197406721-10-11-2022-30-CC-LJCS-CK4TJP-20221011144640

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197406721
Report Date: 10/11/2022
Date Signed: 10/11/2022 03:55:01 PM

Document Has Been Signed on 10/11/2022 03:55 PM - It Cannot Be Edited

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:	BELL FAMILY CHILD CARE		FACILITY NUMBER:	197406721
ADMINISTRATOR:	BELL, KEYLA R.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 310-3277
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90404
CAPACITY:	14	CENSUS: 0	DATE:	10/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Keyla Bell		TIME COMPLETED:	11:45 AM

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	On 10/11/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced annual inspection at the facility. LPA met with Keyla Bell, Licensee, and discussed the purpose of the visit. During this inspection, the licensee and Assistant #1 (cleared and associated) were present in the family child care home. LPA observed 0 children in care. Days and hours of operation are Monday through Friday, 7:30AM to 5:30PM. This is a single-story 3 bedroom, 2 bathroom home with kitchen, dining room, den, living room, laundry and detached garage. There is no pool, spa or other bodies of water on the premises. Family members residing in the home include licensee only. Off limit areas will be the master bedroom/master bathroom, living-room, the kitchen, and the laundry room. The home was inspected inside and out for safety, comfort, cleanliness, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (under kitchen sink with latch), and hazardous items (sharp knives in upper kitchen cabinet) that can pose a danger to children. Main care is provided in the den at the rear of the home. LPA observed age appropriate toys, learning materials, games and activities for children in care. All furniture was found in good repair, clean and without hazards. LPA observed a functioning smoke/carbon monoxide detector in this room. Children use the bathroom located inside of main care area. Bathroom includes 1 toilet, 1 sink, and 1 changing table. Bedroom 1 is the infant room. LPA observed age-appropriate toys and potty training chairs. The dining room is used as the napping room. LPA observed 4 cribs. Cribs are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. LPA informed Licensee of physical checks on sleeping infants every fifteen minutes to document any signs of distress, which includes but is not limited to: flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. [CONTINUE ON PAGE 2]

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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: BELL FAMILY CHILD CARE	FACILITY NUMBER: 197406721
	VISIT DATE: 10/11/2022

NARRATIVE

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Infants up to 12 months of age are placed on their backs for sleeping. LPA informed licensee that Individual Infant Sleeping Plan is required for each infant up to 12 months of age. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. In the hallway that connects the main room to the dining room, LPA observed the 2A10:BC fire extinguisher (serviced 7/2022) and first-aid kit.

Off-Limits Indoor Areas: The kitchen is made inaccessible by a child safety gate. Licensee stated the facility provides breakfast and snacks. Children bring their own lunch. LPA observed kitchen with a gate making the kitchen inaccessible to children in care. Bedrooms 2 and 3 are made inaccessible by door locks. The living room is made inaccessible by a divider. Licensee stated a door will be put it on 10/15/2022.

Inspection of the outdoor play area was conducted. Climbing structures, swings, slides and other large play equipment is found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Drinking water is readily available on the play yard. Children bring their own water bottles. There is adequate shade for the children in care. Fencing around the perimeter of the play area is at least 4 feet high. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.

Outdoor Off-Limits: The detached garage is made inaccessible by a door lock. Licensee stated children do not utilize the front yard.

Facility was observed to be operating within the conditions, limitations, and capacity specified on the license.
LPA observed 2 staff records to contain appropriate documentation of education credits. Licensee and Assistant #1 are trained in CPR and Pediatric First Aid (expiration date 1/2024 and 11/2022). Mandated Reporter training is current for Licensee and Assistant #1 (9/2022). LPA reviewed a sample of 3 children’s files and observed files were complete.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial

[CONTINUE ON PAGE 3]

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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: BELL FAMILY CHILD CARE	FACILITY NUMBER: 197406721
	VISIT DATE: 10/11/2022

NARRATIVE

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presence in a Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per
day/per person will be assessed if this regulation is violated. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.

Incidental Medical Services (IMS) are not currently being provided. Director is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Keyla Bell.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC809 (FAS) - (06/04)

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