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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400336
Report Date: 01/12/2023
Date Signed: 01/12/2023 09:07:15 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/12/2023 09:07 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:ORDAZ FAMILY CHILD CAREFACILITY NUMBER:
198400336
ADMINISTRATOR:ORDAZ, DIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 484-9865
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 17CENSUS: 14DATE:
01/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Diana Ordaz, LicenseeTIME COMPLETED:
06:15 PM
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This is an unannounced Required Annual Inspection conducted by Licensing Program Analysts (LPA) Alicia Mooberry. At 3:25pm LPA arrived at the facility and met with Diana Ordaz, Licensee, who provided tour of the home. At 3:30 LPA took census and observed 14 children in care (including 2 infants) alone with licensee, licensee is over the capacity limitations of the license, this poses an immediate risk to the health and safety of children in care. At 3:35 LPA observed Child #1, 19 month old infant, sleeping on the sofa in the facility living room, this poses a potential risk to the health and safety of children in care.

LPA provided and explained the inspection Entrance Checklist, LIC 126 to licensee.

Per licensee the hours of operation are Monday-Friday 7:00am-6:30pm. At 4:00pm Consuelo Rodarte, Assistant arrived at the facility, bringing the facility into capacity. All adults present have obtained the required background clearance. Individuals residing in the home were discussed and noted.

This facility is a single family home that consists of two (2) bedrooms, one (1) bathroom, living room, dining room, den, kitchen, shaded and enclosed patio, and attached garage.


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.

Areas used by children include: Living room, dining room, kitchen, den, bathroom, and shaded patio and enclosed yard.

Areas off limits include: Bedroom 1 and bedroom 2, attached garage.

The home was observed to be clean and orderly and has central heating and air conditioning. There are outlet covers throughout the home. LPA observed knives and sharp objects in kitchen cabinet inaccessible to children in care. Cleaning products are stored in locked cabinet under kitchen sink as well as bathroom sink. Licensee was reminded to check locks regularly to make sure they are working. Page 1 – Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400336
VISIT DATE: 01/12/2023
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The required (2A10BC) fire extinguisher was observed in the kitchen. Smoke detectors and carbon monoxide detector was observed, tested and found to be operable.
LPA observed required posted documentation by the door in the den where parents pick up children. which included: Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form.

There are toys and other age appropriate material available for children.


Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children. Licensee there are no firearms or weapons stored in the home. Per licensee, here are no pets in the home.

Isolation area for sick children waiting to be picked up is in the living room, away from the other children.


The bathroom that children use is located in the observed to be clean and free of hazards.

LPA reviewed with licensee of the new Safe sleep regulations PIN 20-24-CCP. including LIC 9227 Infant Sleep Plan for infants under 12 months, and Infant sleep log documenting 15-minute sleep checks for infants 0-24 months. Licensee states the following a sleep supervision plan for infants: Infants will nap in the living room where Licensee or assistant provide supervision of infant for the duration of the nap and will document 15 minute checks.

Currently, children are using the enclosed side yard and shaded patio for outdoor play. The outdoor play area was observed to be fenced with toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care. The are no pools, spas or other water features. There are no pets at the faciltiy.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, and documentation of 15-minute Infant Sleep Check (0-24 months)

LPA reviewed facility records including; LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan.


Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via lan line and cell phone.

Page 2

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023
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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400336
VISIT DATE: 01/12/2023
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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.http

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

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.

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-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.

Based on the LPA's observations and records review the following deficiencies will be cited today in accordance with California Title 22 Regulations - LIC 809D

Whenever a type A is cited: “Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.”


Licensee was provided with LIC 9224 Acknowledgement of Receipt of Licensing Report
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Diana Ordaz, Appeal Rights were discussed and a copy provided.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023
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Document Has Been Signed on 01/12/2023 09:07 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 01/12/2023 at 05:33 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400336

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/12/2023
Section Cited
CCR
102416.5(a)(e)

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The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home...
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Per licensee, they will ensure they will have an assistant present at all times. Licensee provided a written plan describing how they will stay in compliance.
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This requirement is not met as evidenced by...LPA observed Licensee alone caring for 14 children. This poses an immediate risk to the health and safety of childen in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2023


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Document Has Been Signed on 01/12/2023 09:07 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 01/12/2023 at 05:44 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400336

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/12/2023
Section Cited
CCR
102425(i)

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(i) If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.
This requirement is not met as evidenced by:
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Licensee placed the child on a mat to nap. The licensee will review that safe sleep regulations to ensure they following the regulations. Deficiency corrected during inspection.
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LPA observed Child #1, a 19 month old infant sleeping on a sofa in the living room of the facility, this poses a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2023


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