197411194-1-30-2020-30-CC-HESA-BLBQ59-20200130105135

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411194
Report Date: 01/30/2020
Date Signed: 01/30/2020 10:51:44 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:	PARVEZ FAMILY CHILD CARE		FACILITY NUMBER:	197411194
ADMINISTRATOR:	PARVEZ, HAJRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 204-5104
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	14	CENSUS: 1	DATE:	01/30/2020
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Hajra Parvez - Licensee		TIME COMPLETED:	11:10 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 1/30/2020, Licensing Program Analyst (LPA) Helen Estrella conducted an unannounced annual/required inspection to the family child care home. Upon arrival, LPA met with the licensee Hajra Parvez and informed the nature of the inspection. There was one napping child in care during the inspection. LPA confirmed with the licensee that all adults obtained a criminal record clearance and are associated with the facility. The facility is 3-bedrooms, 2-bathroom that includes living room kitchen with dining area, den, front yard, side patio, garage and back yard. Main care is provided in the living room. The children use the enclosed side patio for play. The off limits areas are: kitchen, den, back yard that includes a pool and bedrooms. The garage is utilized for storage only and it was not observe child care activities take place there. There is a swimming pool on the property. It appears to be inaccessible to children in care. The gate is self-closing and self-latching away from the pool. The following was also observed by LPA during the inspection: The home appears to be neat and orderly; home has central air and heat. There is a fully charged fire extinguisher which is at least a 2A:10BC and equipped first aid kit. LPA observed operable smoke and carbon monoxide detectors in the home. All poisons, toxins and disinfectants are locked in kitchen. Hazardous materials are kept out of the reach of children (inaccessible): Kitchen: all sharp utensils and cutlery, cleaning supplies, medicines, drawers and cabinets with liquor, plastic bags, and sharp things or small things children can swallow. Bathroom: shampoo, mouthwash, toothpaste, medicines, and perfumes/lotions/cosmetics. According to the licensee, there are no weapons or firearms at the home. None were observed by LPA. Outdoor play area is free from defects or dangerous conditions. Outdoor play area is fenced in. Toys and playthings are safe, orderly, and appropriate for the age of the children. Licensee agrees that no baby-walkers, bouncers, jumpers, and similar items will be used for children in care and are kept inaccessible. LPA observed current First Aid and CPR certificates for staff. (expires: 3/2021). Current completed Mandated Reporter training in file. There are no pets in the home.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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: PARVEZ FAMILY CHILD CARE	FACILITY NUMBER: 197411194
	VISIT DATE: 01/30/2020

NARRATIVE

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Licensee states is not providing IMS services at this time
Update on Incidental Medical Services: 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 Emptying an Ileostomy Bag.

The following was discussed with the applicant:
All adults living and working in the home must be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.

Licensee was made aware that once licensed, it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Applicant was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Applicant 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 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: (916) 654-1541 Email Address: childcareadvocatesprogram@dss.ca.gov

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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: PARVEZ FAMILY CHILD CARE	FACILITY NUMBER: 197411194
	VISIT DATE: 01/30/2020

NARRATIVE

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Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. The OCAP modules are free of cost and available at: www.mandatedreporterca.com

The licensee was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. The applicant was made aware that a licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

The facility appears to operate within substantial compliance. An exit interview was conducted, and a copy of this report was given to licensee.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

LIC809 (FAS) - (06/04)

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