197419908-7-8-2021-54-CC-DGIS-C4QTW9-20210708150510

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419908
Report Date: 07/08/2021
Date Signed: 07/08/2021 03:05:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	HALL FAMILY CHILD CARE		FACILITY NUMBER:	197419908
ADMINISTRATOR:	HALL, CUPID		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 819-2445
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90018
CAPACITY:	14	CENSUS: 8	DATE:	07/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Cupid Hall, Licensee		TIME COMPLETED:	01:45 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	Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced annual required inspection at the above facility on 7/8/21 at 11:30AM. LPA met with Cupid Hall, Licensee who guided analyst on a tour of the facility. There were eight child present when LPA arrived. Two of the children reside in the home and are over 10 years old and not counted in capacity. This is a two-story home which consists of two bedrooms and one bathroom on the main floor, kitchen/dining room, living room, laundry room, front yard and backyard (fenced), and three bedrooms and one bathroom downstairs in the den area. Facility also has an attached garage. Main care is provided in the living room, dining room, and front yard. The children use the bathroom in the hallway adjacent to the main care area. LPA observed that there is a fireplace in the living room and is barricaded and a wall heater in the hallway next to the bathroom that is screened. Per Licensee, areas off limits to children and parents include: Two bedrooms on each side of the bathroom(locked) laundry room, three bedrooms and one bathroom separated by a locked door through the kitchen and detached garage (locked). Back yard and deck are temporarily off limits. The licensee provides food for children in care. Hours of operation are Mon-Sun 23.5 hours. Licensee was reminded that day-care children cannot be cared for a total of 24 hours. Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption. Licensee states that there are no firearms or weapons stored in the home. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is operable telephone service at the facility. There is ventilation via fans and heating via an screened wall heater. ------------------Page 1

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HALL FAMILY CHILD CARE	FACILITY NUMBER: 197419908
	VISIT DATE: 07/08/2021

NARRATIVE

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The following was observed and reviewed during this inspection:

LPA observed that cleaning products are stored in a locked cabinet under the sink in the kitchen. The licensee states that there are no poisons stored in the home at this time. LPA reminded licensee that poisons need to be locked, not only inaccessible.

The valve on the required 2A 10BC fire extinguisher indicates fully charged and was last serviced February 2021, as shown on the service tag. Smoke and carbon monoxide detectors were tested and are operable.

The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. Children nap on cots in the main care area. The bathroom that children use was observed to be clean and free of hazards.

Infant Care: Licensee cares for one infant that will be two years old August 20201. Older infant naps on a cot. LPA did not observe infant napping equipment because there are no infants under 12 months old at this time. LPA informed applicant of the new Safe sleep regulation and provided PIN 20-24-CCP. LPA provided the applicant with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. Online copy can be downloaded at: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

Currently, children are using the front yard for outdoor play. The outdoor play area was observed to be fence. LPA observed that the outdoor yard has toys and other materials for children to play with. Per licensee the backyard and the deck are off limits do to renovation of play area. Areas are made inaccessible by locked gates. Outdoor area to the left of the home is off limits using a mesh fence. Camper is parked in this area; cleared individual resides in camper. There are no pools or spas, or other bodies of water.

Evening and Overnight Care: Licensee provides dinner and snacks for children. Breakfast is provided for overnight children. No infants are at the facility overnight. Children sleep on cots in the main care area on the same floor as licensee. Children bring pajamas and extra clothes to change if needed.

The licensee and assistant do have proof of current CPR and first aid, it expires in 2022. The licensee and assistant do have proof of ------Page 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HALL FAMILY CHILD CARE	FACILITY NUMBER: 197419908
	VISIT DATE: 07/08/2021

NARRATIVE

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immunization against influenza, pertussis, and measles. Licensee and assistant do have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file.

Children's records are complete with emergency forms LIC 700.

Incidental Medical Services (IMS):
The licensee states that she currently will provide IMS for children. Per licensee, there are no children enrolled that require IMS at this time. 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.

Health and Safety Code 1596.7996 Effective January 1, 2019, Child Care Centers and Family Child Care Homes are required to provide parents and guardians of children enrolled, enrolling or reenrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations and options for locations of affordable blood lead tests. 2019 Lead flyer Provided.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Cupid Hall, Licensee, including, but not limited to Appeal Procedures and Appeal Rights.
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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC809 (FAS) - (06/04)

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