198400682-4-3-2025-54-CC-KDUP-DEUTCG-20250317143644

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400682
Report Date: 03/17/2025
Date Signed: 04/03/2025 09:47:41 AM

Document Has Been Signed on 04/03/2025 09:47 AM - 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:	HERNANDEZ CASTRO & SMITH FAMILY CHILD CARE		FACILITY NUMBER:	198400682
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 2	DATE:	03/17/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:05 PM
MET WITH:	Licensee- Kimberly Hernandez & Frank Castro		TIME VISIT/ INSPECTION COMPLETED:	02:55 PM

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Amended report as of 4/2/25. Line(s) 4 &5 on Pg 1 Line(s) 28 on Pg 3 and Line(s) 4, 7, 17, 18, 21,22, 26, 29 on Page 4 have been revised (amended).On March 17, 2025, at 1:05p.m., Licensing Program Analyst (LPA) Keneisha Dunlap arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee- Kimberly Castro Hernandez & Frank Smith. There are 5 children enrolled, and 2 children present at the time of inspection. The hours of operation are Monday- Friday from 6:00am-5:30pm. All adults in the home were discussed and background and fingerprinted cleared. License, earthquake disaster checklist (LIC9148), disaster plan, and PUB 394 posted. The Licensee does have a current disaster log drill with the date of 2/26/25. The Licensee does have current LIC 9040 (facility roster).

This is a one-story home that consists of 2 bedrooms, 1 bathroom, Living Room, Den, Dining Room, Kitchen, detached garage, front yard, and fenced backyard. Off-limit areas include 1 bedroom, kitchen, den, front yard, and detached garage. Swamp cooler, and there is a wall heater located in the den, which is off-limits.

LPA Dunlap observed the main care area in the living room a wall mounted television, child sized table, child sized chairs, changing station, Ingenuity feeding table, 3 playpens, 2 highchairs, a cubby storage locker, a leather couch, age-appropriate toys, and educational posters. Children also nap in the main care area. There is a baby gate that separates the main care area room from hallway where off- limits areas are. LPA observed all furnishings, equipment, and material to be in good condition.

LPA Dunlap observed a bedroom designated as an activity space for children in care with age-appropriate toys, art materials, dramatic play, manipulative play, reading materials, 2 chairs, and a table in the bedroom. LPA observed sleeping cots and sleeping mats stored in the closet of bedroom 1. LPA observed all furnishings, equipment, and material to be in good condition. LPA Dunlap observed the bathroom an operable toilet and sink. Cabinets and drawers have safety latches making it inaccessible to children in care. Page 1 of 4

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Keneisha Dunlap
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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 4

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: HERNANDEZ CASTRO & SMITH FAMILY CHILD CARE	FACILITY NUMBER: 198400682
	VISIT DATE: 03/17/2025

NARRATIVE

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LPA Dunlap observed in off- limits kitchen area to have gate that swings inwardly making it inaccessible to children in care. Cleaning products and detergents were observed to be locked beneath the kitchen sink making it inaccessible to children in care. The knives are stored in box in a high cabinet. LPA observed all furnishings, equipment, and material to be in good condition.

LPA Dunlap observed the outdoor area for play is the back yard which is fenced. The yard has shaded tree, picnic table, and age-appropriate toys. LPA observed outdoor area to be in good condition, free of sharp, loose, or pointed parts.

LPA observed a fire extinguisher with service tag date of 3/21/24.

LPA observed a dual smoke detector and carbon monoxide detector to be operable.

The Licensee stated that they do provide meals for children, however most of the children bring lunch with labels.

The Licensee stated they use a landline & cell phone.

The Licensee stated they do not have any children that they administer medication to at this time.

The Licensee stated that when children are sick, they are placed by the door in the second room.

The Licensee stated there are no firearms in the home.

The Licensee stated that there are no smokers in the home.

The Licensee stated that they do provide transportation for children.

The Licensee stated that they do have a first aid kit.

The Licensee stated that they do provide nap time.

There are no large bodies of water on premises.

There are 2 dogs on the premises. Page 2 of 4

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Keneisha Dunlap
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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: HERNANDEZ CASTRO & SMITH FAMILY CHILD CARE	FACILITY NUMBER: 198400682
	VISIT DATE: 03/17/2025

NARRATIVE

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Staff Files:

Staff # 1

File has all required licensing documents and immunization record in folder.

CPR expiration date of 6/24/26

Mandated Reporter expiration date of 8/24/26

Preventative Health & Safety Certificate

Staff # 1

File has all required licensing documents and immunization record in folder.

CPR expiration date of 8/24/26

Mandated Reporter expiration date of 8/14/26

Preventative Health & Safety Certificate

Children Files

Child #1

All required licensing forms and immunization record are in file.

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

Criminal Record Clearance - Family Child Care Homes Licensee- Licensee- Kimberly Castro Hernandez & Frank Smith 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 Page 3 of 4

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Keneisha Dunlap
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: HERNANDEZ CASTRO & SMITH FAMILY CHILD CARE	FACILITY NUMBER: 198400682
	VISIT DATE: 03/17/2025

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penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Safe Sleep

LPA discussed the safe sleep regulations with Licensee- Kimberly Castro Hernandez & Frank Smith 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 Kimberly Castro Hernandez & Frank Smith 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)

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-carecenters/.

MyChildCarePlan.org – Centers and Family Child Care Homes Licensee- Kimberly Castro Hernandez & Frank Smith 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.

Megan’s Law - Family Child Care Homes During the exit interview, the Licensee- Kimberly Castro Hernandez & Frank Smith 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.

Appeal rights explained and given to Licensee- Kimberly Castro Hernandez & Frank Smith.

No deficiency cited during today’s visit.

Exit interview conducted and report was reviewed with the Kimberly Castro Hernandez & Frank Smith.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Keneisha Dunlap
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

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