Pre-licensing visit·October 14, 2025

An announced Pre- Licensing Inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez. The purpose of today's visit is to inspect and evaluate facility for initial licensure, Applicant is applying for a Large Family Child Care Home. Present during this inspection was Applicant, and her husband. Per applicant, operation hours will be Monday to Friday, 8:30 AM to 6:00PM. Applicant states that she will care for children 1 year old- 6 years of age. During this inspection the following was observed: All areas identified on the facility sketch were inspected, including but not limited to, all off limit areas. This is a two story back house- main door is located closed to the garage that consists of 4 bedrooms, 5 bathrooms, kitchen, dining room, living room and back yard. LPA advised that since front house has the same address as the back house that adults in the front house need to be fingerprinted and associated. Per applicant, the children will use the living room, bathroom downstairs and back yard. Areas that will be used by children were inspected for safety, comfort, cleanliness, telephone service cell phone, ventilation and heating. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible in areas designated for children. The applicant states that there are no poisons on the premises . -------------------- pg.1 of 6 ---------------------- Based on the Facility Sketch submitted, areas off limits to children and parents include: entire 2 nd floor, dining room, kitchen and garage. All areas inaccessible for children were observed to have a lock and or a security gate making them inaccessible for children in care. The applicant understands that licensing staff may have access to off-limit areas during inspection visit if necessary. LPA Lopez observed a fire extinguisher- in the dinning room. The valve on the 2A10BC fire extinguisher indicates fully charged and was purchased on 10/1/25 as indicated in the receipt. Smoke and carbon monoxide detectors were tested during the inspection and observed to be operable. There are toys available for children. LPA observed sleeping arrangements in forms of mats and playpens. The applicant states that they will provide food for children in care and is planning to apply for the food program. The applicant has completed the required Health and Safety Training, Nutrition Training and Pediatric First Aid and CPR. There are first aid supplies available. Per applicant, there are no weapons in the facility. Per applicant there\342\200\231s no bodies of water on the premises. LPA did not observed any bodies of water. OUTDOOR PLAY AREA Per Applicant, the children will be using the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor yard. There are no pets in the premises. LPA discussed the safe sleep regulations with applicant, licensee and discussed the Child Care Licensing Safe Sleep webpage at: -------------------------- pg. 2 of 6 ---------------------------------------- https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep , as an additional resource. LPA also informed applicant 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. 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) or (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 . At 11:30 AM The following was discussed with the applicant: \302\267 In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current Pediatric First Aid and CPR training, Immunizations (TDAP, MMR, Influenza), mandated reporter training and a valid criminal record clearance associated to the facility license. \302\267 Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License may be terminated. \302\267 The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked and batteries replaced as needed. ----------------------------------------------------- pg. 3 of 6 ------------------------------------------------------------ \302\267Reporting Requirements: Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home. \302\267 Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. \302\267 Fire and safety drills must be performed every six months and documented for review by the Department. \302\267 Smoking is prohibited in a family child care home. \302\267 Children and Staff records must be maintained and updated as needed and must be available for review by the Department. \302\267 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. \302\267 Inspection Authority : All adults living and working in the home shall be made of aware of the Department\342\200\231s right to inspection the home, which includes, but is not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation. \302\267 The facility license number must be on all advertisements, publications or announcements with the intent to attract clients. \302\267 Isolation for Ill children: When a child is ill he/she shall be separated from other children (reference 102417(e) Operation of a Family Child Care Home). \302\267 Liability Insurance was discussed; LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information. \302\267 Immunization Requirement: 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. ------------------------------------- pg. 4 of 6---------------------------- The licensee and all adults working with children have proof of immunizations. \302\267 Mandated Reporter Training: H&S 1596.8662: Beginning January 1, 2018, all licensed providers, applicants, directors and employees to complete training as specified on mandated reporter duties. Training is available at: www.mandatedreporterca.com LPA reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children\342\200\231s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant. OTHER INFORMATION AND FORMS PROVIDED: \302\267 Capacity Handout for a Small Family Child Care Home and Large Family Child Care Home was provided. \302\267 Lead Exposure Flyer 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 platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication. Applicant, was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. Applicant\342\200\231s email address was obtained during this inspection. The applicant was advised that email may be public information. ----------------------------------------------------------pg. 5 of 6 --------------------------------------------------------- The applicant\342\200\231s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct. 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated. The applicant, provided proof of control of property. Because the applicant, rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). Applicant is seeking to provide care for 14 children 1- 6 years old. Fire Clarence was granted on 10/2/25. Based upon today\342\200\231s inspection, the following correction needs to be completed by 10/31/25. - Adults living in the front home need to be fingerprinted and associated to the facility The application will be submitted for final review to the department once the corrections have been received. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license. Exit interview conducted and report was reviewed with the applicant, Shirley Lam. ----------------------------------------- pg. 6 of 6 -------------------------------------------------------------------------