197493237-11-23-2020-30-CC-SGAN-BVMP4T-20201123095939

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493237
Report Date: 11/06/2020
Date Signed: 11/23/2020 09:59:48 AM

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:	BASNET FAMILY CHILD CARE		FACILITY NUMBER:	197493237
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 8	DATE:	11/06/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Saroja Basnet/Licensee		TIME COMPLETED:	02:25 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	On 11/06/2020 at 1:00 p.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 Licensees. LPA Garibyan met with Licensee, Saroja Basnet, who guided the analyst on a tour of the home. There were 8 children ( including one infant and two school age children) present during the inspection. The licensee has installed the pull fire alarm that is required for large Family Child Care Homes and has an approved fire clearance ( Fire Clearance granted on 11/05/20 by L.A County Fire Department). Per the licensees there has been no noted changes to the home or occupants since their last visit (Annual Random visit conducted on 2/11/19.). All areas identified on the Facility Sketch were inspected. Licensee's home is a 3 bedroom, 2 bathroom with kitchen, living room, front yard, back yard and detached garage. The main care is provided in the living room and dining area. Children have access to the bathroom in hallway and back yard. The off limits areas are: all bedrooms, front yard and detached garage. There is no pool, spa or other bodies of water on the premises. Family members residing in the home include 3 adults (licensee, spouse, and licensee's daughter ) and licensee's granddaughter ( 6 years old). LPA observed the home is clean orderly and properly ventilated. Telephone service, heating, lighting and ventilation were evaluated. The required fire extinguisher (2A 10BC) and smoke/carbon monoxide detectors are in operable condition. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. LPA also observed Licensee's current Pediatric CPR (Adult/Infant /Child) and Pediatric First Aid certifications (expire 05/2022). Page 1 of 2

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020

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: BASNET FAMILY CHILD CARE	FACILITY NUMBER: 197493237
	VISIT DATE: 11/06/2020

NARRATIVE

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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.

An exit interview was conducted and a copy of this report will be provided via email to licensees.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020

LIC809 (FAS) - (06/04)

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