198011140-11-20-2019-33-CC-SLEE-BJ3VLQ-20191119153218

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011140
Report Date: 11/19/2019
Date Signed: 11/20/2019 02:08:10 PM

COMPREHENSIVE INSPECTION

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:	CARELS FAMILY CHILD CARE		FACILITY NUMBER:	198011140
ADMINISTRATOR:	CARELS, KIMBERLEE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 359-1463
CITY:	MONROVIA	STATE: CA	ZIP CODE:	91016
CAPACITY:	14	CENSUS: 11	DATE:	11/19/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Kimberlee Carels		TIME COMPLETED:	03:45 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) Seung Lee conducted an Annual Random inspection to the above facility. LPA met with Kimberlee Carels, Licensee, who guided Analyst on a tour of the facility. Licensee was present with 11 children along with two assistants at the time of the inspection. All areas of the facility sketch was inspected. This is a single story home which consists of 3 bedrooms, 2 bathrooms, living room, and kitchen. Children have access to the family room and kitchen. Children also have access to all three bedrooms, however for sleeping purposes only. The master bathroom is off-limits to children in care. The home was inspected for safety, comfort, cleanliness, ventilation, and telephone service (land line). Currently residing in the home are Licensee, her spouse Steven Carels, adult daughter Kaitlin Carels, and son-in-law, Alan Caron. All individuals must obtain a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Detergents, cleaning compounds, medications, and other items which could pose a danger, were inaccessible to children during this inspection. LPA observed the required 2-A:10:B-C fire extinguisher on the premises with a receipt attached indicating it was purchased on 10/23/2017. Licensee practiced emergency drills with children on 10/30/2019 per disaster drill log. CPR for Licensee and assistants is good till 12/2019. The smoke and carbon monoxide detectors are working properly. There are age appropriate toys available for children. Two large dogs were observed and are kept separately from children in care. Per licensee, there are no weapons, firearms or bodies of water on the premises.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019

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: CARELS FAMILY CHILD CARE	FACILITY NUMBER: 198011140
	VISIT DATE: 11/19/2019

NARRATIVE

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Children's Roster is readily available and updated. Children’s Files were reviewed.

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.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

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

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

No Deficiencies were cited in this inspection.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
Exit interview conducted with Licensee Kimberlee Carels. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019

LIC809 (FAS) - (06/04)

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