Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015102
Report Date: 06/26/2018
Date Signed 06/26/2018 10:09:24 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:NAVARRETE FAMILY CHILD CAREFACILITY NUMBER:
198015102
ADMINISTRATOR:NAVARRETE, ANA MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 908-4950
CITY:WHITTIERSTATE: CAZIP CODE:
90601
CAPACITY:14CENSUS: 7DATE:
06/26/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Ana Navarrete, Licensee TIME COMPLETED:
10:25 AM
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Licensing Program Analyst (LPA) Carlos Gonzalez conducted an Annual Random inspection to the above facility in that the facility has a contract with the Federal Government for military families. LPA met with Ana Navarrete, License, who guided Analyst on a tour of the facility. Also present in the home was Licensee's spouse, Armando Navarrete, Licensee's adult son, Frank Navarette, Licensee's adult daughter, Cassandra Navarette, and volunteer, Nicole Perez. LPA observed sex (6) children in care with two (2) additional children arriving a few minutes later. Per Licensee, there are eleven (11) children currently enrolled. A child's roster was available and is current.

This is a single story home which consists of 3 bedrooms, 2 bathrooms, living room, kitchen, dining room area, which has been converted into a day care area and rear den, also used as a day care area. Children have access to the living room, rear den, dining room area, and bathroom. The master bedroom/bathroom, and additional two bedrooms are considered off-limits to children in care. The home was inspected for safety, comfort, cleanliness, ventilation, and telephone service (land line).

Currently residing in the home are Licensee, her spouse, and two adult children. All individuals must obtain a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Detergents, cleaning compounds, medications, and other items which could pose a danger, were inaccessible to children in care during this inspection.

LPA observed a 2-A:10:B-C fire extinguisher on the premises and the attached tag indicates that it was last serviced on 01/10/2018. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. The smoke and carbon monoxide detectors were working properly. There are age appropriate toys available for children. Per Licensee, there are no weapons, firearms, or bodies of water on the premises. There is one small dog on the premises, which is kept in locked bedroom and out of reach of children in care.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2018
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: NAVARRETE FAMILY CHILD CARE
FACILITY NUMBER: 198015102
VISIT DATE: 06/26/2018
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The licensee was observed to be operating within the licensed capacity limitations during this inspection. Licensee is currently licensed for a large family child care home. The licensee has completed training on preventive health practices, which includes Pediatric First Aid and CPR. Licensee's First Aid/CPR card expires on 01/07/2020 and Assistant, Gabriela Aldana's First/Aid CPR card expires on 01/07/2020. There are first aid supplies available.

UPDATE: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all of the information required by regulation. LPA issued a Confidential Names List (LIC 811) to the licensee which documents the staff and/or children’s files that were reviewed during this inspection.

The following items were also discussed with licensee during this inspection:



· All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. LPA determined that Licensee last conducted a fire/drill on 06/01/2018.
· POSTING REQUIREMENTS: Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed not to be posted.
· Infant Walkers, Johnny Jumpers, Saucer Chairs, or any other item that falls into these categories are not permitted in a family child care facility. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME.

There were no ZERO TOLERANCE deficiencies cited during this visit. Zero Tolerance include: Absence of Supervision, the licensee understands that arrangements must be made for a substitute adult to care and supervise children when they are absent from the home; Accessible Bodies of Water; No bodies of water on the premises. Accessible Firearms, Ammunition or Both; No firearms or weapons in the home; Refused Entry to a Facility or Any Part of a Facility in Violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g)(2); The Presence of an Excluded Individual. No excluded individuals; Children are not left in parked vehicles.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2018
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: NAVARRETE FAMILY CHILD CARE
FACILITY NUMBER: 198015102
VISIT DATE: 06/26/2018
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The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Ana Navarrete, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2018
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: NAVARRETE FAMILY CHILD CARE
FACILITY NUMBER: 198015102
VISIT DATE: 06/26/2018
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Infant Care: Applicant states that she does care for infants. LPA advised the applicant to sleep infants where they can be directly supervised at all times and advised against sleeping infants in a separate room. LPA provided the applicant with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. Online copy can be downloaded at:
https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

Incidental Medical Services (IMS): The licensee states that there are no children enrolled that require IMS at this time. Incidental Medical Services (IMS) policy was discussed. 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.

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

Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors, and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Effective January 1, 2018: Existing licensees must meet requirements by March 30, 2018. Preventive (OCAP) online training modules are free of cost and available at http://www.mandatedreporterca.com/.



LPA determined that Licensee has completed the Mandated Reporter training.

Based on LPAs observations and records review, there are zero deficiencies noted during this inspection. Licensee is in compliance with California Code of Regulations Title 22.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2018
LIC809 (FAS) - (06/04)
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