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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846169
Report Date: 06/05/2023
Date Signed: 06/05/2023 12:54:41 PM

Document Has Been Signed on 06/05/2023 12:54 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:ROJAS FAMILY CHILD CAREFACILITY NUMBER:
364846169
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
06/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Stephanie Rojas, LicenseeTIME COMPLETED:
01:00 PM
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On 06/05/2023 at 8:55 AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was greeted by Licensee Stephanie Rojas and granted entry to tour the facility inside and out. LPA reviewed records and observed and/or discussed the following: The licensee Stephanie Rojas, has applied to increase their capacity to a Large Family Child Care Home, and the home was assessed by the LPA for the increase of capacity along with the annual inspection. Present were 1 adult resident and 1 minor resident.

Normal days and hours of operation are: Monday through Friday, 6:30am to 6:00pm
OFF-LIMIT AREAS INCLUDE: Garage, Entire 2nd floor, and east side of backyard

The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D.

The facility is operating within the licensed capacity and appropriate ratios. A census of 2 children in care.
· The Licensee is present in the home and has ensured that children in care are supervised.
· When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children
· A working telephone is present.
· A fully charged fire extinguisher (2A:10BC) was observed. A smoke detector and carbon monoxide detector were present and tested by the Licensee during this inspection.
· All hazardous items are NOT made inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children.
· Storage of poisons is inaccessible to children and locked.
· There is a properly barricaded fireplace.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2023
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ROJAS FAMILY CHILD CARE
FACILITY NUMBER: 364846169
VISIT DATE: 06/05/2023
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· Guns or weapons are present as stated by the Licensee Stephanie Rojas. During todays inspection, at 9:29 AM the LPA Susan Brewer, observed a gun cartridge clip, filled with ammunition and stored in an unlocked drawer, behind an unlocked door to the room. The LPA did verify that the fire arm was locked separately and in compliance with Title 22 regulations. No children were present in the room where the ammunition and firearm were stored. The licensee Stephanie Rojas, was reminded that all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Stairs are barricaded at this time.
· Home is clean and orderly, with heating and ventilation for safety and comfort.
· Clean, Safe and age-appropriate toys and equipment are present for indoor; however, the LPA observed 2 play pens to be dirty, and some outdoor toys and play equipment to be dirty with dust, debris and webs, damaged and broken. No children were observed in the areas observed in the outdoor play area. In addition, the LPA observed miscellaneous outdoor landscaping rusty rebar to be sticking up from the ground, rusted hardware posts and chains, meant for anchoring a swing set to be loose and above ground.
· Outdoor play areas are fenced and/ or appropriate supervision is present.
· Verification of control of property on file.
· Property owner/landlord notification and consent: NOT ON FILE FOR A LARGE CAPACITY.
· Pediatric CPR and First Aid Card expire on 10/2023
· Health & Safety Certificate - completed on 10/2021
· Mandated reporter General: 06/05/2023; AB 1207 Child Care Expires: 08/2023
· Fire clearance: 05/25/2023
· Documentation of fire & earthquake drills to be conducted every six months: Last fire and earthquake drills on 04/06/2023, with 6 children present and lasted 3 minutes.
· There are 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.
· Children’s files are NOT complete, as 1 day care child present and enrolled at 8 months of age, did not have the LIC9227 individual sleep plan or sleep logs on file.
· Staff’s files are NOT complete. The licensee is in the process of hiring a qualified assistant.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
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: ROJAS FAMILY CHILD CARE
FACILITY NUMBER: 364846169
VISIT DATE: 06/05/2023
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· A review of staff records on 06/01/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

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.

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 Stephanie Rojas, 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.

LPA Susan Brewer, discussed the safe sleep regulations with licensee Stephanie Rojas, 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.

LPA also informed licensee Stephanie Rojas, 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: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
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: ROJAS FAMILY CHILD CARE
FACILITY NUMBER: 364846169
VISIT DATE: 06/05/2023
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To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Before licensure, the following needs to be corrected/completed:
1. Property owner/landlord notification and consent for a LARGE CAPACITY. Only required if operating up to 14 children. 07/05/2023
2. Infant Safe Sleep log for infant under 2 years of age and written statement of understanding, 06/07/2023.
3. Clean play pens indoors and outdoors, submit photo by 06/15/2023.
4. Clean outdoor toys, equipment and clear outdoor area of broken toys and hazardous play equipment and hardware. Stabilize posts for swings and remove or cover protruding rebar from the ground along the perimeter of the yard. 06/15/2023.
5. Written statement of understanding the regulation for lock firearms and ammunition and or other hazardous items, 06/05/2023.

Once all corrections have been made, with proof sent to licensing, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification. As agreed, upon by the licensee Stephanie Rojas, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application may be withdrawn, and the license will remain a Small Family Child Care Home.

Deficiencies cited for Type B citations this visit.

Civil Penalties were not issued this visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Stephanie Rojas.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/05/2023 12:54 PM - It Cannot Be Edited


Created By: Susan Brewer On 06/05/2023 at 12:10 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: ROJAS FAMILY CHILD CARE
FACILITY NUMBER: 364846169

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)(C)
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. (C) Ammunition shall be stored and locked separately from firearms.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Susan Brewer's observation at 9:29 AM during today's inspection, the licensee Stephanie Rojas did not comply with the section cited above and failed to lock ammunition separately from a firearm, by storing the ammunition in an unclocked drawer within an unclocked room, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/05/2023
Plan of Correction
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The licensee Stephanie Rojas, agrees to store and lock ammunition, separately from firearmss, making the ammunition inaccessible to daycare children. The licensee will submit a statement of understanding regarding this regulation and submit to the department on or before the close of business day, 06/05/2023.
Type B
Section Cited
CCR
102425(j)(2)(D)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include 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 in the licensee failed to maintain a infant sleep log for a infant child under the age of 2, present and in care, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/07/2023
Plan of Correction
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 The licensee Stephanie Rojas, agrees to create a infant safe sleep log to document 15 minute checks for the infant child present and other infant children enrolled at the facility. In addition the licensee agrees to submit proof of the logs to the department along with a statement of understanding, the Infant Safe Sleep regulation on or before the close of business day, 06/07/2023.
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:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2023


LIC809 (FAS) - (06/04)
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