197413303-9-28-2023-30-CC-JLAO-CW4UJ5-20230928153659

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413303
Report Date: 09/28/2023
Date Signed: 09/28/2023 03:37:08 PM

Document Has Been Signed on 09/28/2023 03:37 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:	KAIHANI FAMILY CHILD CARE		FACILITY NUMBER:	197413303
ADMINISTRATOR:	KAIHANI, FARIDEH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 641-8370
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90045
CAPACITY:	12	CENSUS: 4	DATE:	09/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Farideh Kaihani		TIME COMPLETED:	04:00 PM

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On 9/28/2023 Program Analysts (LPA), Judy Laureano and Cristina Castellanos conducted an unannounced Annual Required Inspection at 8308 Loyola Blvd., Los Angeles, CA 90045. During today’s inspection was licensee Farideh Kaihani and assistant S. Majidian.

The hours of operation are Monday through Friday 8:00 am to 4:30 pm. LPAs toured the home inside and outside and reviewed facility sketch. Currently facility is available to take children ages birth to 12 1/2 years old. Currently enrolled are children ages 13 months to 3 years old. Facility is licensed for a Large Family Child Care license with a max capacity of 14 children. Licensee is not available for evening, overnight care or weekend care. Currently living in the home is licensee only.

This is a single family home with 3 bedrooms, 2 bathroom a living room/dining room area, kitchen and playroom. Child care is conducted in the playroom. Per licensee, living room and dining room are use for eating and occasional extra activity space. Bathroom that children use is located outside the playroom.

Licensee confirmed the following areas as OFF LIMITS: bedroom 1/office and bathroom 1 located next to bedroom. Kitchen area is used as a walkway to access the playroom and the backyard. The backyard is currently OFF LIMITS to the children in care. LPAs reminded licensees that any area designated as OFF LIMITS should be made inaccessible during the hours of operation and/or while children are present. Licensee ensures that all doors that lead to the back yard remain locked to ensure backyard is not accessible.

There are no firearms or ammunition on the premises. Detergents, cleaning compounds are kept in the top cabinet of the bathroom 2- outside the play room. LPAs observed open face heaters in the living room and playroom that are not working and have been shut off by the gas company. Licensee will submit proof to LPAs. LPA’s observed a barricade fireplace in the living room.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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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Document Has Been Signed on 09/28/2023 03:37 PM - It Cannot Be Edited

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: KAIHANI FAMILY CHILD CARE	FACILITY NUMBER: 197413303
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/28/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above with one count of invalid certification, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/12/2023
	Plan of Correction
1 2 3 4	Licensee agrees to complete EMSA approved Pediatric CPR and Pediatric First Aid and submit proof to LPA.

Type B

Section Cited

CCR

102416.3(a)(1)

Alterations to Existing Building or Grounds

(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (1) Conversion of a garage (either attached or detached) into a "child care" room. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above by not notifying the deparment of construction on site,which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/12/2023
	Plan of Correction
1 2 3 4	Licensee agrees to complete an updated facility sketch noting back yard is OFF LIMITS and the ADU thent of the proposed changed, including, but not limited to, the following: (1) Conversion of a garage (either attached or detached) into a "child care" room. This requirement is not met as evidenced by:at will be added via email. Licensee will notify the department when construction is completed.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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: KAIHANI FAMILY CHILD CARE	FACILITY NUMBER: 197413303
	VISIT DATE: 09/28/2023

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LPAs observed licensee test the carbon monoxide and smoke detector in the home. LPAs observed a working fire extinguisher in the hallway across the kitchen. Licensee confirmed that home provides meals and snacks. LPAs discussed the importance of maintaining a system where allergies and food restrictions are noted. Licensee confirmed that home is currently participating with a local food program.

Adequate heating and ventilation for safety and comfort were observed in the space. Safe toys and play equipment were observed. The home has working telephone service and LPAs confirmed the phone number 310-641-8370.

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.

Capacity as specified on the license is being maintained during today’s inspection.

Safe Sleep regulations were discussed due to program being available for infant care. There is one crib or play yard for each infant in care, cribs and play yards 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. Provider physically checks on sleeping infants every fifteen minutes and documents 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. Infants up to 12 months of age are placed on their backs for sleeping. Individual Infant Sleeping Plan was discussed and LIC form was reviewed. LPAs provided licensee with a sample sleeping log to use as a reference.

Licensee’s Mandated Reporter training and Pediatric CPR and Pediatric First Aid was not available for review. LPAs issued a Type B citation for expired Pediatric CPR and Pediatric First Aid Certification. LPA reminded licensee the importance of making sure all vendors providing Pediatric CPR and Pediatric First Aid need to be EMSA approved. LPAs discussed all necessary forms needed in each staff file and children’s file. LPAs provided licensees with a current copy of the LIC 311D to use as a reference when auditing files. LPAs reviewed 4 children’s files and observed files to be complete. LPAs provided licensee with a sample packet of all necessary forms.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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: KAIHANI FAMILY CHILD CARE	FACILITY NUMBER: 197413303
	VISIT DATE: 09/28/2023

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Family Child Care Homes Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee, Farideh Kaihani, was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee Farideh Kaihani.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC809 (FAS) - (06/04)

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