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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400514
Report Date: 05/14/2024
Date Signed: 05/14/2024 03:14:57 PM

Document Has Been Signed on 05/14/2024 03:14 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ARROYO FAMILY CHILD CAREFACILITY NUMBER:
198400514
ADMINISTRATOR/
DIRECTOR:		PATRICIA ARROYOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 322-5597
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
05/14/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Licensee Patricia Arroyo TIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analysts (LPAs) A. Padilla and R. Derraco conducted an unannounced annual inspection to the above mentioned address on 05/14/24 at 1:30 PM. LPAs met with licensee, Patricia Arroyo who guided LPA on a tour of the home. LPA observed 3 adults, 1 child, and 2 infants present during inspection. Individuals residing in the home have been discussed and noted. Per licensee, operation hours will be Monday thru Friday, 6 AM - 6PM. Licensee states that they will care for children 0 years old to 13 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 2 bedrooms, 2 and 1/2 bathrooms, 2 living room, kitchen, laundry area, front yard (fenced) and a car port. The home is located in a mobile home community that includes a community pool area. Per licensee, day care children will not be using the community pool area. LPA observed the pool area to be approximately 500 feet from the facility. LPA observed the pool to be fully fenced with locks on each entrance. Licensee states she does not take children to pool area.
Off limit areas include a living room, kitchen, 2 bathrooms, 2 bedrooms, laundry area, part of the front yard area and the car port.

Main care areas include one living room, a bathroom and the front yard area, . Parents will enter the facility through front gate. LPA observed sleeping cots, a 2 play yards, a child sized, changing table for diapering. cubby locker to store personal belongings, wall mounted television, 2 Graco feeding high chairs, child sized table and chairs, toy bins with a rack, age appropriate toys and materials. 1:45 PM 3A-40BC fire extinguisher was observed to be full with a service tag dated 5/11/23. Licensee stated she will call for the fire extinguisher to be serviced and will submit proof of correction to LPA via email. A technical violation was issued. 1:55PM A smoke detector was observed in the main care area to be operable. A carbon monoxide detector was observed in the off limits hallway area to be operable. 2:00 LPAs reviewed space on the wall in the care area and was observed to have required postings. Fire drill and earthquake drill log was observed and conducted 5/3/24
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Anthony Padilla
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ARROYO FAMILY CHILD CARE
FACILITY NUMBER: 198400514
VISIT DATE: 05/14/2024
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A retractable fabric gate was observed to separate the main care area from the off limits kitchen. 2:05 LPAs inspected Outdoor play area which is located in the front yard. LPA observed perimeter fencing, areas for shade, age appropriate toys and materials, a wooden gate, and a child gate separating the front yard play area from the off limits front yard area.

Areas used by children were inspected for safety, comfort, and cleanliness. LPAs observed operable telephone service, ventilation and heating (central). Detergents, cleaning compounds and hazardous items that can pose a danger to children are made in accessible in the cabinet of the off limits laundry room and kitchen cabinet. The children's bathroom was observed to be clean free of hazards.

2:10 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 applicant 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.

Licensee states there are no pets, there are no firearms or weapons stored in the home. LPAs did not observe any of these items during time of inspection The license states that food is provided for children in care. Any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated.



2:15 PM LPAs conducted file reviews for staff and children files. Licensee Mandated Reporter Training expires on 8/18/25 and Pediatric First Aid and CPR which expires 6/1/25. Staff present Mandated reporter training expires 6/13/25 and CPR/First Aid expires 6/13/25. Children files were inspected to be complete included with LIC 9227 for infants and LIC 9150

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Anthony Padilla
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ARROYO FAMILY CHILD CARE
FACILITY NUMBER: 198400514
VISIT DATE: 05/14/2024
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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 child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

A notice of site visit was given and must remain posted for 30 days Exit interview conducted and report was reviewed with the licensee Patricia Arroyo

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Anthony Padilla
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
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