191806752-6-26-2019-30-CC-KSTS-BDHUCF-20190626152751

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191806752
Report Date: 06/26/2019
Date Signed: 06/26/2019 03:28:01 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:	HEATH, ANNIE MARIE FAMILY DAY CARE		FACILITY NUMBER:	191806752
ADMINISTRATOR:	HEATH, ANNIE MARIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 935-4448
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY:	12	CENSUS: 0	DATE:	06/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Annie Heath		TIME COMPLETED:	03:45 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	On 06/26/19, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual/Random inspection. LPA met with and toured the facility with the licensee, Annie Heath. The facility is a two story 4 bedroom, 3 bathroom home with kitchen, living room, dining room, laundry room, and garage. The second story (entrance through the hallway) is a private area inaccessible to child care (locked and off limits). The garage is used for storage only and no child care activities are conducted there. At time of visit licensee was caring for 2 grandchildren. No child care children were in care. Main care is provided in the living room. Children use the bathroom adjacent to the kitchen. LPA inspected the bathroom and did not observe any medications, toxins or cleaning compounds that would pose a risk to children in care. Children have access to the dining room, kitchen and backyard. Off limit areas include the home's upstairs area (1 bedroom, 1 bathroom), 2 bedrooms, 1 bathroom, laundry area, and the garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. LPA observed proper postings. Children play in the backyard. There is a grass and concrete area. The jacuzzi is locked and covered. There are 2 dogs which are kept away from the children in care. There is a trampoline with a safety net in the backyard as well. LPA advised licensee regarding supervision when the trampoline is in use. Per licensee, there is no longer a weapon/firearm in the home. There are age appropriate toys and napping equipment on the premises. Children nap in the living room bedroom . The required fire extinguisher (2A10BC) and smoke/carbon monoxide detectors are in operable condition. Home has central AC and heat. CPR/First Aid expire 03/2021. Licensee has a complete First Aid kit. Incidental Medical services were discussed. Licensee has Mandated Reporter Cert. exp. 11/2020

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: HEATH, ANNIE MARIE FAMILY DAY CARE	FACILITY NUMBER: 191806752
	VISIT DATE: 06/26/2019

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The following were also discussed with licensee:
Assembly Bill (AB) 633: Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility.

Senate Bill (SB) 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

Senate Bill (SB) 277 New Immunization Requirement: Beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Licensee was also shown how to access current information on the www.ccld.ca.gov website on how to access: Reducing the Risk of SIDs in Early Education and Child Care

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

No deficiencies cited.Exit interview conducted, Notice of Cite Visit given and copy of this report issued.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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