197494272-6-25-2019-30-CC-MJVZ-BDGQT2-20190625122626

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494272
Report Date: 06/25/2019
Date Signed: 06/25/2019 12:26:34 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:	ZARZOUR & MARCOS FAMILY CHILD CARE		FACILITY NUMBER:	197494272
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 2	DATE:	06/25/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Evoun Zarzour and Maged Marcos, Licensees		TIME COMPLETED:	12:46 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	Licensing Program Analyst (LPA) Martha Vasquez conducted an announced pre-licensing inspection/relocation inspection to the facility to ensure the health and safety standards as required by regulations, statues, and requirements governing California family child care homes. Licensees are moving their facility from Santa Monica, CA (LIC #197413620) to the aforementioned address. Present at time of inspection were Evoun Zarzour and Maged Marcos, Licensees and their four minor children. LPA reviewed and updated the facility sketch (indoor and outdoor) and it was observed to match the physical plant of the home. LPA was guided on a tour of the home inside and outside at 9:12 AM. Per the licensees, the residents at the facility are the licensees (husband and wife) and four minor children. According to the licensees, they plan to operate the daycare Monday-Friday from 8:00 AM - 5:30 PM. Licensees stated they will update their application to operate Monday-Friday from 6:00 AM - 6:00 PM. The home is a one story single-family house at includes: 4 bedrooms - all bedrooms will be off limits. 1 livingroom near the front of the home - off limits. 1 formal dining area near the kitchen area - on limits only only for infant napping. 1 den area near the entrance of the home - on limits. According to the licensees this will be the primary care area. 1 kitchen - partially off limits. According to the licensee the kitchen area closest to the backyard will be off limits. There is an area that is divided by a gate which is closest to the laundry room area that will be on limits. 1 laundry room between the kitchen and attached garage - off limits. This area will be used for children to walk through and into and from the garage area. 1 attached garage area - on limits. According to the licensees they will use this area for limited activities which will not include eating or sleeping. This area will also be used for overly sunny or raining days according to the licensees. (Continued)

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Martha J Vasquez	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

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: ZARZOUR & MARCOS FAMILY CHILD CARE	FACILITY NUMBER: 197494272
	VISIT DATE: 06/25/2019

NARRATIVE

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1 front yard that includes a driveway area - off limits.
1 backyard that is divided into three tiers that drops downward - off limits. Please note, this area also includes two stairway areas connecting each tier of the backyard which are also off limits. The bottom tier of the backyard is separating the property line and an outdoor area of Hidden Hills, CA which is a gated community area.
2 side yards - the side yard to the north of the home will be on limits. The side yard to the south of the home will be off limits. According to the licensees, this area will also be used for the dog whom also resides at the home.

The following was observed by LPA during the inspection:
1. Adults living in the home have submitted fingerprints and child abuse index check forms to Department of Justice.
2. Home is neat and clean.
3. Heaters are screened to prevent access by children.
4. Home is equipped with a fire extinguisher.
5. Home has a working smoke alarms 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):
Kitchen: all sharp utensils and cutlery, cleaning supplies, medicines, drawers and cabinets with liquor, plastic bags, and sharp things or small things children can swallow.
Bathroom: shampoo, mouthwash, toothpaste, medicines, and perfumes/lotions/cosmetics.
9. According to the licensees, there are no weapons or firearms at the home. None were observed by LPA.
10. Outdoor play area is fenced in.
11. Toys and playthings are safe, clean, and appropriate for the age of the children.
12. Licensees agrees that no babywalkers, bouncers, jumpers, and similar items will not be used for children in care and are kept inaccessible.
13. A copy of the control of property was observed during inspection.
14. LPA observed preventative health and safety training certificate(s). LPA observe 1^st Aid and CPR card(s) to expire on 10/2020.
15. The home is equipped with a first aid kit. (Continued)

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Martha J Vasquez	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

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: ZARZOUR & MARCOS FAMILY CHILD CARE	FACILITY NUMBER: 197494272
	VISIT DATE: 06/25/2019

NARRATIVE

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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

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. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com.

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

Licensees 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 child care 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

Licensees were made aware that once licensed, it is the licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Applicant was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensees were also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. LPA discussed in detail and provided applicant with information on Safe Sleep Practices in childcare facilities, Public Counsel, CCRC, and Licensee Local 99 union information.

Licensure will be granted upon final review by LPA Vasquez. Copy of this report was provided to the licensees at time of inspection. Exit interview was conducted.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Martha J Vasquez	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

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: ZARZOUR & MARCOS FAMILY CHILD CARE	FACILITY NUMBER: 197494272
	VISIT DATE: 06/25/2019

NARRATIVE

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

Licensees agrees to operate the family child care home in a way to reflect a home-like environment and agrees to the following per Children’s Personal Rights Title 22 Regulation(s): 102423 (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons. (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. (3) To have parents or guardians informed by the licensee of the provisions of the law regarding complaints and the procedures for registering complaints confidentially, including, but not limited to the address and telephone number of the licensing agency's complaint unit. (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

Licensees were advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation. Applicant was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. 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.

The licensees were advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. The licensees was made aware that a licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

(Continued)

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Martha J Vasquez	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

LIC809 (FAS) - (06/04)

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