191607382-12-6-2022-30-CC-LJCS-CLUVUG-20221206154444

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191607382
Report Date: 12/06/2022
Date Signed: 12/06/2022 03:45:05 PM

Document Has Been Signed on 12/06/2022 03:45 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	STITZEL FAMILY CHILD CARE		FACILITY NUMBER:	191607382
ADMINISTRATOR:	ELBA STITZEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 473-2573
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	12	CENSUS: 6	DATE:	12/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Elba Stitzel		TIME COMPLETED:	02:45 PM

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On 12/6/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced Annual Required Inspection; LPA was met by Licensee, Elba Stitzel, and explained the purpose of the visit. LPA observed 6 children in care and 1 assistant (cleared and associated). Days and hours of operation are Monday through Friday, 8:00am to 5:00pm.

During today's inspection, LPA conducted a tour of the inside and outside of the facility. This is two-story single family home with 5 bedrooms and 5 bathrooms. LPA entered the property through the side gate. Childcare is provided in the rear area of the home, which includes two bedrooms and 1 bathroom. Bedroom 1 is dedicated to learning and play. LPA observed age appropriate toys, learning materials, children's tables and chairs, games and activities for children in care. The first-aid kit, 2A10:BC fire extinguisher, and functioning smoke/carbon monoxide detector are located in this room. LPA also observed a kitchenette with a microwave, sink, and dishwasher. Licensee stated snacks and meals are cooked in the kitchen inside the main house, which is off-limits to children in care. All furniture was found in good repair, clean and without hazards. Bedroom 2 is used for napping and includes bathroom 1. In bathroom 1, LPA observed 1 toilet, 1 sink, and 1 shower/bath tub free of shampoos and soaps. The backyard is large and includes age-appropriate toys and play equipment with shade and astroturf. Climbing structures, swings, slides and other large play equipment is found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter.

Outdoor Off-Limits: The attached garage is made inaccessible as it can only be accessed via the main house. Licensee stated children do not utilize the front yard.

Facility is currently providing care to infants for 12 months of age. Facility was observed to be operating within the conditions, limitations, and capacity specified on the license. LPA reviewed Licensee's file to be complete: CPR and Pediatric First-Aid expires 5/2023 and Mandated Reporter training is current. LPA reviewed a sample of 3 children’s files and observed files were complete. [CONTINUE ON PAGE 2]

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

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: STITZEL FAMILY CHILD CARE	FACILITY NUMBER: 191607382
	VISIT DATE: 12/06/2022

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Licensee was reminded that all adults 18 and over, 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 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. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.

Incidental Medical Services (IMS) are not currently being provided. Director is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Elba Stitzel.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

LIC809 (FAS) - (06/04)

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