197416726-1-29-2020-30-CC-HESA-BLAVQY-20200129153906

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197416726
Report Date: 01/29/2020
Date Signed: 01/29/2020 03:39:17 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:	REYES FAMILY CHILD CARE		FACILITY NUMBER:	197416726
ADMINISTRATOR:	REYES, ESPERANZA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 837-4183
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	12	CENSUS: 12	DATE:	01/29/2020
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Esperanza Reyes - Licensee		TIME COMPLETED:	04:00 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	On 01/29/2020, Licensing Program Analysts (LPA's) Helen Estrella and Lisa Rios conducted an unannounced annual inspection to the family child care home. Upon arrival, LPA's met with the licensee Esperanza Reyes and three assistants. There were a total 12 children present in care. LPA informed licensee of nature of the visit and was guided on a tour (inside and outside) of the home. Per the licensee, the individuals residing in the premises are the licensee and spouse. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. The home is a two-story 2 bedrooms 2.5 bathroom home in a duplex property. The licensee resides in the rear of the property. The accessible areas include: living room, bathroom and back yard. The off limits areas are: kitchen, detached shed, entire upstairs unit that include bedrooms, bathrooms, and front yard. LPA observed fire extinguisher size 2A10BC, operable smoke/carbon monoxide detector, napping equipment such as cots, play pen and cribs, cubbies, two changing tables and age appropriate toys and equipment. LPA's did not observe sharp objects, toxins, and hazardous materials accessible to children in care. LPA has current Pediatric CPR/First Aid certificate valid through 11/2020. All adults assisting in child care duties were observed to have completed Mandated Reporter certificates through 6/2018. The last fire drill was conducted on 12/9/19. LPA inspected outdoor play area for health, safety, cushioning material, good material, good repair and age appropriateness. There are several play areas within the playground. There are areas for shade and rest. There are no bodies of water.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020

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: REYES FAMILY CHILD CARE	FACILITY NUMBER: 197416726
	VISIT DATE: 01/29/2020

NARRATIVE

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Licensee states is not providing IMS services at this time
Update on Incidental Medical Services: 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 dicussed with the licensee:
The licensee is 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. Email Address: childcareadvocatesprogram@dss.ca.gov

Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/.

Licensee informed Fire disaster drills are to be conducted at least once every 6 months and log must be kept. Applicant also informed children records and facility roster must be kept for 3 years and advised all public reports must be kept for review. Forms and Regulations available at: www.ccld.ca.gov. Applicant informed of appeal rights, must be in writing within 15 business days from date of receiving penalty assessment.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020

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: REYES FAMILY CHILD CARE	FACILITY NUMBER: 197416726
	VISIT DATE: 01/29/2020

NARRATIVE

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The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office within 24 hours of the Unusual Incident and follow up with a written Unusual Incident/Injury Report (LIC 624B) within 7 business days.

Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

The licensee was also recommended the following safe sleep practices: always place infants on their backs for sleeping; use only a tight-fitting sheet on the crib or play yard mattress; do not hang any items from the crib or above the crib; keep all items, including blankets, out of the crib or play yard; pacifiers may be used as long as they do not have items attached to them; infants should not be swaddled or have any items covering them while sleeping; the temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold. Please note, these guidelines are recommendations for best practices only, until regulations are approved and adopted.

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.

An exit interview was conducted, and a copy of this report was given to licensee.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen Estrella	TELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020

LIC809 (FAS) - (06/04)

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