197416878-9-27-2019-30-CC-KSTS-BGEP9N-20190927110724

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197416878
Report Date: 09/27/2019
Date Signed: 09/27/2019 11:07:40 AM

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:	MINWALLA FAMILY CHILD CARE		FACILITY NUMBER:	197416878
ADMINISTRATOR:	MINWALLA, SHAMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 933-9956
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY:	12	CENSUS: 4	DATE:	09/27/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Shama MInwalla		TIME COMPLETED:	11:20 AM

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 09/27/19, Licensing Program Analysts (LPAs) Karren Starks and Lisa Rios made an announced visit for the purpose of conducting a Case Management Inspection for a capacity increase. LPAs met with licensee Shama Minwalla who initially did not have any children in care with 4 children arriving during inspection. LPAs inspected the home inside and outside. Entry into the home is via the side door entrance with parents having an access code to enter the driveway gate. The home is a 3 bd, 2ba single story home with living room, dining room and kitchen. The home has central heating and air and is well ventilated and in good repair with telephone service. Residents of the home are the licensee and minor daughter (14.5yrs.). Per the licensee there are no pets or weapons in the home, LPAs did not observe any weapons or pets at the time of inspection. LPAs observed the licensee to have the required postings as well as the Fire Drill Log. LPAs observed a First Aid Kit, Licensee's CPR/First Aid has expired, but has registered for renewal. Operable smoke and carbon monoxide detectors were observed and tested during inspection. As well as a fully charged Fire Extinguisher. The bathroom for children in care was inspected with no medications, toxins nor cleaning compounds that would pose a risk to children in care. The kitchen area was inspected with LPAs observing the cabinet with cleaning compounds that had a lock preventing access by children in care. Age appropriate furniture and toys were observed. All electrical outlets were covered. Napping equipment was observed. The first room on the right off the hallway will be used for isolation of ill children, LPAs inspected the room and did not observe anything that would pose a risk to children in care. LPAs inspected the backyard area which is gated. LPAs observed the licensee a to have a play house, riding toys, a trampoline and a climbing apparatus with slides and swings attached. Licensee was advised to ensure that the apparatus is age appropriate. LPAs also reminded licensee that there is to be supervision primarily for the trampoline when in use. LPAs did not observe any debris in the backyard. During the inspection the licensee decided that she no longer wanted the capacity increase.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019

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: MINWALLA FAMILY CHILD CARE	FACILITY NUMBER: 197416878
	VISIT DATE: 09/27/2019

NARRATIVE

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Licensee provided the information on the www.ccld.ca.gov website on how to access: Reducing the Risk of SIDs in Early Education and Child Care

Licensee was 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. CCAP’s direct contact information is as followed: 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. Website: www.mandatedreporterca.com

Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation 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.

IMS not provided at this time.

Copy of report and Notice of Site visit issued.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019

LIC809 (FAS) - (06/04)

Page: 3 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: MINWALLA FAMILY CHILD CARE	FACILITY NUMBER: 197416878
	VISIT DATE: 09/27/2019

NARRATIVE

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The following was discussed:

Assembly Bill (AB) 633: Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility.

Senate Bill (SB) 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. All appeals must be sent to:

California Department of Social Services | Community Care Licensing Division

300 N. Continental Blvd. Suite, 290-A

El Segundo, CA 90245

Senate Bill (SB) 277 New Immunization Requirement: Beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019

LIC809 (FAS) - (06/04)

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