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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400699
Report Date: 09/05/2024
Date Signed: 09/05/2024 02:23:49 PM

Document Has Been Signed on 09/05/2024 02:23 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:CAMPOS FAMILY CHILD CAREFACILITY NUMBER:
198400699
ADMINISTRATOR/
DIRECTOR:		CAMPOS, ALMA & AROLDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 480-3114
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
09/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Nancy Torres, Assistant TIME VISIT/
INSPECTION COMPLETED:
01:35 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Sanchez arrived to the facility and met with Nancy Torres, Assistant who gave LPA permission a tour of the facility. The purpose of the inspection was to conduct a complaint inspection. Due to LPA observation the following is being cited.

The following was observed:
  • At 12:50pm, LPA arrived at the facility, where there was no ventilation. Windows in the the living room were open. There is a current heat wave. The weather is currently 103 outside. LPA and IB investigator discussed ventilation such as fans and AC during the 07/30/24 inspection. Two of the five children were sweaty. Photos were taken. At 1:10pm, Licensee arrived and turned on (2) fans. Ventilation and comfort accommodations were discussed during the pre licensing on 01/05/23. At 2:08pm during child interview, child stated that they woke up sweating today.

The following deficiencies listed on the attached LIC 809-D (deficiency page) are being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 1 and Section CCR & H&S.

An exit interview was conducted with Licensee A. Campos. Appeal Rights and Notice of Site visit was given.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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Document Has Been Signed on 09/05/2024 02:23 PM - It Cannot Be Edited


Created By: Susann Sanchez On 09/05/2024 at 01:50 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: CAMPOS FAMILY CHILD CARE
FACILITY NUMBER: 198400699

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2024
Section Cited
CCR
102407(b)

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(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidence at At 12:50pm, there was no ventilation. There is a current heat wave. The weather is currently 103 outside. Two of the five children were sweaty. Photos were
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Fixed during inspection. Licensee put (2) fans out and kept windows open.
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 taken. This is 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:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2024


LIC809 (FAS) - (06/04)
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