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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492893
Report Date: 04/13/2021
Date Signed: 05/24/2021 09:56:50 AM

Document Has Been Signed on 05/24/2021 09:56 AM - 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:ROSA & BRIDGES FAMILY CHILD CAREFACILITY NUMBER:
197492893
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
04/13/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tara Rosa and Kennedy Bridges/LicenseesTIME COMPLETED:
10:30 AM
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On 04/13/2021 at 9:00 A.M. Licensing Program Analyst (LPA) Silva Garibyan conducted an announced Case Management tele-inspection via FaceTime due to the COVID-19 pandemic shelter-in-place orders in the state of California. The purpose of the meeting was to ensure that health, safety and personal rights as required by Title 22 Regulations governing California Family Child Care homes are met by the Licensee. LPA Garibyan met with Licensees, Tara Rosa and Kennedy Bridges, who guided the analyst on a tour of the home. There were four children ( including one infant)) present during the inspection. The licensee has an approved fire clearance ( Fire Clearance granted on 04/06/21 by LA County Fire Department, received by department on 04/06/2021). Per the licensees there has been no noted changes to the home or occupants since their last visit (Annual Random visit conducted on 03/08/18.). All areas identified on the Facility Sketch were inspected. Licensees' home a single story dwelling, with (3) bathrooms, (4) bedrooms, living room, den, kitchen, laundry room . The back yard is fully enclosed, the front yard is not. Per the licensee, there are no firearms or weapons in the home. The "on limit" areas include the kitchen, backyard, bathroom and bedroom(adjacent to main entrance of the home), living room, and dining room. All other rooms in the home have been identified as "off limits". LPA observed child safety latches throughout the household. LPA also observed all sharp objects and chemicals which could cause a danger to children in care made inaccessible. LPA observed child appropriate toys and other material throughout the home. LPA observed a fireplace in the living room which was observed to be inaccessible to children in care. Family members residing in the home include 3 adults (licensees and licensee's mother/grandmother). There is no pool, spa or other bodies of water on the premises. Children play in the back yard which is fenced. LPA observed the home is clean, orderly, and properly ventilated. Telephone service, heating, lighting and ventilation were evaluated. The required fire extinguisher (2A10BC) and smoke/carbon monoxide detectors are in operable condition. Page 1 of 2
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 04/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/13/2021
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ROSA & BRIDGES FAMILY CHILD CARE
FACILITY NUMBER: 197492893
VISIT DATE: 04/13/2021
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The licensees has current pediatric CPR/First Aid training that will expire in August of 2021. The First Aid kit was observed and complete.
Licensee has the following documents posted in the FCCH; Facility License (LIC 203), Notification of Parents' Rights Poster (PUB 394) , Child Care Facility Roster (LIC9040), Emergency Disaster Plan (LIC610a).

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 that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Applicant was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation. Applicant was provided an informational pamphlet titled, "Safe Sleep For Your Baby" during the inspection. Applicant was also provided an informational sheet titled, "What Does a Safe Sleep Environment Look Like?" to review and post at the facility.

Capacity and Ratios: The licensee has applied for a capacity increase for a large family . The Maximum capacity is 12 with no more than 4 infants and a qualified assistant. Without a qualified assistant the license reverts back to the requirements for a small family childcare. Optional care may be provided for a maximum capacity of 14 children with no more then 3 infants, 2 school age children and a qualified assistant. School age children must be 1 age 6 yrs and 1 in Kindergarten.



Capacity increase is pending the following:
1) Provide a copy of Lead Poisoning Prevention training certificate
2) Mandated Reporter Training certificate.

An exit interview was conducted and a copy of this report will be provided via email to licensees. Page 2 of 2
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2021
LIC809 (FAS) - (06/04)
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