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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414161
Report Date: 07/18/2019
Date Signed: 07/22/2019 05:24:25 PM

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:HATCHER FAMILY CHILD CAREFACILITY NUMBER:
197414161
ADMINISTRATOR:HATCHER, SHEILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 329-2420
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:14CENSUS: 20DATE:
07/18/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Sheila HatcherTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), V. Wheatley conducted a case management inspection and met with licensee Sheila Hatcher at 9:30am. Licensee's daughter (Staff #1) was present. LPA observed 20 children on the premises of which three are infants. Licensee admitted that she is over capacity because they were scheduled to take a field trip but cancelled at the last minute. Licensee states some of the enrolled children's school aged siblings were scheduled to attend so there are more children present today than allowed.

LPA observed the children watching television in a bedroom upon arrival and later outside playing. Staff #2 arrived at the facility at 10am. The licensee's daughter (Staff #1) left the facility to take 6 children to summer camps to reduce the capacity. This brought the facility back into capacity. Staff #3 arrived at 12:40pm.

LPA reviewed records and did not observe records for Staff #2. This is required according to Title 22 Regulations.

Exit interview.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: HATCHER FAMILY CHILD CARE
FACILITY NUMBER: 197414161
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2019
Section Cited
CCR
102416.5(d)(1)(2)
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Staffing Ratio and Capacity - For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:(1) Twelve children, no more than four of whom may be infants; or
(2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met. LPA Wheatley observed the facility over capacity with 20 children on the premises of which 3 were infants. This is an immediate risk to the health and safety of children in care.
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Licensee admits that she was over capacity and understands that the facility must remain in capacity at all times. The licensee must remain within compliance. The licensee will submit a Plan of Correction by tomorrow to the department. The licensees daughter Staff #1 transported 6 school aged children to a summer camp to reduce the capacity to 14.
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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: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: HATCHER FAMILY CHILD CARE
FACILITY NUMBER: 197414161
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2019
Section Cited
CCR
102416.1(a)(1)
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Personnel Records - Personnel records shall be maintained on each employee and shall contain the following information:(1) Employee's full name.(2) Driver's license number if the employee is to transport children.(3) Date of employment (4) Date of birth.(5) Current home address and phone number.(6) Documentation of completion of training on preventative health practices as required by Section 102416(c).(7) Past experience, including types of employment and former employers.
(8) Duties of the employee.(9) Termination date if no longer employed.
(10) A signed and dated copy of the Notice of Employee Rights [LIC 9052, (Rev. 03/03)] as required by Section 102416(a) and Section 102417.
(11) A signed statement regarding their criminal record history as required by Section 102370(c).(12) Documentation of either a criminal record clearance or a criminal record exemption as required by Section 102370(d). This is a potential risk to the health and safety of children in care
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Licensee agrees to submit copies of personal records for Staff #2 to the department by July 25, 2019.
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Type B
07/25/2019
Section Cited
HSC
1597.622
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Employees or volunteers at family day care home; immunization requirements; records; exemptions: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles.
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The licensees shall ensure all employees or volunteers at the family day care home , have been immunized against influenza, pertussis, and measles. For those choosing to waive the influenza vaccine, proper documentation must be on file. The licensee must show proof of immunization for Staff #2 no later than the close of business on July 25, 2019
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Immunization. Licensee shall document and maintain each child’s immunizations as long as the child is enrolled.This requirement is not met as evidenced by: LPAs observed missing Immunization records.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: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
LIC809 (FAS) - (06/04)
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