198016442-7-26-2022-33-CC-NTCG-CGPP5U-20220726110121

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016442
Report Date: 07/26/2022
Date Signed: 07/26/2022 11:01:41 AM

Document Has Been Signed on 07/26/2022 11:01 AM - It Cannot Be Edited

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:	LITTLEJOHN FAMILY CHILD CARE		FACILITY NUMBER:	198016442
ADMINISTRATOR:	LITTLEJOHN, PAULA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 226-6649
CITY:	PASADENA	STATE: CA	ZIP CODE:	91104
CAPACITY:	14	CENSUS: 8	DATE:	07/26/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Paula Littlejohn - Licensee		TIME COMPLETED:	11:17 AM

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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced annual random inspection to the above facility. At 9:10am, LPA met with licensee, Paula Littlejohn. Also present during this inspection, is Licensee's assistant The licensee states that she currently has 12 children enrolled. A current children’s roster is available and is current. Licensee’s hours of operation are 6am-5am, Monday-Sunday.

This is a two story home which consists of 4 bedrooms, 4 bathrooms, living room, kitchen, dining room, dining nook, laundry area, daycare room (one of the bedrooms), detached garage, front yard and back yard (fenced). Children have access to the living room, kitchen, dining room, dining nook, laundry room, rear bedroom (day care area), bathroom, and back yard. Off-limits to children in care are the 2 additional downstairs bedrooms, 2 additional bathrooms, and entire upstairs.

The licensee states that 2 adults and 0 children currently live in the home. Persons living in the home are identified on the attached LIC811. Licensee states that she currently has one assistant. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Per licensee, there are no weapons, firearms or bodies of water on the premises. Families provided food for their children.

PHYSICAL PLANT

At 9:15am, LPA was lead on a tour of the facility by the licensee. The tour began in the front living room which is sometimes used for child care. There is a fireplace with decorative candles in the opening and a metal gate around the front. The is a dining room adjacent to the living room that has snacks on a table and two play yards for infants in care to use. The doorway next to the dining room leads to the kitchen which is accessible to children in care. The cabinet under the sink has a child safety lock so that detergents, cleaning compounds, medications, and other items which could pose a danger are inaccessible to children. Licensee showed LPA that knives were kept in a cabinet above the counter, out of reach of children in care.
REPORT CONTINUES PAGE 1 of 4

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

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: LITTLEJOHN FAMILY CHILD CARE	FACILITY NUMBER: 198016442
	VISIT DATE: 07/26/2022

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There is a dining nook that is a part of the kitchen where children in care eat their meals. The tour continues through the laundry room. At 9:25am, a fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 07/22/22, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. There were first aid supplies present and complete. The back bedroom is being used as a daycare room. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are observed to be posted in the daycare room. LPA observed age appropriate toys and equipment for children in care to use. Smoke and carbon monoxide detectors were tested and are operable. There is also a pull down fire alarm in the daycare room. The bathroom attached to the day care room is used by children in care. Bathroom was observed to be clean and free of hazards. There is a staircase in the daycare room that leads to the second floor. It has been made inaccessible by a solid wooden door at the base of the stairs. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. Per licensee, the front living room will be used as an area for an ill child until an authorized representative comes to pick up child. LPA observed napping equipment in the form of cots. Equipment is stored in daycare room. The licensee states that there is a land line on the premises.

At 9:35am, LPA observed the back yard area. The outdoor play area was observed to be fenced. At this time, children are using the back yard for outdoor play time. There are bikes stored in the garage that licensee states they retrieves for the children when they bike. There is a grass area and also toddler basketball hoops present. The licensee is observed to be operating within the license capacity limitations.

FACILITY RECORDS:

The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 01/2024. Licensee and other personnel have not completed renewal of mandated reporter training. The present ones expired 09/2020. LPA discussed with licensee the importance of maintaining this training every two years as a child care provider. The licensee does not have proof of immunization against influenza, tuberculosis, pertussis, and measles. Per the annual inspection in 09/2018, Licensee was not reported as missing their immunization record. LPA is issuing a Technical Violation to the licensee to obtain a copy. Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all the information specified by regulation.
REPORT CONTINUES PAGE 2 of 4

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

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: LITTLEJOHN FAMILY CHILD CARE	FACILITY NUMBER: 198016442
	VISIT DATE: 07/26/2022

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The following was 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.
-There are no pets on the premises.
-Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that falls into these categories are not permitted in a family child care facility.
-Smoking is prohibited in a license family child care home.

Infant Care: Licensee states that they are currently caring for infants. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room. Licensee states that infants sleep in the dining room area. LPA provided the licensee with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS. LPA consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices. PIN 20-24-CCP was provided and explained during the inspection.

Incidental Medical Services (IMS):

The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

During today's inspection, LPA observed signs and facemasks being used in the facility. COVID-19 Health and Safety protocols were observed. Licensee states that they continue to practice Social Distancing as much as they can.

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

REPORT CONTINUES PAGE 3 of 4

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 6 of 6

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: LITTLEJOHN FAMILY CHILD CARE	FACILITY NUMBER: 198016442
	VISIT DATE: 07/26/2022

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative.

Exit interview was conducted with Licensee Paula Littlejohn, at 10:47am and Plan of Corrections were reviewed and developed. A copy of the report was provided.

END OF REPORT PAGE 4 of 4

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 2 of 6

Document Has Been Signed on 07/26/2022 11:01 AM - It Cannot Be Edited

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: LITTLEJOHN FAMILY CHILD CARE	FACILITY NUMBER: 198016442
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/26/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above, as both Licensee and assistant have not renewed their Mandated Reporter Child Care Provider Training, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/02/2022
	Plan of Correction
1 2 3 4	Per licensee, They will make sure that all personnel at the facility complete the Mandated Reporter Child Care Provider Training and submit proof to LPA by POC date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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 Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

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