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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400560
Report Date: 04/19/2023
Date Signed: 04/19/2023 12:37:05 PM

Document Has Been Signed on 04/19/2023 12:37 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:ZUNIGA FAMILY CHILD CAREFACILITY NUMBER:
198400560
ADMINISTRATOR:ZUNIGA, MAXIMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 427-0746
CITY:LOS ANGLESSTATE: CAZIP CODE:
90023
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 9DATE:
04/19/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Licensee Maxima Zuniga TIME COMPLETED:
12:46 PM
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On 4/19/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection at the above facility. LPA met with the Licensee Maxima Zuniga and informed her of the purpose for the visit. LPA provided the Facility Entrance Checklist to the Licensee. All residents were discussed. Facility provides care to children ages 0 to 12 years old. Facility is open Monday to Sunday 12AM to 11:59PM. There were nine children with the Licensee and two additional staff present during the inspection. The facility was in compliance with capacity requirements for a large family child care home.
This is a one story, 3 bedroom, 1 bathroom home with a living room, kitchen and enclosed front yard.
Per Licensee areas on limits to children are: living room, one bedroom, bathroom and enclosed front yard.
Per Licensee areas off limits to children are: two bedrooms and kitchen. There are two additional homes that sit on the same premises. The back outdoor area of the home pertains to one of the additional homes. The back entrance of the home is maintained locked. The additional homes have separate addresses. Children do not have access to areas that belong to the other homes.

All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA observed required posted documentation- Facility license, Publication (PUB) 394- Notification of Parent Rights. LPA observed a current facility roster LIC 9040 and a disaster drill log. Last documented drill was conducted on 4/1/23. There is an operable carbon monoxide detector and an operable smoke detector in the facility. LPA observed a 2A10BC Fire Extinguisher in the living room which indicated full. The home maintains telephone service (cell phone). Food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated.
There are toys and other age appropriate materials available for children in the living room. Children nap and eat in the living room. The bedroom is open as an additional space but is not currently being used. The Kitchen is off limits. There is a safety gate separating the kitchen from the living room. Sharp objects, detergents and cleaning compounds were inaccessible.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2023
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ZUNIGA FAMILY CHILD CARE
FACILITY NUMBER: 198400560
VISIT DATE: 04/19/2023
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Knives are kept in an upper kitchen cabinet, cleaning compounds are kept in a latched cabinet under the sink. Personal medicines are kept in an upper kitchen cabinet. The facility administers medicine. Per Licensee, one child enrolled requires medication. Medication is kept in an upper kitchen cabinet. Heating and ventilation was evaluated. There is an A/C wall unit available in the living room and there is a portable heater available if needed. LPA did not observe any wall heaters or fire places. The children use the restroom in between the bedrooms. LPA observed personal hygiene items in the restroom in a latched cabinet under the sink. LPA did not observe cleaning products or medicine in the restroom. Per Licensee, children use the front yard for outdoor play. The Licensee shares a driveway with the other tenants on the premises. Licensee has installed a safety gate separating the play area and the driveway. Per Licensee, Children are supervised while playing outside. Per Licensee, there are no poisons in the home. Licensee understands that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the living room, separated from other children in care. Per Licensee, there are no firearms or weapons stored in the home. LPA did not observe any pools or spas, or other bodies of water. Per Licensee, there is one pet dog. Dog is contained in an off limits bedroom.
Infant Care: Currently licensee cares for three infants. There are two play yards available for younger infants and the older infant naps on a napping cot. LPA discussed the following with Licensee: Napping equipment shall not block entrances or exits. There shall be no loose objects in the crib or hanging off the sides of the crib. Licensee was advised Infants shall not be swaddled in care. Car seats shall not be used for sleeping.
Children's records were complete. Children's records contained Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227 and 15 minute infant sleeping logs. Staff records were reviewed: Licensee's EMSA approved Pediatric CPR/First Aid expires on 2/5/2024. Licensee's Mandated Reporter training expires on 9/9/23. Assistant 1's EMSA approved Pediatric CPR/First Aid expires on 2/5/24. Assistant 1's Mandated Reporter training expires on 9/12/23. Assistant 2 currently has not completed pediatric first aid/cpr. Per Licensee, Assistant 3 does not stay alone with the children. All staff have documentation of TB clearance and immunization to measles, pertussis, flu (written declination).
Incidental Medical Services (IMS): 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ZUNIGA FAMILY CHILD CARE
FACILITY NUMBER: 198400560
VISIT DATE: 04/19/2023
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During inspection the children present were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and were free from corporal and/or unusual punishment.

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 athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleephttps://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.

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/process.

Based on the LPA's observations and records review no deficiencies will be cited today 4/19/23.


Exit interview conducted and report was reviewed with the Licensee, Maxima Zuniga . A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC809 (FAS) - (06/04)
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