198017038-7-18-2019-54-CC-RJOS-BE7TZU-20190718151054

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017038
Report Date: 07/18/2019
Date Signed: 07/18/2019 03:11:05 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	CONLEY FAMILY CHILD CARE		FACILITY NUMBER:	198017038
ADMINISTRATOR:	CONLEY, ANGELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 817-4402
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY:	14	CENSUS: 6	DATE:	07/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:17 PM
MET WITH:	Angela Conley		TIME COMPLETED:	03:19 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) Reiko Jones-Modeste and Timothy Fields conducted an unannounced annual random inspection to the above facility. LPA met with Angela Conley, Licensee who guided analyst on a tour of the facility. Also present during this inspection, Asia Royston, Licensee’s Assistant. Per Licensee, there are 12 children currently enrolled. A current children’s roster was available for review. LPA observed five napping children and one napping infant. This is a one-story home which consists of three bedrooms, one bathroom, kitchen, dining room(converted), living room, front yard and backyard (fenced). The children use the bathroom located in the hallway, living room, dining room and backyard. The restroom that children use was observed to be safe and sanitary. LPA observed a wall heater barricaded. Per Licensee, areas off limits to children and parents include: all bedrooms and front yard. The licensee provides food for children in care. The licensee states that three adults currently live in the home. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a cellphone which remains at the facility during operating hours. There is ventilation and heating (central). Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. 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. Licensee states that there are no firearms or poisons stored in the home. LPA did not observe any poisons in the home. The valve on the required 2A 10BC fire extinguisher indicates fully charged with service tag attached. Smoke

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CONLEY FAMILY CHILD CARE	FACILITY NUMBER: 198017038
	VISIT DATE: 07/18/2019

NARRATIVE

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and carbon monoxide detectors were tested and operable.

The home was observed to be clean and orderly. There are toys available for children. Appropriate sleeping arrangements, cribs and cots were observed.

Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and play equipment designed for children. LPA did not observe any objects that can pose a danger to children in the outdoor yard. LPA observed a locked shed in the backyard. The licensee states that supervision is always provided. LPA did not observe any bodies of water on the premises.

The licensee was observed operating within the license capacity limitations.

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 07/07/20. There are first aid supplies available. LPA discussed and reviewed required immunizations with Licensee. LPA observed a signed statement from Crystal Stairs Head Start confirming the following: Mandated Reporter Training Certificate, Updated Vaccinations and Proof of Liability Insurance.

Children’s records were reviewed, including emergency information and were observed to be complete.

All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. Last drill documented was conducted on 06/21/19.

Licensee has one pet (dog) and they are in the facility during operating hours.

Emergency Disaster Plan, Parent’s Rights Poster, Car Seat Law and the Facility License were observed to be posted.

LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that fall into these categories are not permitted in a family child care facility.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CONLEY FAMILY CHILD CARE	FACILITY NUMBER: 198017038
	VISIT DATE: 07/18/2019

NARRATIVE

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Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Licensee states that she is currently caring for infants. Licensee states that infants sleep in the dining room(converted).

LPA discussed how to access 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 SUID. LPA also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, and Safe Sleeping practices.

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.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

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. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Ms. Conley, Licensee, including, but not limited to, Site Visit and Initial Appeal Rights.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

LIC809 (FAS) - (06/04)

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