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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492893
Report Date: 11/08/2022
Date Signed: 11/08/2022 01:16:15 PM

Document Has Been Signed on 11/08/2022 01:16 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ROSA & BRIDGES FAMILY CHILD CAREFACILITY NUMBER:
197492893
ADMINISTRATOR:ROSA & BRIDGESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 350-0018
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
11/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Tara MooreTIME COMPLETED:
01:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Doris Whitmore conducted an unannounced Inspection at the facility to ensure that health and safety standards are being met as required by regulations, statutes, and requirements governing California family childcare homes. Present during this inspection was four adults, who is fingerprint cleared and associated to the facility; five children in care LPA Whitmore met with Tara Moore was guided on a tour of the home inside and outside by Licensee. Kennedy Bridges was also present during the inspection. Hours of Operation are Monday – Friday 7:00a.m. to 6:00p.m. Facility provides Breakfast, Lunch, & Two Snacks.



The following was observed and discussed with the Licensee during the inspection
Home is a 1 story dwelling that includes the following:
· 4 bedrooms (3 off limits), 1 on limits).
· 3 bathrooms (1 on limits), (2 off limits).
· 1 kitchen, divided form primary care area by gate (on limits)
· 1 dining room, used as primary care area (on limits)
· 1 living-room, the primary care area (on limits),
· 1 front yard (off limits).
· 1 backyard

The following was also observed by LPA during the inspection
1. All adults living in the home have submitted fingerprints and child abuse index check forms to Department of Justice.
2. Home is neat and clean.

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SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2022
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ROSA & BRIDGES FAMILY CHILD CARE
FACILITY NUMBER: 197492893
VISIT DATE: 11/08/2022
NARRATIVE
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Home is equipped with a fully charged fire extinguisher which is at least a 3 A:40 -BC.
5. Home is equipped with a working smoke alarm and a carbon monoxide detector.
6. Home has a working telephone.
7. All poisons are locked.
8. Hazardous materials are kept out of the reach of children (inaccessible):
9. According to the licensee, there are no weapons or firearms at the home. None were observed by LPA.
10. Outdoor play area has a brick wall around
11. No bodies of water were observed during the inspection.
12. Toys and playthings are safe, clean, and appropriate for the age of the children.
13. Licensee agrees that no babywalkers, bouncers, jumpers, and similar items will be used for children in care and are kept inaccessible
14. The home is equipped with a first aid kit.
LPA checked 10 children files and three staff files Mandated Reporter Training Certificate expired 3/22 two files No documentation of Immunization Record. LPA observed First Aid & CPR 9/23 along with Preventative Health & Safety Certificate.

At this time, the facility does not provide Incidental Medical Services - IMS.

The following was thoroughly discussed with the licensee
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

Licensee was reminded of their responsibility to report suspected child abuse. Mandatory Forms for the children’s files and provider’s files were discussed. Licensee was referred to LIC 311D: Records To Be Maintained At The Facility - Family Child Care Home.


Licensee was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. Licensee was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. Page2
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ROSA & BRIDGES FAMILY CHILD CARE
FACILITY NUMBER: 197492893
VISIT DATE: 11/08/2022
NARRATIVE
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Licensee was also reminded that only children eating may be in highchairs and that car seats are utilized on Licensee was made reminded that it is the licensee’s, as well as anyone who assists in providing care responsibility to know the regulations. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as they come out to stay informed of any changes or updates to statutes and regulations. ly for transportation.
Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a childcare facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the inspection.

Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years.

The licensee was advised the Notice of Site Visit must be posted at the entrance of the facility for a period of Licensee was reminded of their responsibility to report suspected child abuse. Mandatory Forms for the children’s files and provider’s files were discussed. Licensee was referred to LIC 311D: Records To Be Maintained At The Facility - Family Child Care Home.


Licensee was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. Licensee was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
Licensee 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 SyndromePage 3
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ROSA & BRIDGES FAMILY CHILD CARE
FACILITY NUMBER: 197492893
VISIT DATE: 11/08/2022
NARRATIVE
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The following was discussed with the licensee:
· Entrance Checklist
· Prohibited Items in Child Care Homes
· Forms/ Records to Keep in your Family Child Care Home
· Infant Sleeping Plan
· Safe & Healthy Diapering

Exit Interview was conduced there were citations given on 11/8/2022 please see the D Page4 A copy of the report was emailed to the Licensee due to printer problems.
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SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/08/2022 01:16 PM - It Cannot Be Edited


Created By: Doris Whitmore On 11/08/2022 at 12:56 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ROSA & BRIDGES FAMILY CHILD CARE

FACILITY NUMBER: 197492893

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/08/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) the licensee did not comply with the section cited above in [3] out of [3] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/18/2022
Plan of Correction
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Licensee stated that she will go on the website and book a time for the staff to take the mandated reporter training. Licensee stated that she will take a picture email to LPA.
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) , the licensee did not comply with the section cited above in 2 out of 2 (persons)] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/18/2022
Plan of Correction
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Licensee stated that she will call her doctor to see how she will be able to retrieve her immunization record and the other staff will turnn immunization record to her take a picture and email to LPA.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Doris Whitmore
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2022


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