197401594-7-31-2019-30-CC-VWHY-BELLUC-20190731090342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197401594
Report Date: 07/30/2019
Date Signed: 07/31/2019 09:03:53 AM

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:	HUGHES FAMILY DAY CARE		FACILITY NUMBER:	197401594
ADMINISTRATOR:	HUGHES, DOROTHY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 217-1528
CITY:	GARDENA	STATE: CA	ZIP CODE:	90249
CAPACITY:	14	CENSUS: 1	DATE:	07/30/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Mr. & Mrs. Hughes		TIME COMPLETED:	02:00 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 Analysts, V. Wheatley and Adrian Risher conducted a Annual Required inspection and met with licensee at 12:10PM. LPAs only observed the licensee's minor grandson on the premises. There are no day care children present today. The home is orderly. LPA inspected the areas of the child care which is the family room.. The bedrooms are off-limits. LPA observed a charged fire extinguisher, smoke detector, carbon monoxide detector, and working telephone. All electrical outlets, detergents, cleaning supplies and medications are inaccessible to children. LPAs observed a chemical in the bathroom, medication in the desk, and knives in a drawer. The items were removed during the inspection. The home has central heating and a portable air conditioner. There is a first aid kit, age appropriate toys and mats for napping. Licensee has current CPR, first aid, health and safety which expires March 2020. Per the licensee, there are no firearms on the premises. The children enter and play in the backyard. LPAs observed age appropriate toys. There is a sandbox and slides. LPAs observed a play house with open windows. There are no pets on the premises Licensee may take the children to the park with parent's authorization. Licensee states there are no children receiving Incidental Medical Services. Licensee was informed to submit a Operation Plan if children receive these services.

SUPERVISOR'S NAME: Sharon Greene	TELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

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: HUGHES FAMILY DAY CARE	FACILITY NUMBER: 197401594
	VISIT DATE: 07/30/2019

NARRATIVE

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The 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.

LPAs reviewed children's records at 1PM which are complete. Immunization records are to be 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. Title 22 Regulations, child care updates viewed at www.ccld.ca.gov. The licensee has required immunizations and has completed Mandated Reporter Training.

LPAs discussed discipline policies, personal rights, civil penalties and appeal rights. LPA informed licensee of regulations regarding reporting unusual incidents and injuries within 24 hours.

Licensee was informed that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). Handout was given to licensee. No smoking is allowed on a day care premises. 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. LPA did not observe any baby walkers, exersaucers or bouncers. Hand out was provided.

The parent board has all the required forms posted.

LPA did not observe any violations according to Title 22 Regulations.

Exit interview.

SUPERVISOR'S NAME: Sharon Greene	TELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

LIC809 (FAS) - (06/04)

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