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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494717
Report Date: 04/20/2021
Date Signed: 04/21/2021 01:50:51 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:DALFIN FAMILY CHILD CAREFACILITY NUMBER:
197494717
ADMINISTRATOR:GEULA DALFINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 482-7126
CITY:LOS ANGELESSTATE: CAZIP CODE:
90048
CAPACITY:14CENSUS: 0DATE:
04/20/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Geula DalfinTIME COMPLETED:
09:55 AM
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On 4/20/2021 at 8:15AM, Licensing Program Analyst (LPA) Lillian Casillas conducted an announced Pre-Licensing Tele-Inspection via Zoom due to the COVID-19 pandemic Shelter-in-Place order in the State of California. LPA Casillas met with Applicant, Geula Dalfin, who guided LPA Casillas on a tour of the inside and outside of the home. LPA observed 0 adults and 0 children in care. Hours of operation are scheduled for Monday through Friday, 9:00am to 3:00pm.

Applicant is applying for a Large Family Child Care Home with a maximum capacity for 14 children, ages 0 to 7 years.

This is a single-story home with 3 bedrooms, 2 bathrooms, dining room, living room, kitchen, backyard, basement, and gazebo. Childcare areas are: living room, dining room, bedroom #1, bathroom #1, backyard, and gazebo. Off-limits areas are: bedroom #2, bathroom #2, bedroom #3, kitchen, and basement.



Indoor
LPA Casillas entered the property via a walkway that leads to the front door. Parents drop off/pick up their children at this entrance door. Applicant was advised to conduct a wellness check upon arrival using a touchless thermometer and to offer hand sanitizer, per CCL's COVID-19 prevention guidelines. Upon entering, LPA observed the living room, which is the main child care area. LPA observed a large room with a couch, rug, books, toys, doll house, children's table and chair. In the living room, LPA observed the parent board (Emergency Disaster Plan and Notification of Family Child Care PUB394), fire alarm, and a 2A10:BC fire extinguisher. Next to the living room, is the dining room. In the dining room, LPA observed a long dining table with 10 chairs. In between the living room and dining room is a hallway that leads to the bedrooms. In bedroom #1, LPA observed 2 pack n plays and 1 twin bed. Applicant stated this room will be used for napping. In this room, LPA observed a bathroom with 1 toilet, 1 sink, and 1 shower. Applicant confirmed that

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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: DALFIN FAMILY CHILD CARE
FACILITY NUMBER: 197494717
VISIT DATE: 04/20/2021
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the cabinet underneath the sink will be used to store towels only.

Indoors Off-Limits


LPA observed child safety knobs on the bedroom doors and bathroom door. Bedroom #2 is the master bedroom. Bedroom #3 is the Applicant's children's bedroom. Bathroom #2 includes 1 sink, 1 toilet, and 1 bathtub. The hallway includes a functioning carbon monoxide detector and smoke detector. The door to the basement includes a small twist knob toward the top of the door, making it inaccessible to children. The basement is small and is used for storage.

LPA observed a child safety gate to block off the kitchen from the dining room. In the kitchen, LPA observed a clean and organized refrigerator. Applicant stated she has not decided whether she will provide food or opt for a food program. Applicant was advised to wear plastic gloves and serve food using disposable plates and utensils, if she decides to provide food herself, per CCL's COVID-19 prevention guidelines. While this area is off-limits, LPA observed a child safety lock on cabinet door where cleaning products are stored. The office area is located in the dining room, which Applicant stated she will block off with a child safety gate. Applicant stated she will keep children's files and facility files in the office. LPA sent the Applicant all required documents according to Title 22 Regulations via email on 4/19/2021.

Outdoor
The backyard is large and fenced. It includes a grassy area and gazebo. In the grassy area, LPA observed a sandbox, children's bikes, a table, chairs, 2 whiteboards, a playhouse, a slide, and swings. In the gazebo, LPA observed a reading nook, toy dolls, and more age-appropriate toys.

Applicant states there are no firearms or weapons of any kind in the home at the time of the visit. LPA also observed a First-Aid Kit located in the kitchen. The isolation area will either be in bedroom #1, if the children are mainly in the living room, or the living room if children are napping. LPA observed child safety plugs on all electrical outlets.




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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: DALFIN FAMILY CHILD CARE
FACILITY NUMBER: 197494717
VISIT DATE: 04/20/2021
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Discussed topics:
Baby Walkers/etc Prohibited. Applicant was made aware that state law prohibits baby walkers, bouncy seats, exersaucersand any other items that fall into that category. Health & Safety Code 1596.846(b) and (c).

Smoking Prohibited. Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation. Health & Safety Code 1596.795(a).

SIDS & Shaken Baby Syndrome Awareness. 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 to prevent the Shaken Baby Syndrome, Never shake a baby!

High Chair & Car Seat Awareness. Applicant was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

Nutrition Requirement. Applicant was made aware of AB 290, commencing January 1, 2016, requiring at least one director or teacher at each child care center or family child care home to have at least one hour of training in the importance of childhood nutrition. This applies to anyone submitting a new application, relocating their facility, selling their facility or transferring their license. Please note this training cannot be completed online or by home study programs. The training must be taken from an Emergency Medical Services Authority (EMSA) approved training program OR an accredited college or university. Health & Safety Code 1596.8661.

Mandated Reporter Required. Applicant was made aware of AB 1207, commencing January 1, 2018, 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 Health & Safety Code 1596.8662.
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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: DALFIN FAMILY CHILD CARE
FACILITY NUMBER: 197494717
VISIT DATE: 04/20/2021
NARRATIVE
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Licensing Reports Given to Parents Required. Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility. Assembly Bill 633.

Incidental Medical Services Awareness. 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, Website: www.ada.gov/childqanda.htm Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

LPA advised Applicant to follow and remain updated with COVID-19 guidelines.

Items to Correct

  • Secure child safety gate to separate office area in the dining room. Applicant submitted a copy of the receipt of purchase on 4/20/2021 and agrees to submit photo evidence of the correction by 4/27/2021.


An exit interview was conducted with the Applicant on 4/20/2021 at 9:55AM and a copy of this report (LIC809) was sent to Applicant via email. LPA Casillas requested Applicant to reply to the email in lieu of a signature.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4