197415798-10-24-2019-30-CC-SPOL-BH9QML-20191024121742

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197415798
Report Date: 10/24/2019
Date Signed: 10/24/2019 12:17:59 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:	LOVELESS FAMILY CHILD CARE		FACILITY NUMBER:	197415798
ADMINISTRATOR:	LOVELESS, SASHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	3105673763
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	14	CENSUS: 6	DATE:	10/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Sasha Loveless, Licensee		TIME COMPLETED:	12:38 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) Shandra Powell conducted an unannounced annual random inspection to the above facility. Upon arrival, Licensee was present. During inspection Assistant arrived. 7 children were in care during inspection 1 infant and 6 preschoolers. This is a single dwelling home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room/family room and a children room. Child care conducted in family room and children room. The children room is located next to the family room children have to step down to enter the children's room. Children do have access to the kitchen and one bathroom. Licensee states children are escorted to the restroom. Children must walk through the kitchen through living room pass bedrooms (off limits) down the hall to reach restroom. LPA advised licensee to always keep all bedroom doors in accessible during business hours. LPA observed latched child proof cabinets in kitchen area. The rest of the areas in the home are off-limits to children. The bathroom door located in the family room was observed to be unlocked during inspection. LPA advised Licensee to keep bathroom door locked during business hours. Licensee acknowledged that children may never enter these off-limit areas. LPA observed Sippy cups for children in care sitting on the counter top in kitchen area. LPA advised licensee to label each child's cup and food items. Sippy cups were labeled by licensee during inspection. Licensee provides and prepares food for children in care. LPA observed current CPR/First Aid card for licensee (Exp. 5/2020), fire extinguisher type 2A-10BC must be serviced annually or as often as necessary, carbon monoxide and smoke detector were observed. One smoke detector and carbon monoxide is located in a bedroom that is off limits and door is to remain close. LPA advised licensee to obtain an additional smoke detector and carbon monoxide to be placed in a area closer to the care of children and signal will be heard more easier. LPA observed cleaning materials and medications are inaccessible, there is a working telephone, and toys appear to be safe. Licensee stated there are no fire arms in the home. The home conducted emergency disaster drill on a monthly basis (07/01/2019). LPA reviewed children's record to be complete and orderly.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

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: LOVELESS FAMILY CHILD CARE	FACILITY NUMBER: 197415798
	VISIT DATE: 10/24/2019

NARRATIVE

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Per licensee, children play in the back yard. LPA observed the back yard to be fenced in, LPA observed construction being completed on the backyard/side of the home. The outdoor area was uneven many holes in the ground and unsafe tree trunk were children can possibly receive splitters. LPA also observed large rocks around the back yard and many leaves and weeds. This poses as a potential health and safety risk to children in care. Licensee agreed and will have the yard divided with a child gate during outdoor play. Licensee will remove splintery stomp and move all large rocks from child's area of play. Leaves and weeds will also be removed. LPA observed a large black tarp covering half of the back yard where children play. Licensee will keep tarp covering until landscaping is completed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.

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

A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility. Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License shall be terminated.
—Children records and required licensing forms were discussed as well as mandated child abuse reporting and criminal record clearance requirement. All children files must contain a LIC 700 form for each child.

In the absence of the Licensee, a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license. LPA observed assistants valid CPR & Pediatric First Aid certification. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. Fire and safety drills must be performed every six months and documented for review by the Department. Smoking is prohibited in a family child care home. Children and Staff records must be maintained and updated as needed and must be available for review by the Department. During staff file review LPA did not observe immunization's for staff. This poses a potential health and safety risk to children in care

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: LOVELESS FAMILY CHILD CARE	FACILITY NUMBER: 197415798
	VISIT DATE: 10/24/2019

NARRATIVE

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All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation. Baby walkers, saucer chairs, bouncers or any similar items are prohibited. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. LPA provided the licensee with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and the New Proposed Safe Sleep Regulations and Best Practices, Helping you to reduce the risk of SIDS. LPA also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster.

· Dog(s) and/or pets should be isolated from children in care.
· It is recommended that First-Aid kits be available on premises. LPA observed kit during inspection.
· Outdoor supervision required at all times.

INFORMATION TO BE POSTED IN YOU FAMILY CHILD CARE HOME – You are required by Law to post the following:
Facility License (LIC 203), Emergency Disaster Plan (LIC 610A), Earthquake Preparedness Checklist (LIC 9148), Notification of Parent’s Rights (PUB 394). A Notice of Site Visit (LIC 9213): Must be posted for 30 days after each site inspection by a Licensing Representative. Any Licensing Report documenting a Type “A” deficiency must be posted for 30 days during the hours that children are in care. Any Licensing Report or other document verifying compliance or non-compliance with the Department’s order to correct a Type “A” deficiency must be posted for 30 days during the hours that children are in care. These forms may also be downloaded from our website: www.ccld.ca.gov Licensee entered email on ccld website to receive important updates from department during inspection.

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 Sasha Loveless, Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

LIC809 (FAS) - (06/04)

Page: 3 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: LOVELESS FAMILY CHILD CARE	FACILITY NUMBER: 197415798
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/24/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/30/2019 Section Cited	1 2 3 4 5 6 7	The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to. The requiement was not met by LPA observing hazards located in outdoor playarea in back yard of the home.
	8 9 10 11 12 13 14	This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
Type B 10/30/2019 Section Cited	1 2 3 4 5 6 7	Employees or volunteers at day care center; immunization requirements; records; exemptions Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer
	8 9 10 11 12 13 14	shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by LPA observing that staff do not have proof of immunization in their files. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14

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: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

LIC809 (FAS) - (06/04)

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