Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) William Chancellor conducted an unannounced annual inspection for Dominguez Family Childcare (FCCH) on July 13, 2025, at 1:00 PM. LPA met with Licensee (LIC) Mona Dominguez, who granted entry and provided LPA a tour through the FCCH. During the inspection, LPA approved the facility for a capacity increase from eight (8) to fourteen (14) children. With an approved fire clearance on file dated June 4, 2025.
The facility operates Monday through Friday from 7:00AM- 6:00 PM, serving children 18 months- five years old. Certain areas listed as off-limits include: all three bedrooms in main residence, bathroom 1, detached garage/in-law studio, kitchen, laundry room and north side of backyard. Off-limit areas will include child safety locks and gates, making them inaccessible to children. Daycare children primarily pass from the entry to the back daycare room and utilize the covered patio and backyard. Facility is currently licensed as a small FCCH with a maximum capacity of eight (8) children and is operating within the capacity listed on the license. Upon arrival, no daycare children were present. LPA observed ample amounts of age-appropriate furniture and toys categorized by developmental themes under the covered patio. Additionally, LPA observed a newly installed artificial turf installed under the play houses in the back yard and a covered sand box.
A working cell phone is available, and the current phone number on file is correct. A fully charged fire extinguisher (2A:10BC) was observed in the laundry room. LPA observed an operational smoke detector mounted in the home hallway. Additionally, the home is equipped with a carbon monoxide alarm plugged in the home hallway. LPA confirmed operating child safety gate making the kitchen off-limits and inaccessible to daycare children. Kitchen knives were observed to be inaccessible to daycare children by a child safety latch drawer. LPA reminded licensee that all poisons and cleaning compounds deemed hazardous must be locked by a key. The license stated they understand that all off-limit areas are made inaccessible by child safety gates, doorknobs or lock and key, and must be operational during daycare hours.
Roster was requested an available for review and updated during inspection. LPA confirmed the required postings, including the Facility Sketch, Emergency Disaster Plan, License and Notification of Parent\342\200\231s Rights, are displayed in the home entry way. Fire and
disaster drill documentation was listed in the daycare entry, last drill recorded in May 2025. Licensee was reminded the home shall be kept clean and orderly.
Licensee stated they understand that all firearms, weapons, and ammunition must be locked separately and made inaccessible as per Title 22 Regulations.
LPA confirmed there are no pools, spas or other bodies of water present at the FCCH property at this time.
Licensee
Mona Dominguez
stated they understand that all bodies of water including ponds, above ground pools, spas, and some fountains must be properly covered or fenced per Title 22 Regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar products must be emptied immediately after use and stored in an upright position.
Both children and employee records were audited during this inspection. Mandated Reporter Training is on file and valid through April 2026. Licensee Pediatric CPR and First Aid certification expired in May 2025. A deficiency will be cited. Resident and staff records were reviewed, and all adults requiring caregiver background checks have received the necessary clearances and exemptions.
CHILDREN'S RECORDS REQUIREMENTS:
\342\200\242 LIC 700 Identification and Emergency Information
\342\200\242 LIC 627 Consent for Emergency Medical Treatment
\342\200\242 LIC 282 Affidavit Regarding Liability Insurance
\342\200\242 LIC 9150 Parent Notification Additional Children in Care
\342\200\242 LIC 995A Notification of Parent\342\200\231s Rights
\342\200\242 Immunization Record
\342\200\242 CDPH 286
\342\200\242 LIC 9227 Individual Sleep Plan- required for infants 12 months or younger
\342\200\242 15 min sleep logs for infants 0-24 months. Including position, when under 12 months.
FACILITY RECORDS:
\342\200\242 LIC 624B Unusual Incident/Injury Report
\342\200\242 LIC 9040 Child Care Facility Roster
\342\200\242 LIC 9052 Employee Rights
\342\200\242 Copy of your deed or lease/rental agreement
\342\200\242 Documentation of Fire and Disaster drills at least every six months
STAFF/VOLUNTEER FILES
\342\200\242 Fingerprint clearance and or exemption
\342\200\242 LIC 9108 Statement Acknowledging Requirement to Report Child Abuse
\342\200\242 Proof of current pediatric CPR and First Aid Certificates if transporting or licensee absence
\342\200\242 Proof of immunization's against pertussis (TDAP), measles (MMR), and influenza
\342\200\242 TB clearance
\342\200\242 Mandated Reporter certificate \342\200\223
www.mandatedreporterca.com
\342\200\223 must be renewed every two (2) years
Licensee Mona Dominguez was reminded that all adults 18 and over, living or working in the home, 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.
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. Licensee was reminded 15-sleep logs are required for all infants until the age of 24 months. LPA reminded licensee that sleep logs shall document position of the infant, under the age of 12 months, and include staff initials.
Incidental Medical Services (IMS) policy was discussed. For IMS information see
PIN 22-02-CCP
. When any IMS is provided, an updated Plan of Operation that includes 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:
https://www.ada.gov/resources/child-care-centers/
Licensee was informed of the MyChildCarePlan.org website; 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.
On-line Licensing forms & regulations for a Child Care Center can be obtained on the Department\342\200\231s website:
www.ccld.ca.gov
. Additionally, there is a link to \342\200\234Receive Important Updates\342\200\235 located on the right side of the page, immediately above Quick Links. One can add their email address and choose which program(s) they wish to receive Provider Information Notices (PIN) for.
The Duty Officer is available to answer questions Monday \342\200\223 Friday; 8:00am to 5:00pm at: 951-782-4200. Unusual Incident Reports (UIR) must be called in within 24 hours and then electronically emailed or faxed within 7 business days at:
unusualincidentreportsDO10@dss.ca.gov
. Please refer to Title 22: 102416.2 Reporting Requirements- to reference mandatory reasons or incidents required to be self-reported to (CCL) in a timely manner.
On June 6, 2025, the California Attorney General - Megan\342\200\231s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.
To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process for CARE tools, please send the email inquiries to
inspectionprocess@dss.ca.gov
. For additional information regarding the inspection and its tools and methods, please visit the
Program website
at
www.cdss.ca.gov/inforesources/community-care-licensing/process
.
See LIC809-D for cited deficiencies. Additionally, advisory notes (LIC 9102) were provided to review regulations that were observed to be either in question or a potential risk for a future deficiency cited. Advisory Notes are provided with the intent to avoid issuing citations for violations that are technical in nature and do not present an immediate or potential health, safety or personal rights risk to those in care.
The application for a Large Family Child Care Home will be submitted for approval pending plan of corrections due July 11, 2025. A maximum capacity of 14 will be approved, requiring parent notification. Licensee Mona Dominguez stated they understand the following regulations and requirements:
acknowledged that when more than eight (8) children present, an assistant is required.
If an assistant is unavailable, the licensee must adhere to the small family childcare home ratio of no more than eight (8) children.
The licensee also confirmed their understanding that all adults aged 18 and older who assist, live, or volunteer in the home must undergo a fingerprint clearance before being present in the child care setting.
Additionally, the licensee acknowledged the requirement to be present for at least 80% of the time when children are in care.
An exit interview was conducted with licensee Mona Dominguez. The licensee received a copy of this report, Appeal Rights, and a Notice of Site Visit, which must be posted in a prominent location for 30 consecutive days.