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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846549
Report Date: 04/11/2024
Date Signed: 04/11/2024 10:10:19 AM

Document Has Been Signed on 04/11/2024 10:10 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:ARAIZA FAMILY CHILD CAREFACILITY NUMBER:
364846549
ADMINISTRATOR/
DIRECTOR:		ARAIZA, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 896-3681
CITY:ONTARIOSTATE: CAZIP CODE:
91764
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/11/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Alma AraizaTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On date and time listed, Licensing Program Analyst (LPA) Aman Lama arrived at the facility to conduct a pre-licensing inspection. Present during this inspection was Applicant, Alma Araiza. LPA toured the facility, inside and out and the following was observed and/or discussed:

Normal days and hours of operation: Monday-Friday 7:00am-5:00pm.
OFF-LIMIT AREAS INCLUDE: Entire 2nd floor, garage, and the side yard in the outdoor area.
· There was a dual smoke detector/carbon monoxide present as well as a fire extinguisher.
· There are no weapons present in the home at this time. Applicant understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations
· Verification of control of property is on file.
· Mandated Reporter Training was completed on: 04-10-24 and expires 04-10-26
· Pediatric CPR and First Aid Card was completed on: 07-09-22 and expires 07-09-24
· Health & Safety Certificate was completed on: 02-04-24

·There is no pool on the property at this time. Applicant understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced off 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.


· There are no toxic plants observed at this time
· The Applicant was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· Resident and/or staff records reviewed indicate that all adults who require caregiver background checks have received all required clearances or exemptions.
· The Applicant can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ARAIZA FAMILY CHILD CARE
FACILITY NUMBER: 364846549
VISIT DATE: 04/11/2024
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The following was discussed with the applicant(s):
- 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
- Pre-Licensing Visit Packet was provided
- Failure to meet the posting requirements shall result in an immediate $100 civil penalty.
- Documentation of fire & earthquake drills to be conducted every six months
- Applicant understands responsibilities of being a mandated reporter
- Applicant understands the importance of the knowledge of regulations for anyone providing care
- Inaccessibility of hazards must be constantly reassessed depending on the children in care
- Current facility’s phone numbers must be on file with the licensing office at all times
- Baby walkers, bouncy seats, exer-saucers and other similar items are prohibited

-LPA also informed Applicant of the importance of checking for recalled infant devices. LPA recommended they register any and all infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ 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

- 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 by way of Provider Information Notices(PINs), Program Quarterly Update Newsletters & other important information. Visit the CCLD Important Information website to receive email communication at: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select "Child Care".
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ARAIZA FAMILY CHILD CARE
FACILITY NUMBER: 364846549
VISIT DATE: 04/11/2024
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- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at: 951-782-4200

Applicant, Alma Araiza confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

There are no corrections needed at this time, therefore 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.



Exit interview was conducted and report was reviewed with the Applicant, Alma Araiza.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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