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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012491
Report Date: 10/17/2019
Date Signed: 10/17/2019 02:42:32 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:MANHEY FAMILY CHILD CAREFACILITY NUMBER:
198012491
ADMINISTRATOR:MANHEY, ABIGAILFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 854-3689
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY:14CENSUS: 14DATE:
10/17/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Abigail Manhey TIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Annual/random inspection. LPA met with licensee, Abigail Manhey, who guided analyst on a tour of the facility. The licensee's assistants, Sylvia Castillo and Maria Iturvide were also present.

The Licensee had 2 other staff present that do not have a Criminal Record Clearance on file. Marietta Hurt who does story time with children once every Thursday. LPA observed that she was alone with children in the garage/activity space area. The other employee, Art Teacher, Linda Joe, who comes to the facility twice a week for the past 3 years. Ms. Joe was able to provide a copy of clearance, however, she is not associated to the facility. The individuals are paid employees and not volunteers. Civil Penalties are being assessed.

LPA observed 14 children present with the Story Time staff member. Licensee states that there are currently 17 children enrolled, children's roster was reviewed and is current. Disaster drill log was available, last drill documented was 09/15/19.

During children's files review and review of roster, LPA observed that the 14 children present consist of 3 infants and 11 children ages 2 through under 5 years of age. There is no school age child present nor a child who is at least 6 years of age. This places the Licensee out of ratio for a Large Family Child Care Home.

This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, living room, attached enclosed patio (activity space), detached garage (activity space), front and backyard (fenced). The children have access to 2 bedrooms, 2 bathrooms, living room, kitchen, garage, enclosed patio, front and back yards. Per licensee, areas off limits to children and parents include: 1 bedroom. The LPA toured all areas used by children during this visit.

*REPORT CONTINUES ON NEXT PAGE
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019
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: MANHEY FAMILY CHILD CARE
FACILITY NUMBER: 198012491
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/18/2019
Section Cited

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Criminal Record Clearance
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
Obtain a California clearance or a criminal record exemption as required by the Department
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This requirement was not met as evidenced by LPA visually observing Marietta Hurt being present at the facility alone with children in the garage. Per Licensee, she comes once a week for the past 2 or 3 years. Ms. Hurt does not have a criminal record clearance on file. This is an immediate risk to the health and safety of children in care.
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Type A
10/18/2019
Section Cited

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Criminal Record Clearance
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility
Request a transfer of a criminal record clearance as specified in Section 102370(j) or
This requirement was not met as evidenced
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 by LPA visually observing Linda Joe, Art Teacher, being present at the facility. Per Ms. Joe she has been at the facility twice a week for the past 3 years. Ms. Joe is not associated to the facility. This is an immediate risk to the health and safety of children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2019
LIC809 (FAS) - (06/04)
Page: 5 of 8
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: MANHEY FAMILY CHILD CARE
FACILITY NUMBER: 198012491
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/18/2019
Section Cited

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Employees or volunteers at day care center; immunization requirements
Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza
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vaccination between August 1 and December 1 of each year.
This requirement was not met as evidenced by LPA observing Sylvia Castillo to not have immunization's on file. This is a potential risk to the health and safey of children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2019
LIC809 (FAS) - (06/04)
Page: 7 of 8
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: MANHEY FAMILY CHILD CARE
FACILITY NUMBER: 198012491
VISIT DATE: 10/17/2019
NARRATIVE
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Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

Licensee was advised that fees are not current. LPA provided balance and pin # print out from LIS

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

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.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22 and/or the Health and Safety Code. Please see attached LIC 809d. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Exit interview was conducted with Licensee's Assistant, Maria Iturvide. The Licensee had to leave to pick up her child from school when LPA was ready to review report. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.


*END OF REPORT



SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019
LIC809 (FAS) - (06/04)
Page: 4 of 8
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: MANHEY FAMILY CHILD CARE
FACILITY NUMBER: 198012491
VISIT DATE: 10/17/2019
NARRATIVE
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Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating (central air) for safety and comfort. There is a fire place in the living room which is inaccessible. There is a working telephone service maintained in the home. Family members residing in the home are 2 adults (criminal record clearances on file) and 2 children. There are 5 chickens kept in a chicken coup in the backyard.

Detergents, cleaning compounds, medications, and other items which can pose a danger to children are accessible in the kitchen under the sink and in another cabinet. The Licensee has latches available in the home, however, there are not any on these cabinets. Per licensee, there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock. Per licensee, there are no weapons, firearms or bodies of water on the premises.

There were safe toys, play equipment and materials observed for children. Emergency Disaster Plan was observed to be posted at the time of visit. LPA requested that a new LIC 610 Emergency Disaster Plan be submitted to the Department to update Temporary Relocation Sites. Children’s records were reviewed to ensure that each child has an Identification and Emergency form. LPA observed that one child, #12 did not have a form on file. During child file review, LPA observed that not all children have immunization's on file. LPA also observed that several children do not have the LIC 9224, Acknowledgement of Receipt of Licensing Report from visit conducted on 10/17/18. The valve on the required 2A 10BC fire extinguisher indicates fully charged (serviced 03/30/19). Smoke detector and carbon monoxide detector in the bedrooms and hallway were tested, and are in operable condition. The Licensee and licensee's assistant, Maria Iturvide, have current Pediatric First Aid and CPR, which will expire 11/2020.

Incidental Medical Services (IMS) policy was discussed. Per Licensee, there are no children on medication. 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


*REPORT CONTINUES ON NEXT PAGE
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019
LIC809 (FAS) - (06/04)
Page: 2 of 8
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: MANHEY FAMILY CHILD CARE
FACILITY NUMBER: 198012491
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/25/2019
Section Cited

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Immunization's
The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.
This requirment was not met as evidenced
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by children's file review. LPA observed
that several children do not have immunization documentation on file. This is a potential risk to the health and safety of children in care.
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Type B
10/25/2019
Section Cited

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Child's Records
The licensee shall maintain, in each child's record, a copy of the emergency information card required in Section 102417(g)(7).
This requirement was not met as evidenced by LPA observing that child #12 did not have an ID & Emergency form on file. This is a potential risk to the health and safety of children in care.
Type B
10/25/2019
Section Cited

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Posting licensing report by child care facility or home; duration of posting; civil penalty for failure to comply; reports to be provided to parents or guardian of each child receiving services
A licensed child care facility or home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care.
This requirement was not met as evidenced by children's file review. LPA observed that several children do not have the LIC 9224 from visit on 10/18/18.
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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2019
LIC809 (FAS) - (06/04)
Page: 8 of 8
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: MANHEY FAMILY CHILD CARE
FACILITY NUMBER: 198012491
VISIT DATE: 10/17/2019
NARRATIVE
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SB792 (Immunization Requirements for Staff and Employees) was discussed with the Licensee. The Licensee only has assistant, Maria Iturvide's immunization's on file. Licensee was unable to provide immunization's for Sylvia Castillo.

AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: https://www.mandatedreporterca.com/training/child-care-providers

The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed.

LPA provided Safe Sleep Concepts.

LPA provided a copies of the following Title 22 Regulation Sections:

102370 Criminal Record Clearance, 1697.465 Large Family Day Care Homes, and 1596.8595 Posting licensing reports and reports to be provided to parents.

The following was discussed: Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.

No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

LPA reviewed and issued the LIC 311 - Forms/Records to Keep in Your Family Child Care Home.
CHILDREN’S FORMS/RECORDS, FACILITY FORMS/RECORDS and INFORMATION TO BE POSTED, Disaster drills, posting requirements, children records requirements, mandated child abuse and injury/ death reporting, criminal record transfer requirements, criminal record and child abuse clearances were also discussed during this visit.

*REPORT CONTINUES ON NEXT PAGE
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019
LIC809 (FAS) - (06/04)
Page: 3 of 8
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: MANHEY FAMILY CHILD CARE
FACILITY NUMBER: 198012491
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/18/2019
Section Cited

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Large family day care homes; number of children
A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met At least one child is enrolled in and attending kindergarten or elementary school and a
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second child is at least six years of age.
This requirement was not met as evidenced by LPA observing 14 children present during the inspection, 3 infants and 11 children ages 2 through under 5 years of age. This is an immediate risk to the health and safety of children in care.
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Type A
10/18/2019
Section Cited

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Operation of a Family Child Care Home
Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement was not met as evidenced by LPA observing cleaning comounds in the
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kitchen under the sink and in other cabinet. These cabinets are accessible to children. This poses an immediate risk to the health and safety of children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2019
LIC809 (FAS) - (06/04)
Page: 6 of 8