191606684-12-19-2019-30-CC-VWHY-BK25MJ-20191219190449

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191606684
Report Date: 12/18/2019
Date Signed: 12/19/2019 07:05:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	COTTONE FAMILY DAY CARE		FACILITY NUMBER:	191606684
ADMINISTRATOR:	COTTONE, ROBERT & JOANNE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 375-6373
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90501
CAPACITY:	12	CENSUS: 0	DATE:	12/18/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Robert & Joanne Cottone		TIME COMPLETED:	04:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst, V. Wheatley conducted a random inspection and met with the licensee Mrs. Cottone at 3:00PM. The license is providing child care for one infant on Tuesdays and Thursdays. LPA did not observe any children. LPA toured the areas of the child care which are the den/dining room and kitchen area. LPA observed and toured a detached converted garage called the "Play Room". The bedrooms and living room are off-limits. The home is clean, orderly, comfortable and well ventilated. LPA observed a smoke detector, charged 2A10BC fire extinguisher and working telephone. The home has electric heating. Each room has its own thermostat. There are age appropriate toys, cots and for napping. All detergents, cleaning supplies are in the laundry room up high. All medications, and electrical outlets are inaccessible. Per the licensee, there are no firearms on the premises. The licensee has CPR and first aid that expires January 2021. LPA inspected the large backyard which is fenced. LPA inspected the detached converted garage and observed age appropriate toys and equipment. The electrical outlets are inaccessible and there is a required fire extinguisher, smoke/carbon monoxide detector. There are two dogs and one bird on the premises. The dogs are kept inaccessible to the children. There are no bodies of water. The grass area and Winnie The Pooh storage room is off limits. LPA observed a gate separating the off limit areas.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: COTTONE FAMILY DAY CARE	FACILITY NUMBER: 191606684
	VISIT DATE: 12/18/2019

NARRATIVE

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LPA discussed discipline policies, personal rights, civil penalties and appeal rights. LPA reminded licensee about reporting unusual incidents and injuries. In addition, licensee was reminded that all adults 18 and over living or working in the home and visiting on a frequent basis must be fingerprint cleared prior to being on the premises. A civil penalty will be assessed if this regulation is violated.

LPA discussed Incidental Medical Services in great detail. The licensee understands to submit a written plan of operation to the department if children are receiving these services.

Licensee was informed that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). LPA discussed Safe Sleep and provided English brochures. Never shake a baby to prevent Shaken Baby Syndrome. Only children eating may be in high chairs. Provider is required to wash hands after every diaper change. No smoking is allowed on a day care premises.

LPA reviewed child's record at 4:15PM. The license will utilize the following forms for parents. The following forms will be provided to the parents: LIC 627 (Emergency Consent), LIC 700 (ID & Emergency), LIC 702 (Health History), LIC 613A (Personal Rights), LIC 995A (Parent's Rights), LIC 995E (Important Information for Parents), LIC 282 (Affidavit Liability Insurance). Immunization records are obtained from parent's prior to a child being left with provider. Immunization records shall be kept on blue cards from the local health department. Licensee states she is receiving Child Care Quarterly updates by email. Title 22 Regulations and other resources may be obtained at the department's website www.ccld.ca.gov

The licensee has the required forms posted the on the parent board. Exit interview.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

LIC809 (FAS) - (06/04)

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