197493299-8-22-2019-30-CC-SPOL-BFAT78-20190822142818

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493299
Report Date: 08/22/2019
Date Signed: 08/22/2019 02:28:26 PM

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:	FOX CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	197493299
ADMINISTRATOR:	AMAYA, APRIL		FACILITY TYPE:	850
ADDRESS:	10201 WEST PICO BLVD. BLDG.102		TELEPHONE:	(310) 369-7212
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	84	CENSUS: 54	DATE:	08/22/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:32 AM
MET WITH:	Erin King, Director		TIME COMPLETED:	02:40 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	LPA Shandra Powell conducted an unannounced case management visit. LPA met with Assistant Director, Erin King. The purpose of this visit is due to an incident that had occurred in the facility. Children (Ref. #1) developed Hand, Foot and Mouth Disease (HFMD) on 05/20/2019 and the second child (Ref. #2), third child (Ref. #3) , forth child (Ref #4), fifth child (Ref #5) were confirmed with Hand Foot and Mouth Disease on the following day 05/21/2019. LPA observed email that was sent out to each child's representative on 05/21/2019 regarding the outbreak. At the initial on site of HFMD, Director contacted child #1 parent to retrieve the child from the facility. Director reported the HFMD to local Health Department who was called on or after 05/21/2019 after the second confirmed HFMD. Ref: # OB2019144. LPA inspected Preschool Room (Older Toddler). LPA also did a walk through of the two additional Preschool Rooms located at facility. LPA interviewed, reviewed and received records. LPA observed Child #1 not signed out by child's representative during incident. LPA went over Incident reports with Director. Director stated since the incident, precautions have been taken, extra cleaning of surfaces, buckets for mouthed toys to be washed, and extra hand washing. Hand Foot and Mouth Contagious Illness Notification was also sent to each child's representative on 05/21/2019. Rooms were deep cleaned, toys were sanitized, teachers educated and parents informed via email. Information regarding outbreak were posted on classroom door. LPA observed releases from children's physicians for child #1, #2, and #3 which stated they were cleared to return to the facility. The facility complied with Licensing requirements by reporting incident via telephone and fax on 05/23/2019, however the director did not report the incident timely and this poses a potential health and safety risk to children in care.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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: FOX CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197493299
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/22/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/27/2019 Section Cited	1 2 3 4 5 6 7	Reporting Requirements:Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours...(1) Events reported shall include the following:...(E) Epidemic outbreaks.Requirement not met by evidence of Facility reported after 24hrs to CCLD.
	8 9 10 11 12 13 14	This poses a potiential health and safety risk to children in care.	8 9 10 11 12 13 14
Type B 08/23/2019 Section Cited	1 2 3 4 5 6 7	Sign in and Sign out: (a)In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following... (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. (c) A person who removes the child from the center during the day,
	8 9 10 11 12 13 14	and returns the child to the center the same day, shall sign the child in/out. The requirement was not met by evidence of LPA review of sign in and out sheets and Child #3 was not signed out during incident on 05/21/19 and LPA observing on today 19 children present and reviewed only 17 signed in.	8 9 10 11 12 13 14

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: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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: FOX CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197493299
	VISIT DATE: 08/22/2019

NARRATIVE

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Based on information obtained on this date, no follow up is necessary regarding the incident report listed above.

LPA advised the Director of the importance of Safe Sleep Practices. According to the American Academy of Pediatrics (AAP) more than 3,500 babies in the U.S. perish suddenly and unexpectedly every year while sleeping, often due to Sudden Infant Death Syndrome (SIDS). An infant is a child under 24 months of age. Licensee was given a copy of “A Child Care Provider’s Guide to Safe Sleep” pamphlet during the visit. For more information on Safe Sleep Practices please visit http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep.

The following deficiency was observed and cited in today's visit.

An exit interview was conducted with Assistant Director Erin King, appeal rights were explained and distributed. A copy of this report was given to the (director). LIC 9213-Notice of Site Visit must be posted in facility for 30 days. Failure to post Notice of Site Visit for 30 consecutive days could result in an immediate civil penalty assessment.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

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