197411895-2-11-2020-12-CC-DMAX-BLQ24U-20200211160431

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411895
Report Date: 02/11/2020
Date Signed: 02/11/2020 04:04:40 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	ERAGODA FAMILY CHILD CARE		FACILITY NUMBER:	197411895
ADMINISTRATOR:	ERAGODA, GEETHA S.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 259-4867
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY:	14	CENSUS: 8	DATE:	02/11/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Licensee, Geetha Eragoda		TIME COMPLETED:	04:10 PM

NARRATIVE

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Licensing Program Analyst (LPA) Maddox met with licensee, Geetha Eragoda today for the purpose of conducting an unannounced Required 1 yr inspection. LPA disclosed the purpose of the visit and was granted entry by licensee, who guided LPA on a tour of the facility. Upon arrival, LPA observed 8 children in care and licensee's assistant, Dushanthi Kulasekara five children in care.

The facility's hours of operation are Monday through Friday 7:00 a.m. to 6:00 p.m. The children in care bring their own food and snacks from home. Per the licensee, there are no pets in the facility and they do they transport children in care.

This is a single story, three bedroom, two bathroom home with an attached garage. Main care is provided in the living room also known as the classroom, and the den. The children use the bathroom located to the right of the hallway. The backyard is used for outside play. The off limit areas include all of the bedrooms, one of the two bathrooms, and the attached garage.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. There are age appropriate toys and equipment on the premises. Per the licensee there are no weapons or firearms of any kind in the facility at this time, nor did the LPA observe any weapons during the inspection. Licensee stores medication and sharp knives in an inaccessible kitchen pantry located to the right of the refrigerator. Children are provided with mats for nap time, and per the licensee, bedding is brought from home and washed every Friday. LPA also observed a fireplace inside of the den, which had a chain screen preventing children from having access.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ERAGODA FAMILY CHILD CARE	FACILITY NUMBER: 197411895
	VISIT DATE: 02/11/2020

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The following were discussed:
There is an effective 24/7 ban on smoking tobacco in a home that is licensed as a family day care home, and in those areas of the family day care home where children are present. Baby walkers, baby jumpers, baby exersaucers, baby bouncers/rockers and any other item that falls into that category are not permitted in the facility. The LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements. LPA also provided licensee with the new 2019 Safe Sleep in Child Care brochure.

The licensee was informed that all adults living in or having access to the home are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Index prior to having contact with children. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analyst of any person who will be visiting regularly or for longer than one week.

Beginning on January 1, 2018, Assembly Bill 1207 (2015) 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. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

The licensee was reminded it is his/her responsibility to visit the departments website to obtain licensing forms, Quarterly Updates, and Provider Information Notices (PINs): www.ccld.ca.gov

An exit interview was conducted, a copy of this report, and notice of site visit were provided to licensee, Geetha Eragoda. Appeal rights were also provided and discussed with licensee, Geetha Eragoda.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ERAGODA FAMILY CHILD CARE	FACILITY NUMBER: 197411895
	VISIT DATE: 02/11/2020

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The outside backyard is used by the children for outside play. The backyard was gated all around. The outdoor play area was inspected and play equipment was observed to be free of hazards, loose and sharp parts. LPA observed no bodies of water at the family day care home.

The facility’s fire extinguisher (2A10BC) met the State Fire Marshal standards. Licensee tested the smoke detector and carbon monoxide detector at 9:41 a.m., and they were both found to be in operable condition. The facility annual fees are current. The parent board was reviewed and had all of the required forms posted and accessible to parents.

Children and staff files were reviewed and found to be incomplete. Licensee and Staff 1 did not have proof of required immunization's.

The facility roster and fire drills were up to date, and all individuals living the family child care home have been fingerprinted and associated to the facility. The licensee has a current CPR and Pediatric First Aid certification, which expires on 3/27/2021. The licensee provided LPA with proof of completion for her Mandated Reporter, which was obtained on 8/30/2018.

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 - No IMS at this time.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020

LIC809 (FAS) - (06/04)

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