197413867-8-22-2019-54-CC-RJOS-BFAVKU-20190822163055

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413867
Report Date: 08/22/2019
Date Signed: 08/22/2019 04:31:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	LAY FAMILY CHILD CARE		FACILITY NUMBER:	197413867
ADMINISTRATOR:	LAY, SELINA M.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	3103285465
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY:	14	CENSUS: 7	DATE:	08/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Licensee Selina		TIME COMPLETED:	04:45 PM

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	Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced annual random inspection at the facility listed above. LPA met with Licensee, who guided analyst on a tour of the facility. Upon arrival were, Licensee, two Assistants, Licensee's adult son, minor daughter and seven day care children. LPA observed one sleeping infant in a swing and another in a GRACO Pack-n-Play. The licensee states that two adults and three minor children currently reside in the home. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. A current children’s Facility Roster was available for review. This is a one-story home which consists of three bedrooms, two bathroom, kitchen, den, living room and front yard(fenced). The children use the bathroom located in the hallway, living room and den areas. The restroom that children use was observed to be safe and sanitary. Per Licensee, areas off limits to children and parents include: all bedrooms and backyard. The kitchen was observed safe, sanitary and accessible to children. Appropriate sleeping arrangements (mats) and one crib was observed in the den/day care room. The licensee provides food for children in care. Licensee states that there are no firearms stored in the home. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a landline and a cellphone which remains at the facility during operating hours. There is ventilation and heating (central). LPA observed fireplace inaccessible to children and barricaded. Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed inaccessible to children. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. The valve on the required 2A 10BC fire extinguisher indicates fully charged. Smoke and carbon monoxide detectors were tested and operable.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LAY FAMILY CHILD CARE	FACILITY NUMBER: 197413867
	VISIT DATE: 08/22/2019

NARRATIVE

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Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited must be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LAY FAMILY CHILD CARE	FACILITY NUMBER: 197413867
	VISIT DATE: 08/22/2019

NARRATIVE

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The home was observed clean and orderly with age-appropriate toys and equipment available and free of sharp edges.

Currently, children are using the front yard for outdoor play time. The outdoor play area was observed fenced. LPA observed appropriate toys and equipment used for children. The licensee states that supervision is always provided. LPA observed two pets at the facility during operating hours (fish) and pet(dog).

The licensee was observed operating within the license capacity limitations. Children’s records were reviewed, including emergency information and were observed to be complete.

Licensee and Assistants completed training on preventive health practices including Pediatric First Aid and CPR. The Licensee and Assistants Pediatric First Aid and CPR expires July 2021. There are first aid supplies available.

The Licensee and Licensee Assistant #3 did not provide proof of immunization against influenza, pertussis, and measles. Licensee Assistant #2 provided proof of immunization against influenza, pertussis, and measles. Proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate was not available for Licensee and Licensee Assistant #2 and #3.

All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA observed a current Disaster Drill log. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed and posted.

LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that fall into these categories are not permitted in a family child care facility. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Licensee states she is currently caring for infants. Licensee states that infants sleep in the living room and den. Licensee was advised that infants must sleep in a standard crib only, where they are constantly supervised. LPA discussed with licensee the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and the risks of SUID. LPA also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LAY FAMILY CHILD CARE	FACILITY NUMBER: 197413867
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/22/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/29/2019 Section Cited	1 2 3 4 5 6 7	Mandated Reporter Based on LPAs record review this requirement has not been met as evidenced by Licensee and Assistants provided no proof of Mandated Reporter Certification. This poses a potential risk to the health and safety of children in care.
Type B 08/29/2019 Section Cited	1 2 3 4 5 6 7	Staff Immunizations Based on LPAs record review this requirement has not been met as evidenced by Licensee and Assistant #3 provided no proof of immunization. This poses a potential risk to the health and safety of children in care.
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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: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

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