197417341-8-19-2022-30-CC-VWHY-CHFVMR-20220819163359

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417341
Report Date: 08/19/2022
Date Signed: 08/19/2022 04:34:07 PM

Document Has Been Signed on 08/19/2022 04:34 PM - It Cannot Be Edited

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:	LANG FAMILY CHILD CARE		FACILITY NUMBER:	197417341
ADMINISTRATOR:	LANG, CYNTHIA M.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 951-7823
CITY:	VENICE	STATE: CA	ZIP CODE:	90291
CAPACITY:	12	CENSUS: 12	DATE:	08/19/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Cynthia Lang		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	On August 19, 2022, Licensing Program Analyst (LPA), Veronica Wheatley conducted an unannounced Annual Required Inspection and met with the licensee Cynthia Lang. There are 12 day care children (4 infants) present today. LPA observed the children napping. Licensee's assistant is also present. The hours of operation Monday through Friday, 7:30am and 5:30pm. LPA toured the home inside and out and took a census was taken of children. Current facility sketch reviewed and confirmed that the rear attached bedroom is used as the day care room and is accessible to children. All the areas of the main home are is off-limits. There are two bodies of water on the premises in the backyard. The children do not play in the area with the bodies of water however they walk by it. LPA observed the licensee unplug both water fountains and cease the water flow. Per licensee, there are no firearms or ammunition on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible in the day care room and bathroom. The kitchen is inaccessible. There is a working fire extinguisher, smoke detector, carbon monoxide and adequate ventilation for safety and comfort. LPA observed a portable air condition unit on the premises. Several safe toys and play equipment are observed. The home has a working telephone. LPA discussed Safe Sleep Regulations with licensee. Cribs and play yards will be kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider will physically check on sleeping infants every fifteen minutes and document any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. LPA observed four infants over one years old sleeping on the premises.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022

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: LANG FAMILY CHILD CARE	FACILITY NUMBER: 197417341
	VISIT DATE: 08/19/2022

NARRATIVE

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Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Licensee states she does not transport children off the premises. LPA informed licensee that written approval from the parents or authorized representative in order to transport children. Capacity as specified on the license is being maintained. The outdoor play area in the very rear of the backyard is fenced. The yard is clean and safe. LPA observed age appropriate toys and equipment. LPA observed 4 rabbits in cages in the rear yard and one dog inside of the home inaccessible to children. LPA also observed a secure play structure.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 9/25/21. Licensee’s pediatric CPR/First Aid expires on 7/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA discussed with the licensee the Community Care Licensing website www.ccld.ca.gov. Licensee states she is receiving the Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview. A copy of this report was provided to the licensee today.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022

LIC809 (FAS) - (06/04)

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