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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419476
Report Date: 10/11/2022
Date Signed: 10/11/2022 03:57:13 PM


Document Has Been Signed on 10/11/2022 03:57 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:PAGES FAMILY CHILD CAREFACILITY NUMBER:
197419476
ADMINISTRATOR:PAGES, ERIKA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 994-5514
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:14CENSUS: 9DATE:
10/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Erika PagesTIME COMPLETED:
01:30 PM
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On 10/11/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced annual inspection at the facility. LPA met with Licensee, Erika Pages, and discussed the purpose of the visit. LPA observed 8 children with 2 assistants (cleared and associated). Days and hours of operation are Monday through Friday, 8:00am to 5:00pm.

This is a single-story 3 bedroom, 2 bathroom home with kitchen, dining room, living room, attached garage, and front yard. There is no pool, spa or other bodies of water on the premises. Off-limit areas are: bedroom 1, bedroom 2, bathroom 2, kitchen, garage.

The home was inspected inside and out for safety, comfort, cleanliness, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (under kitchen sink with latch), and hazardous items (sharp knives in upper kitchen cabinet) that can pose a danger to children. The living room is the primary child care area. LPA observed age appropriate toys, learning materials, games and activities for children in care. All furniture was found in good repair, clean and without hazards. LPA observed a functioning smoke/carbon monoxide detector in this room. LPA observed 1 diaper changing table and 1 sink in this room. Children sleep on cots in this room. Children use the bathroom located in the hallway. Bathroom includes 1 toilet, 1 potty training chair, and 1 sink. Bedroom 1 is used for napping. LPA observed 1 crib in this room. Cribs are 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. LPA informed Licensee of physical checks on sleeping infants every fifteen minutes to 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. Infants up to 12 months of age are placed on their backs for sleeping. LPA informed licensee that Individual
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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2022
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: PAGES FAMILY CHILD CARE
FACILITY NUMBER: 197419476
VISIT DATE: 10/11/2022
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Infant Sleeping Plan is required for each infant up to 12 months of age. 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. Facility provides breakfast, morning and afternoon snack as well as lunch. Children eat on 1 children's table and 2 high chairs in the dining room. Kitchen is made inaccessible via a child safety gate. LPA observed a functioning carbon monoxide detector in the kitchen. LPA observed 1 crib in the dining room as well. Children bring their own water bottles and facility provides water to refill bottles.

Inspection of the outdoor play area was conducted. Climbing structures, swings, slides and other large play equipment is found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. There is adequate shade for the children in care. Fencing around the perimeter of the play area is at least 4 feet high. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc. A 2A10:BC fire extinguisher (serviced DATE) is secured to the wall of the house in the front yard.

Outdoor Off-Limits: The attached garage is made inaccessible by a door lock.

Facility was observed to be operating within the conditions, limitations, and capacity specified on the license.
LPA reviewed 2 staff files to be complete. All staff are trained in CPR and Pediatric First Aid (expiration date 10/2023). Mandated Reporter training is current. LPA reviewed a sample of 5 children’s files and observed files were complete, except for the LIC 9227.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.

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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC809 (FAS) - (06/04)
Page: 5 of 5
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: PAGES FAMILY CHILD CARE
FACILITY NUMBER: 197419476
VISIT DATE: 10/11/2022
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Incidental Medical Services (IMS) are not currently being provided. Director 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.

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

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Erika Pages.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC809 (FAS) - (06/04)
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