197411923-10-9-2019-30-CC-HESA-BGSMXP-20191009100016

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411923
Report Date: 10/09/2019
Date Signed: 10/09/2019 10:00:25 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:	BETTES,JOYCE & SHANNON & BARNES,SARAH FCCH		FACILITY NUMBER:	197411923
ADMINISTRATOR:	BETTES, JOYCE & SHANNON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 798-0058
CITY:	REDONDO BEACH	STATE: CA	ZIP CODE:	90278
CAPACITY:	14	CENSUS: 11	DATE:	10/09/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Joyce Bettes - Licensee		TIME COMPLETED:	10:15 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 10/9/19 at 8:35 AM, Licensing Program Analyst (LPA) Helen Estrella arrived at 1200 Rindge Lane, Redondo Beach CA 90278 for the purpose of an annual/random inspection. Upon arrival, LPA met with Timothy and Shannon Bettes who were informed of the nature of the visit. Licensee Joyce arrived at 9am to the facility. LPA confirmed with the licensee that all adults have obtained a criminal record/TB clearance. LPA was guided on a tour of the home (inside and outside). The facility is two-story that consist of 4 bedrooms, 2 bathrooms. The upstairs area was made inaccessible by child's safety gates. Main care is provided in the room #1 downstairs with activities conducted in the garage area. The other accessible areas of the home are bathroom #1 (downstairs), living room and patio/backyard for outdoor play. LPA observed the following during the inspection: LPA observed fully charged 2A10BC fire extinguisher, smoke/carbon monoxide detectors in the home, age appropriate toys and equipment, changing table, first aid kit and emergency supplies. The home has central heating. LPA observed that all sharp objects, toxins, and hazardous materials are made inaccessible to children in the kitchen and bathroom. LPA observed licensee's Pediatric CPR/First Aid valid through 8/12/21. The last emergency/fire disaster drill was conducted 9/2019. The home has a fireplace that was observe with a barricade. The licensee does not have weapons/firearms in the home and none observed by LPA. All electrical outlets have protective covers. LPA inspected outdoor area and observed as fenced in. There are no bodies of water on the property. One small dog was observed in the off limits area. There was 11 children in care with the licensee and two assistants. Children's records were reviewed and appeared complete with required licensing documents. The licensee is operating the license within capacity limits. Page 1

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019

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: BETTES,JOYCE & SHANNON & BARNES,SARAH FCCH	FACILITY NUMBER: 197411923
	VISIT DATE: 10/09/2019

NARRATIVE

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At this time, the licensee does not provide Incidental Medical Services (IMS). 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 licensee:
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 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. Phone number: (916) 654-1541. childcareadvocatesprogram@dss.ca.gov

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 is operating within substantial compliance during today's inspection. No deficiencies cited. A copy of this report and an exit interview was conducted with the licensee.

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SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019

LIC809 (FAS) - (06/04)

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