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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192010090
Report Date: 11/19/2020
Date Signed: 11/24/2020 03:05:11 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:MUIR & SIMPSON FAMILY CHILD CAREFACILITY NUMBER:
192010090
ADMINISTRATOR:JENNIFER MUIRFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 490-8062
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:14CENSUS: 8DATE:
11/19/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Jennifer MuirTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), V. Wheatley conducted a case management Televisit inspection with licensee Jennifer Muir by Zoom at 12:30PM due to Covid-19. LPA observed 8 day care children on the premises with face masks and socially distancing.

This report is to reflect a deficiency being cited for a day care Child #1 that was allowed to stay on the day care premises after the licensee learned the child was diagnosed with pink eye. The child was allowed to stay on the premises the entire day. Although the child was isolated from the other children, children are not allowed to stay on the premises when they are ill.

The child's authorized representative was contacted and was unable to pick the child up from the day care. Once the licensee learned the parent was unavailable another authorized adult should have been contacted to pick up the child from the day care. Child #2 was diagnosed with pink eye after being on the premises the same day as Child #1. LPA received pictures and document from Teledoc from complainant. This action put all children at a health and safety risk.

A copy of this report and appeal rights was sent via email with Read Receipt.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020
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: MUIR & SIMPSON FAMILY CHILD CARE
FACILITY NUMBER: 192010090
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/19/2020
Section Cited

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102423-Personal Rights - Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:To receive safe, healthful, and comfortable accommodations...

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Licensee allowed Child #1 to stay at day care after learning the child was diagnosed with pink eye. The licensee failed to provide a safe and healthful environment for children attending the day care. This put children at risk as Child #2 was also diagnosed with pink eye. This is a immediate risk to the children in care.
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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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 11/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/19/2020
LIC809 (FAS) - (06/04)
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