198400639-12-22-2022-54-CC-MAYA-CMCTRH-20221222135733

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400639
Report Date: 12/22/2022
Date Signed: 12/22/2022 01:57:47 PM

Document Has Been Signed on 12/22/2022 01:57 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:	MAYWOOD CHILD CARE		FACILITY NUMBER:	198400639
ADMINISTRATOR:	NORMA AMEZCUA		FACILITY TYPE:	830
ADDRESS:	6145 WOODWARD AVENUE		TELEPHONE:	(323) 562-0490
CITY:	MAYWOOD	STATE: CA	ZIP CODE:	90270
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	12/22/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Director, Norma Amezcua		TIME COMPLETED:	02:30 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	On December 22, 2022 at 11:30 AM, Licensing Program Analyst (LPA) Monique Ayala conducted an announced inspection at the facility noted above and met with Director, Norma Amezcua. The purpose of the inspection was to conduct the Prelicensing inspection. The applicant is requesting to be licensed for 12 infants, ages 12 to 24 months. The facility consists of 2 classrooms: Infant 1 and Infant 2. The operating hours for the facility would be Monday through Friday from 6:30 AM to 5:30 PM. Per Director, the Sign-In and Sign-Out will be conducted outside each classroom, and a health check will be conducted prior to infants being signed in on a daily basis. All areas identified on the facility sketch were inspected. LPA was guided on a tour of the facility accompanied by the facility representative. The following was observed during the tour of the facility: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Infants have their own cubby in each classroom to store their belongings. LPA observed a crib and cots inside each classroom. LPA did not observe the sleeping area for infants physically separate from the indoor activity space. Director informed LPA that the facility plans on submitting a revised application to not accept any infants requiring a crib. Per Director, sheets will be washed at the facility on a daily basis. The facility will provide infants with meals and snacks. First Aid supplies were observed and kept in each classroom. Per Director, medication is only administered to an infant when accompanied with a doctor's note and medication is store in each classroom.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

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: MAYWOOD CHILD CARE	FACILITY NUMBER: 198400639
	VISIT DATE: 12/22/2022

NARRATIVE

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Per Director, the isolation area is located in the office. In the office, a cot can be placed on the floor for an ill child. Age appropriate sinks and toilets were inspected for availability and good repair. Each classroom has a changing table that meets licensing standards, and are placed within arm's reach of a sink. General sanitation was observed inside each children's restroom and changing stations. Availability of indoor and outdoor drinking water was observed (water jugs).

Smoke detectors and carbon monoxide detectors were tested and are operable. The facility was granted a fire clearance for the requested capacity on September 6, 2022. The fire extinguishers are fully charged and were last serviced on October 12, 2022. Per Director, transportation will not be provided by the program.

Disinfectants, cleaning solutions, storage for medication and other items that are dangerous to children, were inaccessible to children in all areas. Director stated that there are no poisons stored at the facility. The kitchen/food preparation area and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste have tight-fitting covers that are kept on and in good repair.

The facility has outdoor play equipment that is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around or under high climbing equipment, and similar equipment are cushioned with material that could absorb a fall. LPA observed adequate shade in the outdoor play yard. There are no bodies of water on the premises.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person present with a valid Pediatric First Aid/CPR certification (EMSA-approved) during this inspection.

Director was reminded that all adults 18 and over, 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 Child Care Center. 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.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

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: MAYWOOD CHILD CARE	FACILITY NUMBER: 198400639
	VISIT DATE: 12/22/2022

NARRATIVE

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This facility plans to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes 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 discussed the safe sleep regulations with the facility representatives 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 the facility representatives 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.

Items discussed during this inspection:
1. Licensing does not prohibit the following: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
2. Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.
3. Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
4. At least one person trained in Pediatric First Aid and CPR must be present.
5. The name of the child care center Director or fully qualified teacher(s) designated to act in the Director's absence must be on file.
6. Educational background, training, and/or experience for each staff present must be available for review. Per Director, teacher’s will have a copy of their teacher permit available.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

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: MAYWOOD CHILD CARE	FACILITY NUMBER: 198400639
	VISIT DATE: 12/22/2022

NARRATIVE

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview was conducted and report was reviewed with Director, Norma Amezcua.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

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: MAYWOOD CHILD CARE	FACILITY NUMBER: 198400639
	VISIT DATE: 12/22/2022

NARRATIVE

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7. Children’s records must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.
8. Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.
9. Records to be Maintained at the Facility: Child Care Centers (LIC 311A).
10. AB1207: As of January 1, 2018, Health & Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/.
11. Infants need to be within the direct care and supervision, including visual supervision of qualified staff at all times.

Based on measurements taken during today's inspection, including sink and toilet availability, the facility is equipped for 17 infants in the indoor space and 6 infants in the outdoor space. Since the facility has a fire clearance granted for the requested capacity of 12 infants, the facility will need to submit a waiver request to the Department since the outdoor space can only accommodate 6 infants at a time.

During the inspection, the Director disclosed that the facility does not plan on accepting any infants requiring a crib. LPA requested the following documents to be submitted to the Monterey Park Child Care Regional Office directly by Friday, December 30th for the pending application:

Waiver request for California Code of Regulations, Title 22, Division 12, Outdoor Activity Space 101238.2(a).
Revised Program Description within the Parent Handbook to reflect the facility's request to not accept any infants requiring a crib.
Revised Admission Policies to reflect the updated criteria for determining appropriate placement given to the child's needs (infants not requiring a crib).
Revised Admission Agreement to include information that the facility may not accept any infants requiring a crib.
Revised List of Furniture and Play Equipment, including the removal of the infant crib.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

LIC809 (FAS) - (06/04)

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