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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845023
Report Date: 05/01/2023
Date Signed: 05/01/2023 05:22:33 PM

Document Has Been Signed on 05/01/2023 05:22 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:GAMBINO FAMILY CHILD CAREFACILITY NUMBER:
334845023
ADMINISTRATOR:DOLORES GAMBINOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 578-6293
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
05/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:34 PM
MET WITH:Licensee Dolores GambinoTIME COMPLETED:
05:30 PM
NARRATIVE
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On date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Raymond Moorehead and Licensing Program Manager (LPM) Aaron Ross arrived at the facility to conduct a required/annual inspection as part of a compliance review. LPAs and LPM were granted entry by Licensee Dolores Gambino and present at the facility in addition to the licensee was employee Sonia Gutierrez. LPAs and LPM toured the facility, inside and out, records were reviewed, and the following was observed and/or discussed:

Normal days and hours of operation are: Monday – Friday; 06:00AM – 11:00PM.

OFF-LIMIT AREAS INCLUDE: Master Bedroom, the two bedrooms closest to the master bedroom, kitchen, and garage.

The facility is operating within the licensed capacity and appropriate ratios.



· Appropriate supervision provided during this inspection.

· A working telephone is present and current number on file.

· Appropriate fire extinguisher, smoke detector and carbon monoxide detector present and working.

· Fireplace is properly screened to prevent access by children.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2023
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 7
Document Has Been Signed on 05/01/2023 05:22 PM - It Cannot Be Edited


Created By: Perla Ordones On 05/01/2023 at 04:20 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GAMBINO FAMILY CHILD CARE
FACILITY NUMBER: 334845023

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above with both the kitchen and garage area which were accessible to children and which maintained various poisons and hazards such as construction tools, toxins, and knives. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/02/2023
Plan of Correction
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Licensee agrees to read the regulations of Operation of a Family Child Care Home and agrees to submit a written statement which acknowledges she understands the regulations and agrees maintain areas that contain these hazards inaccessible at all times. Licensee agrees to submit proof of the Plan of Correction (POC) by the POC due date and agrees to submit the proof to Community Care Licensing by the end of the business day.
Type A
Section Cited
CCR
102425(i)
Infant Safe Sleep
If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above as LPAs and LPM observed a child to be sleeping in a stroller at the beginning of the visit. Licensee stated that the infant slept in the stroller because the infant refused to sleep in a play yard or crib. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/02/2023
Plan of Correction
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Licensee agrees to read the regulations of Infant Safe Sleep and agrees to submit a written statement which acknowledges she understands the regulations and agrees to follow the regulations at all times. Licensee agrees to submit proof of the Plan of Correction (POC) by the POC due date and agrees to submit the proof to Community Care Licensing by the end of the business day.
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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023


LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 05/01/2023 05:22 PM - It Cannot Be Edited


Created By: Perla Ordones On 05/01/2023 at 04:20 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GAMBINO FAMILY CHILD CARE
FACILITY NUMBER: 334845023

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(b)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above as one infant was observed to be sleeping in a play yard with a loose blanket which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/15/2023
Plan of Correction
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Licensee agrees to read the regulations of Infant Safe Sleep and agrees to submit a written statement acknowledging she understands the regulations and agrees to no longer allow any loose articles such as blankets and toys in the play yard or crib area while an infant sleeps. Licensee agrees to submit proof by the Plan of Correction (POC) due date to Community Care Licensing by the end of the business day.
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above with four infants enrolled at the facility who did not have proof of the 15 minutes sleep checks on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/15/2023
Plan of Correction
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Licensee agrees to submit proof of the 15 minute sleep checks for C1, C2, C4, C6 by the Plan of Correction (POC) due date. Licensee agrees to submit the proof to Community Care Licensing by POC due date at the end of the business day.
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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023


LIC809 (FAS) - (06/04)
Page: 3 of 7
Document Has Been Signed on 05/01/2023 05:22 PM - It Cannot Be Edited


Created By: Perla Ordones On 05/01/2023 at 04:20 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GAMBINO FAMILY CHILD CARE
FACILITY NUMBER: 334845023

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(a)
Child's Records
(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as one child who was present, C2, during the visit did not have a file or any documentation present at the facility which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/15/2023
Plan of Correction
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Licensee agrees to submit proof of a completed file for C2 by the Plan of Correction (POC) due date of 05/15/2023. Licensee agrees to submit said proof to Community Care Licensing by the end of the business day.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023


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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GAMBINO FAMILY CHILD CARE
FACILITY NUMBER: 334845023
VISIT DATE: 05/01/2023
NARRATIVE
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· All hazardous items are not stored inaccessible to children. The garage and kitchen were observed to be unlocked and accessible to children and were confirmed to have hazards which posed a danger to children. The garage contained poisons, toxins, construction tools, sharp objects, and other miscellaneous items which could pose a danger to children. The kitchen contained knives in the lower drawers, cleaning compounds such as Clorox, a lighter, and other items which could pose a danger to children. The kitchen was stated to be off limits but there was nothing blocking the entrance to the kitchen and a daycare child was observed to have entered the kitchen with no issue at approximately 03:12PM.

· Toxins are locked.

· Weapons are stored according to Title 22. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations.

· One story home.

· Verification of control of property on file.

· Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights poster are posted.

· Mandated Reporter Training completed on 06/30/2022.

· Pediatric CPR and First Aid Card expire on 06/2024.

· Health & Safety Certificate completed.

· No bodies of water at this time. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 Regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.

· Clean, safe and age-appropriate toys.

· Current roster on file.

· Documentation of fire and disaster drills on file – Last drill conducted on 02/03/2023.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023
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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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GAMBINO FAMILY CHILD CARE
FACILITY NUMBER: 334845023
VISIT DATE: 05/01/2023
NARRATIVE
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· Children’s records are not complete. One child was completely missing a file and had no documentation on hand. LPAs and LPM brought to the attention of the licensee and explained the importance of keeping all documentation for children attending the daycare on file. Additionally, there was no proof of the fifteen-minute sleep checks being completed for infants in care. LPAs and LPM also brought this to the attention if the licensee and informed her of the violation per the Infant Safe Sleep Regulations.

· Employee’s records are complete.

· During the visit, LPAs and LPM observed a child to be sleeping in a play yard at the beginning of the visit. The child was confirmed to be an infant and had a blanket covering them which is a violation of Infant Safe Sleep Regulations. LPAs and LPM brought this to the attention of the licensee and informed her that per the regulations, no loose articles, such as blankets, are allowed in cribs or play yards while children sleep.

· During this visit, LPAs and LPM observed a child to be sleeping in a stroller at the beginning of the visit. Licensee confirmed the child was an infant and explained that the infant refuses to sleep in a play yard or crib though she does have a play yard for the infant. LPAs and LPM informed the licensee that the infant was not allowed to sleep in the stroller and was a violation per the Infant Safe Sleep Regulations. The licensee immediately removed the infant from the stroller.

· The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov

· Resident and/or staff records reviewed on 03/15/2023 indicate that all adults who require caregiver background checks have received all required clearances or exemptions.

· The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov

LPAs and LPM discussed the safe sleep regulations with licensee 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.

LPAs and LPM also informed licensee 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.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GAMBINO FAMILY CHILD CARE
FACILITY NUMBER: 334845023
VISIT DATE: 05/01/2023
NARRATIVE
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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

Licensee was reminded that all adults 18 and over living or working in the home, 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.

The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:
1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

See LIC809-D for cited deficiencies.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



The LICENSEE, Dolores Gambino, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

Exit interview conducted and report was reviewed with the licensee Dolores Gambino.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023
LIC809 (FAS) - (06/04)
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