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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402817
Report Date: 01/02/2020
Date Signed: 01/02/2020 01:13:14 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:HOWARD FAMILY DAY CAREFACILITY NUMBER:
197402817
ADMINISTRATOR:JESSE HOWARDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 887-9359
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY:12CENSUS: 0DATE:
01/02/2020
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Jesse & Glenda Howard -LicenseesTIME COMPLETED:
01:30 PM
NARRATIVE
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On 1/2/2020 at 9:34 a.m., Licensing Program Analysts (LPAs) Antonio Almanza and Claudia Escobedo conducted an unannounced annual random inspection at the facility to ensure that health, safety and personal rights as required by Title 22 Regulations governing California Family Child Care Homes (FCCH) are met. LPAs met with licensees, Jesse and Glenda Howard who led LPAs on a tour of the indoor and outdoor accessible areas of the home. The FCCH operates Monday-Friday from 2:30 p.m.-6:00 p.m. Upon arrival LPAs observed a Ring doorbell at the front entrance. It is a two-story home with a detached garage. LPAs were led through the living room to access the accessible areas to children, which include a child care room, bathroom, game room and outdoor play area. Children in child care have a separate entrance on the south of the house. The off-limits areas of the home are blocked-off by a locked door dividing the home from the child care rooms. There were no children in care during today's visit.

The child care room is equipped with 4 children's tables, children's chairs, books, and 3 computers. LPA's observed a working 2-A:10-B:C fire extinguisher and dual smoke/carbon monoxide detector. A bathroom is located on the north side of the child care room. Three first aid kits were observed to be stored in this bathroom. Bathroom is equipped with safety drawer latches and no shampoo/conditioner or cleaning compounds were accessible to children. The outdoor play area is accessed through the child care room. The home has a pool with a 5 foot fence and door fence that swings outwards. LPA's observed that the pool fence does not have a working self-latching system at this time. Licensee, Glenda, states that she will adjust the springs on the gate to self-latch. Licensee, Glenda, states that children in care do not use the pool during hours of child care. Licensees have built a play house that they state is for girls only. The facility has a game room equipped with video game systems.

All detergents, cleaning supplies are stored in well latched cabinets in the laundry room. Sharp objects, including knives are stored in the off-limits kitchen.
Continued on LIC 809-C
SUPERVISOR'S NAME: Victor BautistaTELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: HOWARD FAMILY DAY CARE
FACILITY NUMBER: 197402817
VISIT DATE: 01/02/2020
NARRATIVE
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Medications are stored and were inaccessible to children. Per the licensee, there are no firearms on the premises. Home is equipped with a wall heater, that is not screened and hot to the touch.

Staff records were reviewed. Licensees have current CPR, first aid which expires 02/2020. Licensees state that they have 1 assistant, with First Aid/CPR expiring 02/2020. Licensee states that Licensees and assistant do not have the mandated reporter training certificates. Licensees state that they did not know of this requirement for the mandated reporter training.

Children's records were reviewed. LPAs observed immunization records for Child 1, Child 2, Child 3, Child 4 and Child 5, however immunizations were not recorded on the PM 286-California School Immunization Record. During a random inspection of the Family Child Care Home on 06/02/2016, Licensees were advised of the requirement to maintain the PM 286 for all children in care.

There were 4 deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1. See LIC809-D for deficiencies.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview and copy of report was given to licensees. Appeal rights were issued and discussed.
SUPERVISOR'S NAME: Victor BautistaTELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: HOWARD FAMILY DAY CARE
FACILITY NUMBER: 197402817
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/02/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/06/2020
Section Cited

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102417(g)(5)(A)-Operation of a Family Child Care Home-The home shall be free from... defects..which might endanger a child...All licensees shall ensure the inaccessibility of pools...fences, gates shall...self-close and have a self-latching device...
This requirement is not met as evidenced by:
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Based on observation and interview, the licensee did not ensure inaccessibility to the pool, which poses a potential Health, Safety, or Personal rights risk to persons in care.
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Type B
01/06/2020
Section Cited

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102417(g)(1)-Operation of a Family Chid Care Home-The home shall be free from defects or conditions which might endanger a child...heaters shall be screened to prevent access by children....

This requirement is not met as evidencedy by:
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Based on observation, the licensee did not ensure inaccessibility to the wall heater, which poses a potential Health, Safety, or Personal rights risk to persons 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: Victor BautistaTELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR SIGNATURE:
DATE: 01/02/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/02/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: HOWARD FAMILY DAY CARE
FACILITY NUMBER: 197402817
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/02/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/02/2020
Section Cited

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102418(h)(1)-Immunizations-California Code of Regulations, Title 17, Section 6070, specifies in pertinent part that: The family day care home shall record each pupil's immunization on the California School Immunization Record, PM 286 (6/95).
This requirement is not met as evidenced by:
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Based on observation and record review, the licensee did not ensure children's immunization records be maintained appropriately for 5 of 5 children in care, which poses a potential Health, Safety, or Personal rights risk to persons in care.
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Type B
02/02/2020
Section Cited

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(b)(1)Availability of information regarding detecting and reporting child abuse...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...This requirement is not met as evidenced by:
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Based on observation, interview and record review, the licensee does not have the mandated child abuse reporter training, which poses a potential Health, Safety, or Personal rights risk to persons 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: Victor BautistaTELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR SIGNATURE:
DATE: 01/02/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/02/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4