198004510-6-21-2019-33-CC-AALN-BDCU5W-20190621151725

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004510
Report Date: 06/21/2019
Date Signed: 06/21/2019 03:17:30 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	JONES FAMILY CHILD CARE		FACILITY NUMBER:	198004510
ADMINISTRATOR:	JONES, WILLIAM & LISA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 796-1386
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY:	14	CENSUS: 13	DATE:	06/21/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:08 PM
MET WITH:	Lisa Jones		TIME COMPLETED:	03:30 PM

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Licensing Program Analyst, Ariel Cazares conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee Lisa and William Jones and toured the facility. There were 13 children present and 2 volunteers. Individuals residing in the home are the licensees. Licensee’s operating hours depend on the school year. During summer hours are 7am to 6pm, otherwise during the school year hours are afterschool until 6pm. Facility serves school-age children at this time.

The home is a one story, 3-Bed, 1-Bath home. The following areas are used for day-care: Living Room, 2 bedrooms, 1 bathroom, kitchen, garage (with 2 bathrooms), backyard and front yard. Off limit areas include: Licensee's bedroom. There is a front house that has a separate address not part of the facility.

Licensee has required postings including facility license at the entrance of the facility. First Aid/CPR certificate are valid thru 04/30/2020 for both licensees. Licensee's disaster drill log notes last drill conducted on 6/13/19. Licensee has a working telephone.

LPA inspected all areas of the home. Fire extinguisher located in the kitchen was serviced on 2/23/19 and is fully charged. There is an operational smoke detector and carbon monoxide in the hallway. There are adequate age appropriate toys, books, and games. LPA observed a wall heater that is not barricaded. LPA also observed the wall heater is not functional as the pilot is off. There are no firearms present on the premises as stated by Licensee Lisa. LPA did not observe any pools or spas, or other bodies of water. Currently there are no pets.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2019

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JONES FAMILY CHILD CARE	FACILITY NUMBER: 198004510
	VISIT DATE: 06/21/2019

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Children's roster is readily available and updated. Children’s files were reviewed and found complete. Licensee's files were complete and in order.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.
· This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Section 102417. 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
· A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.

No Deficiencies were cited on this visit. LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

Exit interview was conducted with Licensee Lisa Jones. A copy of this report and appeal rights discussed and explained.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2019

LIC809 (FAS) - (06/04)

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