197406043-5-9-2019-30-CC-MJVZ-BBZTS3-20190509145828

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197406043
Report Date: 05/09/2019
Date Signed: 05/09/2019 02:58:38 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:	KADOSH FAMILY CHILD CARE		FACILITY NUMBER:	197406043
ADMINISTRATOR:	KADOSH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 703-1930
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91367
CAPACITY:	12	CENSUS: 12	DATE:	05/09/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:27 PM
MET WITH:	Ada Kadosh, Licensee		TIME COMPLETED:	03:28 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 Analyst (LPA) Martha Vasquez conducted an unannounced 3 YEAR required inspection to the aforementioned facility. Upon arrival, LPA met with Ada Kasdosh, Licensee. LPA was guided on a tour of the facility inside and outside at 1:34 PM. There are no changes to the facility layout or to the off limit areas. Childcare is primarily conducted in the converted garage and children eat in the kitchen and nap in living room. The restroom adjacent to the activity room is used by older preschoolers. Per licensee, the residents of the home are herself and her spouse. Licensee stated she is currently operating Monday-Friday 8:00 AM - 5:00 PM. The following was observed during this inspection: 1. All adults working or residing in the home are fingerprint cleared and associated. 2. There are no bodies of water on the premises. 3. Per licensee, there are no guns or firearms in the home. None were observed. 4. The licensee maintains current roster. Per roster, the licensee has 12 children enrolled. 5. The licensee maintains monthly disaster drills. 6. Children's records were reviewed to include immunization records on blue cards. 7. The home is kept clean and orderly, with heating and ventilation for children's safety. 8. There are abundance of age appropriate children's toys and equipment that were observed to be in good repair. 9 The home is equipped with a fully charged fire extinguisher, smoke detectors and one carbon monoxide detector located in the activity room. 10. The children's bathroom was inspected for inaccessibility of chemicals and toxin that may be hazardous to the health and safety of children in care. 11. Current Child and Infant CPR and First Aid card that expire on 02/03/2020. 12. Per licensee, there are no children currently enrolled who require Incidental Medical Services. (Continued)

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Martha J Vasquez	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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: KADOSH FAMILY CHILD CARE	FACILITY NUMBER: 197406043
	VISIT DATE: 05/09/2019

NARRATIVE

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Licensee was reminded it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. Licensee was also made aware that the quarterly updates are also in Spanish.

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

The facility is operating in substantial compliance with the Title 22 Regulations at time of inspection. No violations were cited. Copy of this report was provided. Exit interview was conducted.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Martha J Vasquez	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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: KADOSH FAMILY CHILD CARE	FACILITY NUMBER: 197406043
	VISIT DATE: 05/09/2019

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The following were discussed with the licensee:
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Carrying out medical orders when the child’s physician has determined that a layperson can be trained and safely carry out the orders.

Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

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

(Continued)

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Martha J Vasquez	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

LIC809 (FAS) - (06/04)

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