<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400701
Report Date: 12/29/2022
Date Signed: 12/30/2022 10:08:56 AM

Document Has Been Signed on 12/30/2022 10:08 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NAVARRO FAMILY CHILD CAREFACILITY NUMBER:
198400701
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/29/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Luisa Navarro, ApplicantTIME 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 29, 2022 Licensing Program Analyst (LPA) Alicia Mooberry conducted a pre-licensing inspection in Spanish for the above address. LPA met with Luisa Navarro, Applicant, who guided LPA on a tour of the facility. The Applicant was previously licensed for a Family Child Care License #198019805 and has relocated to the above address. Individuals residing in the home were discussed and noted. Per Applicant, hours of operation will be Monday - Friday, 6:00am to 6:00pm. Applicant states they will care for children Infants - 12 years of age.

This is a one-story home which consists of 4 bedrooms, 3 bathroom, living room, dining area, kitchen, laundry room, attached garage (converted to childcare activity room). The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children in care.

Areas used by children include: Living room, dining room, kitchen, bedroom 2 (next to master bath), bathroom in the hallway next to bedroom 2, bathroom in the hallway by the dining room, attached garage, side and back yard. The garage is accessed via hallway by laundry area

Areas off limits include: Master bedroom, bathroom in master bedroom, bedroom 3 and bedroom 4 (by the garage), pool.

LPA observed an in ground pool in the backyard. The pool is surrounded by mesh fence that does not obscure the pool from view. The fenced is at least five feet tall, in good repair and designed so children could not remove any portion of it. LPA observed a locked gate, that swings away from the pool, and it is self closing and self latching. There are no openings between the mesh panels that exceed four inches. The mesh fencing is secured to the cement ground with no gaps at the bottom of the fence. Fence is of sufficient strength to withstand the impact of toys (tricycles, wagons, etc.) Fence does not readily bend upon impact. Licensee agrees that fencing will remain in place whenever licensed care is provided, and so long as the mesh fence makes the swimming pool inaccessible to children as determined by licensing staff. ---PAGE 1

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 12/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/29/2022
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 3
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: NAVARRO FAMILY CHILD CARE
FACILITY NUMBER: 198400701
VISIT DATE: 12/29/2022
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
26
27
28
29
30
31
32
LPA observed that the doors were locked leading to off limit bedrooms. Applicant was reminded to ensure the off limit areas are always kept inaccessible to the children in care. Knives and other sharp utensils are located in locked wall cabinet the kitchen. Cleaning products were located in under sink cabinets locked with magnet latches under the sink in kitchen and bathroom.

The home was observed to be clean and orderly. There are outlet covers throughout the home. Smoke detectors and carbon monoxide detector were observed, tested and found to be operable. First Aid and emergency supplies are available located in daycare area. LPA observed age appropriate toys and learning materials in the daycare area.

LPA observed the required 2A10 BC fire extinguisher in kitchen and garage purchased or serviced or purchased within the last 12 months. Applicant was reminded that fire extinguishers need to be purchased or serviced yearly. The home has central air and heating

The applicant states that meals will be provided by facility and parents will also have the option to bring food from home. Applicant was informed that any food brought from the children’s homes must be labeled with child’s name and properly stored or refrigerated.

The applicant has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training, and Pediatric First Aid/CPR expire on 01/2023. Required immunization's are current.

Per Applicant, there are no weapons or firearms in the facility, none were observed by LPA. Applicant has a small dog that is kept in off limit bedroom of home.

Per applicant, the side and back yard will be used as outdoor play area. The side yard is enclosed by metal gates, the metal gate leading to the backyard where the pool is located is over 6 feet tell with a latch on the top of the gate. Licensee stated the children will use the backyard where to pool is located and children will be supervised.

LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted

Children will nap in the bedroom and main daycare area, mats, play yard crib are available.

LPA discussed the safe sleep regulations with applicant 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. ------Page 2

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: NAVARRO FAMILY CHILD CARE
FACILITY NUMBER: 198400701
VISIT DATE: 12/29/2022
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
26
27
28
29
30
31
32
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.

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: http://www.ada.gov/childqanda.htm

LPA advised applicant to ensure they are following the guidance from the local health authorities in order to prevent and reduce the transmission of diseases.

The isolation area for a sick child waiting to be picked up will be in the living room away from other children.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

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 platform. 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.


Per applicant, there are no dual licenses at this address.

A small family childcare license will be granted upon completion of all required documentation and corrections. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with Luisa Navarro, applicant. ----------Page 3

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3