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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314234
Report Date: 12/11/2024
Date Signed: 12/11/2024 03:02:07 PM

Document Has Been Signed on 12/11/2024 03:02 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:ZENDEJAS ALVAREZ, ELIZABETHFACILITY NUMBER:
304314234
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
12/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Licensee-Elizabeth Zendejas AlvarezTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 12/11/2024 at 1:00PM, Licensing Program Analyst LPA's Karen Navar conducted an unannounced case management inspection for the purpose of increasing capacity. The licensee is currently licensed for a small family childcare home for a capacity of 8 children. The licensee has requested to operate as large family childcare home for a capacity of 14 children. LPA met with licensee, Elizabeth Zendejas Alvarez, and toured the facility. Children were napping. Census was a taken and there were 6 children and 1 infant present. The operation hours are from Monday through Friday 7:30AM-6:00PM ages served are 12 months-9yrs. old.

A review of criminal clearance records on this date indicates adults who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Currently there are (3) adult residents besides the licensee living in the home.



Licensee stated she is not currently registered with any Foster Care agency or holds a foster parent license. Licensee was reminded if there are any changes to notify the licensing office. The licensee is Pediatric CPR and First Aid certified that is EMSA approved and is valid until 08/26. Last Fire Drill Documented 10/2024.. The licensee has completed the Mandated Reporter Training for self and expires 10/26.

The facility is a one-story house located behind a front house. To access the house, you walk through a garage that is open from the street and walk through backyard to black mesh fence with gate. Facility has a kitchen, two bedrooms, laundry room, and 2 bathroom. Childcare bathroom is located in the hallway next to bedroom 1. The childcare outdoor area is fenced and has age-appropriate toys. LPA did not observe any bodies of water at the facility and licensee stated there are no bodies of water.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ZENDEJAS ALVAREZ, ELIZABETH
FACILITY NUMBER: 304314234
VISIT DATE: 12/11/2024
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The licensee has designated the 2 bedrooms and bathroom located in bedroom 2 as off limits. The licensee has made the off-limit’s areas inaccessible to children by using safety latches on cabinets, and child safety doorknobs. The licensee has a cell phone to use for childcare. The LPA informed licensee that it must remain on the premises at all times during hours of operation and was informed and understands the home is to be free from smoking during hours of operation. Cleaning solutions/chemicals, utensils, and sharp knives located in the kitchen are all inaccessible by means of child safety locks. Poisons/Hazardous items are not stored on site, and none were observed.

LPA reviewed Unusual Incident Report (UIR) form (LIC 624B)-advised to contact Licensing Officer of the Day within 24 hours and complete the UIR within seven days by faxing LIC624B to (714)703-2831. LPA advised applicant to report to licensing any unusual incident or child absence that threatens the physical or emotional health or safety of any child or any changes to hours and days of operation and for any changes to facility, including on/off limit areas and change in phone number.

LPA reviewed 5 children’s records for LIC700 Identification and Emergency Information, LIC 627 Emergency Consent Form, LIC995A Notification Of Parents Rights, and LIC 282 Affidavit Regarding Liability Insurance.

LPA reminded licensee to document Disaster and Fire drills every 6 months. LPA inspected and reviewed posting requirements which include but not limited to Earthquake Preparedness Checklist (LIC 9148), Parents Rights (PUB 394), Notice of Site Visit (LIC 9213), and License (LIC 203). LPA reviewed Entrance Checklist, (LIC 126) with licensee and LIC610A Emergency Disaster Plan.

Department web site form was given to download forms, Title 22 regulations, and trainings on-line at http://www.ccld.ca.gov. The licensee has registered to obtain quarterly updates and notifications from the Department. Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov. was provided. LPA reviewed Title 22 Regulation Section 102423 Personal Rights including but not limited to: no intimidation, no humiliation, and no corporal punishment.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ZENDEJAS ALVAREZ, ELIZABETH
FACILITY NUMBER: 304314234
VISIT DATE: 12/11/2024
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A copy of “A Child Care Providers Guild to Safe Sleep” was provided to applicant: English:

https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf Spanish: https//www.cdph.ca.gov/programs/SIDS/Documents/ChildCareProvSleepSPAN2011.pdf AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspxNIH:

https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

LPA reviewed with applicant the following safe sleep best practices:


· Always place infants on their backs for sleeping.
· Use only a tight-fitting sheet on the crib or play yard mattress.
· Do not hang any items from the crib or above the crib.
· Keep all items, including blankets, out of the crib or play yard.
· Pacifiers may be used as long as they do not have items attached to them
· Infants should not be swaddled or have any items covering them while sleeping.

The applicant was given a pamphlet on Lead Exposure and was discussed with the provider.

An exit interview was conducted, and the report was reviewed with Elizabeth Zendejas Alvarez. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door.

The facility was in compliance for a Small Family Child Care Home with Title 22 Regulations at the time of inspection.

This report ends here.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
LIC809 (FAS) - (06/04)
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