192001828-12-26-2019-30-CC-AALA-BK8UKG-20191226143908

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 192001828
Report Date: 12/26/2019
Date Signed: 12/26/2019 02:39:46 PM

COMPREHENSIVE INSPECTION

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:	CANTON FAMILY CHILD CARE		FACILITY NUMBER:	192001828
ADMINISTRATOR:	CANTON, CARMEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 920-4754
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	14	CENSUS: 3	DATE:	12/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Carmen Canton		TIME COMPLETED:	01:55 PM

NARRATIVE

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On 12/26/19 at 11:40 a.m., Licensing Program Analyst (LPA’s) Antonio Almanza and Claudia Escobedo conducted an unannounced annual site visit at the Canton Family Child Care home (FCCH). Upon arriving to the property, LPA’s observed a block wall with iron fencing surrounding the front yard. LPA’s observed a camera in the front gate and a Ring doorbell on the front door of the FCCH. LPA’s met with the Licensee Carmen Canton whom guided LPA’s on a tour of the FCCH inside and out. The FCCH operates from 6:00 a.m. to 6:00 pm Monday thru Friday. At the time of arrival there was 4 Adults present in the home and 3 children in care. The Family Child Care home is a single-story family home with 3 bedroom, 2 bathrooms, with detached garage.

Licensee has current pediatric CPR and First Aid Certificate completed 01/08/2019, Documentation of Fire and Disaster drills, and Proof of influenza.

The property was inspected inside and out for safety, comfort, cleanliness, telephone service, heating, ventilation, poisons, detergents, cleaning compounds, medication and hazardous items that can pose a danger to children. LPA observed age appropriate safe toys. LPA’s reviewed Staff file and children files.

Licensee stated that primary care is conducted in the den and dining room. The home is equipped with central air and heat. The off-limits areas of the home are the 3 bedrooms located down the hallway from the main entrance. Per Licensee children nap in the den. LPA’s observed a travel, playpen and 14 cots. Licensee stated that she provides meals and snacks for children in care. The FCCH phone is a land-line. The restroom for children in care is the first door on the left-hand side of the hallway. The bathroom was found to be clean. There is adequate lighting and ventilation in the bathroom area. There is a fireplace in the Living room. The fireplace has glass doors that make it inaccessible to children. The living room is inaccessible to children and there is gate making it inaccessible from the den area

pg. 1

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 12/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2019

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: CANTON FAMILY CHILD CARE	FACILITY NUMBER: 192001828
	VISIT DATE: 12/26/2019

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LPA observed fire extinguisher (2A10BC) in the kitchen that was last serviced 01/08/2019. LPA observed a Smoke Detector and Carbon Monoxide detector in the hallway den and Livingroom. Smoke Detector and Carbon Monoxide detector were tested and are operable.

The yard is surrounded with Block wall. The detached garage is located on north east corner of the yard and is inaccessible to children. There is swimming pool surrounded by iron fence that is 5 feet tall and gate that swings outward and locked. Licensee stated that swimming pool is only used during the summer. The entrance to the garage is from alley. The yard is free from debris and hazards.

Forms to be posted:
LIC 610A Emergency Disaster Plan - PUB 394 Notification of Parents Rights Poster - LIC 9148 Earthquake Preparedness Checklist - PUB 394 Notification of Parents Rights Poster - LIC 203 Facility License - LIC 9213 Notification of Site Visits - Any licensing reports documenting a Type “A” citation posted for 30 days during hours that children are in care - Any licensing report or other documentation verifying compliance or non-compliance with the department’s order to correct type “A” deficiency must be posted for 30 days during hours that children are in care.

The following was discussed with the Licensee:

- All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.
- Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are required to be posted.
- LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

pg. 2

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 12/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2019

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: CANTON FAMILY CHILD CARE	FACILITY NUMBER: 192001828
	VISIT DATE: 12/26/2019

NARRATIVE

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-The applicant was informed 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 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: childcareadvocatesprogram@dss.ca.gov

AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com Applicant is Spanish speaking and the training is not available in Spanish at the time of this inspection.

Safe Sleep Links:
AAP:https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

Children’s Files must contain the following documentation:

LIC 9150 Parent Notification Additional Children in Care - LIC 282 Affidavit Regarding Liability Insurance - LIC 627 Consent for Emergency Medical Treatment - LIC 9166 Consent verification of Nebulizer Care - LIC 700 Identification and Emergency Information - LIC 995A Notification of Parent’s Rights - LIC 995E Caregiver Background Check Process - LIC 9212 Family Child Care Consumer Awareness Information - Immunization record - LIC 9224 Acknowledgement of Receipt of Licensing Reports

pg. 3

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 12/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2019

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: CANTON FAMILY CHILD CARE	FACILITY NUMBER: 192001828
	VISIT DATE: 12/26/2019

NARRATIVE

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Facility Records:

LIC 624B Unusual Incident/Injury Report - LIC 9040 Child Care Facility Roster - LIC 9052 Employee Rights - LIC 9108 Statement Acknowledging Requirement to Report Child Abuse - LIC 9149 Property Owner/Landlord Consent Form, if you plan to care for more than 6 children for a Small Family Child Care Home (FCCH) or more than 12 for a Large FCCH - LIC 9151 Property Owner/Landlord Notification Form - Proof of current pediatric CPR and First Aid Certificates - Copy of your deed or lease/rental agreement - Documentation of Fire and Disaster drills - Proof of immunizations against pertussis (TDAP), measles (MMR), and influenza - Mandated Reporter certificate www.mandatedreporterca.com – must be conducted every two (2) years.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit were explained and provided to Licensee.

pg. 4

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 12/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2019

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: CANTON FAMILY CHILD CARE	FACILITY NUMBER: 192001828
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/26/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/26/2020 Section Cited	1 2 3 4 5 6 7	(b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider...shall complete the mandated reporter training...complete renewal mandated reporter training every two years... This requirement is not met as evidenced by:
	8 9 10 11 12 13 14	Based on observation and interview the licensee does not have Mandated reporter training, This posses a potential Health, Safety, or Personal Rights risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 12/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2019

LIC809 (FAS) - (06/04)

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