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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191514197
Report Date: 09/08/2021
Date Signed: 09/10/2021 04:37:34 PM

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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MCGUIRE FAMILY CHILD CAREFACILITY NUMBER:
191514197
ADMINISTRATOR:MCGUIRE, NADINE BILLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 921-8969
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 2DATE:
09/08/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Nadine Billie McGuire, LicenseeTIME COMPLETED:
04:15 PM
NARRATIVE
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An unannounced Required One Year Inspection was conducted by Licensing Program Analyst (LPA) A. Lucero. LPA met with licensee Nadine McGuire who guided LPA on a tour of the facility. This is a single story, three bedroom, two bathroom home. Adults residing in the home were discussed and noted. Present at the time of inspection was Licensee's mother who was not providing care and supervision to children in care. LPA observed two children in care at time of inspection.

Per Licensee areas accessible to children were inspected as follows: living room, den area that has been converted into a day care play area, hallway, licensee's master bedroom, hallway bathroom, kitchen, and back yard. Per licensee, areas off limits include: front and middle bedrooms, licensee's master bathroom, detached garage.

Licensee states that there are no weapons or firearms on the premises. LPA did observe a small children's swimming pool in the back yard. There were no children present in the back yard and licensee emptied out the small swimming pool of all water and flipped the small pool upside down. There were no children present . The backyard is adequately fenced. There are age appropriate toys and equipment on the premises. Smoke detectors are present in the home and are operable. Carbon monoxide detectors were not present as licensee had recently purchased brand new detectors and assumed they were dual. Discussions were held with licensee regarding swimming pool safety and carbon monoxide detectors. Technical Violations were issued.

Records review was conducted at around 1:30pm. LPA determined that the CPR/First Aid certificate provided is not an issued card. LPA also determined that there are no EMSA certified stickers. This is a potential risk to children in care. Child Care Roster and Disaster Plan need to be updated. Children's Records were reviewed and discussed. Required licensing forms were discussed as well as mandated child abuse reporting and criminal record clearance requirement.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MCGUIRE FAMILY CHILD CARE
FACILITY NUMBER: 191514197
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/08/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on records review, the licensee did not comply with the section cited above as the certificate provided is not EMSA approved as it does not have an EMSA certified sticker. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/08/2021
Plan of Correction
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Licensee stated that she will enroll in an American Red Cross Pediatric CPR/First Aid course and provide LPA a copy of course taken by POC date of 10/08/2021 to LPA via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2021
LIC809 (FAS) - (06/04)
Page: 3 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MCGUIRE FAMILY CHILD CARE
FACILITY NUMBER: 191514197
VISIT DATE: 09/08/2021
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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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email 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.

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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page 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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Nadine McGuire.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021
LIC809 (FAS) - (06/04)
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