198400313-1-26-2023-54-CC-RDEO-CNFVN2-20230126153425

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400313
Report Date: 01/26/2023
Date Signed: 01/26/2023 03:34:33 PM

Document Has Been Signed on 01/26/2023 03:34 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:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Licensee - Maria Alarcon		TIME COMPLETED:	02:05 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) Randy Derraco conducted an unannounced case management visit to the above mentioned address on 01/26/23 at 12:20 PM. LPA met with co-licensee Maria Alaracon, who guided LPA on a tour of the home. Also present during the inspection was co-licensee Veronica Alarcon. There were 7 children present during inspection. Individuals residing in the home have been noted and discussed. The licensee is requesting a capacity increase to her family childcare home license. Per licensee, operation hours will be Monday through Friday, 6:00 AM to 6:00 PM. Applicant states that they will care for children 3 months old to 12 years old. All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a one story home that consists of 3 bedrooms, 2 bathrooms, Living Room, Den, Dining Room, Kitchen, Garage, Front yard and backyard (fenced). The off limit areas include 3 Bedrooms, 1 Bathroom, Garage, Kitchen, and Front Yard. Main care area is located in the Den. LPA observed age appropriate toys, educational posters, a wall mounted heater/air conditioning unit, a wall mounted television, sleeping cots and a play pen. The living room was observed to have child sized table, child sized chairs, a wall mounted television, and a couch. The dining area was observed with a dining table and chairs. A baby gate was observed at the entrance of the kitchen making it inaccessible to children in care. The bathroom was observed to be clean with an operable sink, toilet and faucet. Locks were observed on the shower door and beneath the bathroom sink. The backyard play area was observed with perimeter fencing, additional toys and outdoor play equipment. Per licensee, shade is provided by a tarp, however it has been temporarily removed due to the recent rain storms. Parent board is visible at the entrance to the facility and was observed with required postings. Children will nap on cots in the main care area. Areas that will be used by children were inspected for safety, comfort, cleanliness. Per licensee, a cell phone (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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is used for the facility. Licensee understands that the cellphone should not leave the home during operation hours. Per licensee, the home is equipped with central heat. Window mounted air conditioning unit was observed in the living room. Detergents, cleaning compounds and hazardous items that can pose a danger to children are made inaccessible in the off-limits garage and beneath the kitchen sink. Licensee understands that any poisons must be locked, not just inaccessible.

Per applicant there is a pet dog kept on the off-limits side of the home. Children in care do not have access to the dog. Per licensee there are no firearms or weapons stored in the home and there are no bodies of water. LPA observed that the licensee has a 2A10 BC fire extinguisher in the home, with a service tag dated 07/22/22. Smoke and carbon monoxide detector were tested and are operable. The licensee states that they will provide food for children in care. Any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated. The licensee has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training and Pediatric First Aid and CPR. Licensee has proof of required immunization's. There are first aid supplies available.

Incidental Medical Services (IMS):
This facility may provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov. LPA provided and reviewed Capacity Regulations for Family Child Care Home Flyer

Licensee is requesting a large family child care. Fire clearance was approved on 01/17/23. A large family childcare license may be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the licensee is required to comply with the terms and limitations stated on the license.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting

(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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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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