197493104-9-7-2022-58-CC-DMIA-CJ2RGW-20220907130122

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493104
Report Date: 09/07/2022
Date Signed: 09/07/2022 01:01:29 PM

Document Has Been Signed on 09/07/2022 01:01 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:	FADEN FAMILY CHILD CARE		FACILITY NUMBER:	197493104
ADMINISTRATOR:	FADEN, ROBIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 488-9724
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	14	CENSUS: 10	DATE:	09/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Robin Faden, Licensee and 2 assistant		TIME COMPLETED:	01:10 PM

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On 9/07/2022 at 9:30am Licensing Program Analyst (LPA), Denise Miranda conducted an unannounced Annual Required Inspection and was met by Licensee, Robin Faden, Licensee. Also, were present her two assistants with 10 children (who 2 were infants) .

Per Licensee, the facility operation days is from Monday – Friday - 7:30AM- 6:30PM.

During this inspection, Licensee provided a copy of lic279 Application for FCCH – update, Licensee updated her operation days, and the facility phone number. Licensee agreed to submit a revised LIC999a Facility Sketch floor plan to LPA Miranda no later than 09/12/2022.

The following areas are designated as follows and Licensee confirmed the: Living room, bedroom#4 (baby room), child care room, bathroom#2 and backyard were accessible to the children in care.

The off-limit : Master bedroom#1, bedroom#2, and #3, bathroom#1 and #3, attached garage, office room and kitchen. LPA observed that detached garage is using only for parking and storage along with a laundry area.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. Licensee, has two pets, that she keeps inaccessible to the children in care, immunization was provided during this inspection. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

LPA observed a fireplace located at the living and at the baby room with face screen. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Safe toys and play equipment are observed. Furniture was observed with no loose or sharp parts, clean and in good repair.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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: FADEN FAMILY CHILD CARE	FACILITY NUMBER: 197493104
	VISIT DATE: 09/07/2022

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The home has working telephone service and LPA confirmed the phone number is (818) 360-6024.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats were not observed at facility. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed all children’s files and observed all files were completed. Licensee’s Mandated Reporter Training was completed on 3/1/2021, Mandated Reporter training is due for renewal on 3/1/2023. Licensee’s pediatric CPR/First Aid completed on 1/17/2021 and is due for renewal on 01/17/2023. There 2 currently employees at the facility present at this time and files were reviewed and were completed.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee 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.

LPA provided a copy of the PIN 22-02 CCP (Provider Information Notice) Provides Information and best Practices for administering Incidental Medical Services.
LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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: FADEN FAMILY CHILD CARE	FACILITY NUMBER: 197493104
	VISIT DATE: 09/07/2022

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experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA discussed Safe Sleep Regulations with licensee and LPA provided a consultation along with Safe Sleep SIDS booklet and Questions and Answer about Safe Sleep.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Staff interview conducted and documented at 10:46am.

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

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee. Report, Appeal Rights and Notice of Site Visit were given to Licensee.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC809 (FAS) - (06/04)

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