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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846166
Report Date: 08/18/2023
Date Signed: 08/18/2023 01:59:32 PM

Document Has Been Signed on 08/18/2023 01:59 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:SUAREZ FAMILY CHILD CAREFACILITY NUMBER:
364846166
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
08/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Carmen Suarez licensee TIME COMPLETED:
02:00 PM
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On date and time listed, Licensing Program Analyst (LPA) Diana Brasel arrived at the facility to conduct a one-year annual inspection as part of a compliance review, which will also serve as a pending increase visit, granted Fire Clearance received on 07/24/2023. LPA toured the facility, inside and out, records were reviewed, and the following was observed and/or discussed: Normal days and hours of operation are: Monday - Friday 6:00 am - 6:00 pm.
OFF-LIMIT AREAS INCLUDE: Entire upstairs. The garage will be used for extra play space only, no sleeping or eating. There is a small trampoline located in the backyard that is kept latched when day-care children are present, trampoline used for licensee's children only.
- The facility is operating within the licensed capacity and appropriate ratios.
· Appropriate supervision provided during this inspection.
· A working telephone is present and current number on file.
· Appropriate fire extinguisher, smoke detector, and carbon monoxide detector present, they were
tested.
· Fireplace is properly screened to prevent access by children.
· All hazardous items are inaccessible to children.
· No weapons per the licensee.
· Toxins are locked in a cabinet.
· Stairs are barricaded.
· Verification of control of property on file (grant deed on file)
· Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights poster are posted
· Mandated Reporter Training Child Care Provider Licensee Carmen Suarez expires 10/21/2023,
Assistant Talina Teeter 05/01/2024. General Carmen Suarez completed 02/24/2022, Assistant
General completed 05/01/2022.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2023
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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SUAREZ FAMILY CHILD CARE
FACILITY NUMBER: 364846166
VISIT DATE: 08/18/2023
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· Pediatric CPR and First Aid Card expires for Licensee Carmen Suarez on 10/17/2023, Assistant
05/01/2024.
· There is an above ground spa located in the backyard. The spa has a locking cover with 4 straps
that are key locked. All straps were inspected on this date and meet Title 22 Regulations. The
applicant understands the spa shall remain locked at all times when children are in care. In addition,
all wading pools or similar product must be emptied immediately after use and stored in an upright
position when not in use.
· Clean, safe and age-appropriate toys are present
· Current roster on file.
· Documentation of fire and disaster drills on file – Last drill conducted on 07/05/2023.
· Children’s records are complete
· The Licensee was informed of their reporting requirements and is provided with the Regional Office’s
Unusual Incident Reporting email mailbox: [email protected]
· Resident and/or staff records reviewed on 08/18/2023 indicate that all adults who require caregiver
background checks have received all required clearances or exemptions.
· The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: [email protected]

- LPA discussed the safe sleep regulations with licensee 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 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.

No IMS currently being provided-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:

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023
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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SUAREZ FAMILY CHILD CARE
FACILITY NUMBER: 364846166
VISIT DATE: 08/18/2023
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Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Licensee 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.

- Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. 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.

- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:
1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200.

No cited deficiencies during this inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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

Exit interview conducted, appeal rights, and report was reviewed with the licensee. Copies of reports were provided on this date.



Copy of LIC 857 & LIC 859 provided.

LPA will be processing the requesting pending Increase to a Large Family Child Care as of this date.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023
LIC809 (FAS) - (06/04)
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