Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013933
Report Date: 08/13/2015 12:00:00 AM
Date Signed 08/17/2015 09:55:33 AM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CARDENAS & LLAMAS FAMILY CHILD CAREFACILITY NUMBER:
198013933
ADMINISTRATOR:EMMA & SCARLETTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 912-4890
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:14CENSUS: 12DATE:
08/13/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Scarlett Llamas TIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kelly Sanchez conducted an unannounced random visit. LPA met with licensee, Scarlett Llamas and Co-licensee, Emma Cardenas who guided analyst on a tour of the facility. The There were 12 children present, 4 being infants. Licensee states that there are currently 19 children enrolled, children's roster was reviewed and is current. Disaster drill log was available, last drill documented was 06/2015.

This is a one story home which consists of 4 bedrooms, 3 bathrooms, kitchen, dining room, living room (FIREPLACE: inaccessible) garage and backyard (fenced). The children use the bathroom off of pink room, blue room, pink room, outdoor covered patio and kitchen. Per licensee, areas off limits to children and parents include: 3 bedrooms, 2 bathrooms, living room and dining room and detached garage. There is a detached living quarters with same address. The LPA toured all areas used by children during this visit.

Areas that are not indicated as being “off-limits” were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating. Family members residing in the home are 4 adults (criminal record clearances on file) and 2 children. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock.

Per licensee, there are no weapons, firearms or bodies of water on the premises. There were toys observed for children. Emergency Disaster was posted at the time of visit. Children’s records were reviewed. The valve on the required 2A 10BC fire extinguisher indicates fully charged (Purchased 06/2015). Smoke detector was tested and in operable condition. Carbon monoxide detector was not present. The licensee has current Pediatric First Aid and CPR, which will expire 12/2015. There are first aid supplies on the premises.

REPORT CONTINUES ON THE NEXT PAGE
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Kelly SanchezTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2015
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CARDENAS & LLAMAS FAMILY CHILD CARE
FACILITY NUMBER: 198013933
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/13/2015
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2015
Section Cited
1597.543H&S
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Health & Safety Code states that a Facility must have 1 or more functioning Carbon Monoxide detector.

Carbon Monoxide detector was not present in the home.
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Licensee states she will purchase a Carbon Monoxide detector and send a picture of the receipt and picture of installed detector as proof of correction by due date.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Kelly SanchezTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2015
LIC809 (FAS) - (06/04)
Page: 3 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CARDENAS & LLAMAS FAMILY CHILD CARE
FACILITY NUMBER: 198013933
VISIT DATE: 08/13/2015
NARRATIVE
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The following was discussed: Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.

No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

Exit interview was conducted with Licensee. Appeal rights explained & provided.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d
Deficiencies that are being cited need to be cleared to protect the children’s health & safety.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Kelly SanchezTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2015
LIC809 (FAS) - (06/04)
Page: 2 of 3