible. Per licensee, a tarp is used for shade, however it has been temporarily removed due to the recent rain storms. Per licensee, isolation area for children showing signs of illness will be located in the living where the child will await parent pick up. LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs. No bodies of water were (page 1 of 3)

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ALARCON FAMILY CHILD CARE	FACILITY NUMBER: 198400313
	VISIT DATE: 01/26/2023

NARRATIVE

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observed in the back yard play area. Per licensee, a pet dog is kept on the off-limits side of the house. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted at the entrance home. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Individuals who reside in the home were noted and discussed. 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. Licensee states that there are no firearms stored in the home

All areas identified on the facility sketch that are accessible for children to use were inspected for safety,

comfort, and cleanliness. There is telephone service via a cellphone that is used and the cellphone stays at the facility during operation hours. Per Licensee, the home is equipped with central heating and air conditioning units mounted on the wall or in the window. Day care area was observed with safe toys, play equipment and materials.

Detergents, cleaning compounds, and other items which could pose a danger to children were observed to be locked in the off-limits garage. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked, not just inaccessible. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 07/22/22, as indicated on service tag. Smoke and carbon monoxide detectors were tested and are operable.

LPA discussed the safe sleep regulations with license 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.

Both licensee have completed training on preventive health practices including Pediatric First Aid and CPR.
(page 2 of 3)

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ALARCON FAMILY CHILD CARE	FACILITY NUMBER: 198400313
	VISIT DATE: 01/26/2023

NARRATIVE

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Both licensee's Pediatric First Aid and CPR expires on 05/2024. LPA observed that both Licensees have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. File review was observed to have proper mandated immunization records. Children’s records were reviewed, including emergency information and were observed to be complete. A current children’s roster was available for review.

Incidental Medical Services (IMS):
IMS was discussed with licensee. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.cdss.ca.gov.

LPA also discussed and provided the following documents:
-Assistant's Files Checklist
-LIC 311D - Forms/Records to Keep in your Family Child Care home.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Maria Alarcon.

(page 3 of 3)

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

LIC809 (FAS) - (06/04)

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