198020675-12-21-2021-33-CC-NTCG-C9WT76-20211221132812

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020675
Report Date: 12/21/2021
Date Signed: 12/21/2021 01:28:20 PM

Document Has Been Signed on 12/21/2021 01:28 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	CARRERA FAMILY CHILD CARE		FACILITY NUMBER:	198020675
ADMINISTRATOR:	AMBER E. CARRERA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 316-9786
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 8	DATE:	12/21/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Amber Carrera - Director		TIME COMPLETED:	01:35 PM

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Licensing Program Analyst (LPA) Nolan Tcheng conducted an in person unannounced annual random inspection to the above facility. Upon arrival at 11:54pm, LPA met with licensee, Amber Carrera. Also present during this inspection, Licensee’s assistant. The licensee states that she currently has 8 children enrolled. A current children’s roster is available and is current. Licensee’s hours of operation are Monday-Friday 7:30am-6pm

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining area, living room, laundry room, backyard (fenced), and garage. The children use the bathroom in the front of the house next to the front entrance. Per licensee, areas off limits to children and parents include: Master bedroom, Bedroom #2, kitchen, and garage. The licensee provides food for children in care.

License states 2 adults and 1 child live in the home. Licensee states that she currently has two assistants. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. Per licensee, there are no weapons, firearms or bodies of water on the premises.

PHYSICAL PLANT
At 11:50am, LPA was lead on a tour of the facility by the licensee. Tour started near the front entrance and into the bathroom used by children to the right of the entrance. Child locks were observed on cabinets and drawers in the bathroom. Next, tour continued into Bedroom #3 that is currently being used as a infant nap room and changing room. The living room was observed next. There were children napping at the time of arrival on mats and cots. There are age appropriate toys present. At 11:55am, LPA observed a fireplace that had a plastic gate strapped to the wall to make it inaccessible.

REPORT CONTINUES PAGE 1 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2021

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: CARRERA FAMILY CHILD CARE	FACILITY NUMBER: 198020675
	VISIT DATE: 12/21/2021

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LPA observed the Parent Board in the living room with required postings. LPA observed the smoke detector in the hallway and the carbon monoxide detector in the kitchen. Smoke and carbon monoxide detectors were tested and are operable. Kitchen is made inaccessible to children in care. Fire extinguisher is ocated in the kitchen and bolted to the wall. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was purchased on 10/28/2021 as indicated on receipt. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Licensee states that a cell phone is used as the facility phone line. LPA reminded licensee that the cell phone must remain on site during operation hours. Detergents, cleaning compounds, medications, and other items which could pose a danger are inaccessible to children. Per licensee, Bedroom #2 will be used as an isolation room.

At 12:05pm, the backyard area was toured. The outdoor play area was observed to be fenced. At this time, children are using the back yard for outdoor play time. There is age appropriate equipment present for the children in care. There is a small dog present at the facility. Per licensee, her or her assistant checks the back yard for animal waste prior to the children coming outside to play.

FACILITY RECORDS:
The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 09/23/2023. Licensee has completed mandated reporter training that expires on 10/14/2023. The licensee does have proof of immunization against influenza, tuberculosis, pertussis, and measles. Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all the information specified by regulation.

The following was discussed: -Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately.
-There is two medium sized dogs accessible to children during operation hours.
- Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that falls into these categories are not permitted in a family child care facility.
- Smoking is prohibited in a license family child care home.

REPORT CONTINUES PAGE 2 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2021

LIC809 (FAS) - (06/04)

Page: 2 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: CARRERA FAMILY CHILD CARE	FACILITY NUMBER: 198020675
	VISIT DATE: 12/21/2021

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Infant Care: Licensee states that they are currently caring for infants. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room. Licensee states that infants sleep in bedroom #3. LPA provided the licensee with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS. LPA consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices. PIN 20-24-CCP was provided and explained during the inspection.

Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, 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 observed that a COVID-19 Technical Assistance call had been made on 12/03/2020 during prelicensing inspection. LPA observed health and safety practices being conducted at facility.

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

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.

Exit interview was conducted with Amber Carrera licensee, at 1:20pm and copy of the report was provided.
END OF REPORT PAGE 3 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2021

LIC809 (FAS) - (06/04)

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