197418107-1-29-2020-30-CC-ARIR-BLAT45-20200129132323

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418107
Report Date: 01/29/2020
Date Signed: 01/29/2020 01:23:37 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:	HENDERSON FAMILY CHILD CARE		FACILITY NUMBER:	197418107
ADMINISTRATOR:	HENDERSON, JANICE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 754-2812
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90047
CAPACITY:	14	CENSUS: 5	DATE:	01/29/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Janice Henderson-Licensee		TIME COMPLETED:	01:30 PM

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On 01/29/2020, Licensing Program Analyst (LPA) Adrian Risher conducted an Annual Inspection. LPA provided Licensee with the purpose of the visit and was granted access to the facility. LPA met with Janice Henderson, Licensee. LPA toured the inside and outside of the property at 10:45 AM with the Licensee. LPA observed the home to be clean, safe, orderly and well ventilated. There were 5 of children present at the time of inspection with assistant and adult 1 present. The operating hours are Monday thru Friday 24 hours.

LPA observed the home to have a Living Room, Dining Room, Kitchen, 3 bedrooms, and 3 bathrooms. The Licensee utilizes the living room, dining room, den and deck areas as the day-care. The rest of the home is inaccessible to the children. The living room/dining room is used as the eating area for the older children. The den is used for classroom activities and watching tv. The deck area is used as a playarea.

LPA observed age appropriate toys and equipment for the children. Licensee states that there are no weapons in the home. Licensee reports that there are no pets in the home. The kitchen and bathroom areas were inspected for proper storage of chemicals, detergents, cleaning compounds, medications and sharp pointed objects. All items were made inaccessible to children. Kitchen/bathroom drawers were made inaccessible to children in care. LPA observed electrical outlets with protective covers.

LPA observed operable smoke detectors and carbon monoxide detectors(dual) throughout the home which were tested during inspection. The home is equipped with 3 (2-A:10-B:C) Fire Extinguisher and First Aid kit which includes tweezers, thermometer, and band aids. Licensee CPR card expires (10/27/2020). The home is equipped with central air & heat.

LPA inspected the outside area and observed age appropriate toys. There are no bodies of water at the home. LPA observed 2 tables, 2 large play apparatus with slides, 2 chalkboards, 2 small slides, chairs, tires, and covered and padded area for children to climb on.

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Adrian Risher	TELEPHONE: (424) 301-3050
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: HENDERSON FAMILY CHILD CARE	FACILITY NUMBER: 197418107
	VISIT DATE: 01/29/2020

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The assistant haS required immunization. Licensee and assistant have not completed the Mandated Reporter training LPA reviewed records related to earthquake drills and fire drills which were found to be current. All required Child Care Postings was observed on the Parent Board during inspection. Children's files were inventoried and reviewed at the time of inspection.

Items to be provided to LPA: copy of immunizations for MMR(measles) and Tdap (pertussis), copy of certificate for mandated reporter training

In accordance with California Code of Regulations, Title 22, Division 12, Chapter 3 of Family Child Care Homes, during today's visit, NO deficiencies were observed. Please see LIC 811 Confidential Names List.

Licensee will be provided with advisory notes for the following items: Mandated Reporter Training, Immunizations

LPA provided licensee with LIC 311 D in order to assist Licensee with making sure that the children's files are completed and all of the required documents are available at the facility.

Exit interview was conducted and a copy of report was provided. Appeal rights were provided and discussed.

The following was discussed with the licensee:

MANDATED REPORTER: LPA also explained Assembly Bill 1207 California Child Care Workers; Mandated Training Requirement. Beginning January 1, 2018, all licensed providers, applicants, directors and employees must complete Mandated Reported Training prior to March 30, 2018 and renew training every two years at: www.mandatedreporterca.com.

Immunization records are to be obtained from parents prior to a child being left with provider. Immunization records shall be kept on blue cards from the local health department. Title 22 Regulations, Child Care Quarterly Updates viewed at www.ccld.ca.gov.

LPA informed licensee of regulations regarding reporting unusual incidents and injuries within 24 hours and submit an incident report to the department within 7 days.

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SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Adrian Risher	TELEPHONE: (424) 301-3050
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: HENDERSON FAMILY CHILD CARE	FACILITY NUMBER: 197418107
	VISIT DATE: 01/29/2020

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Senate Bill 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 Immunization Requirement: Law enacted by SB 277, 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.

Nutrition Requirement: Beginning January 1, 2016, AB 290 will require for each new license issued, at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university.

Licensee/Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and to never shake a baby to prevent the Shaken Baby Syndrome. A handout regarding Safe Sleep was provided.

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. 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.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. page 3

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Adrian Risher	TELEPHONE: (424) 301-3050
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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