198018391-8-18-2022-54-CC-AMOY-CHET3U-20220818142255

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018391
Report Date: 08/18/2022
Date Signed: 08/18/2022 02:23:07 PM

Document Has Been Signed on 08/18/2022 02:23 PM - 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ATAPATTU DHARMASENA FAMILY CHILD CARE		FACILITY NUMBER:	198018391
ADMINISTRATOR:	ATAPATTU, THANUJA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 924-1326
CITY:	HAWAIIAN GARDENS	STATE: CA	ZIP CODE:	90716
CAPACITY:	14	CENSUS: 10	DATE:	08/18/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Maheshi Atapattu, Assistant		TIME COMPLETED:	02:30 PM

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Licensing Program Analyst (LPA) Alicia Mooberry conducted a Required Annual Inspection in English on this date. Upon arrival at 11:00am and met with Maheshi Atapattu, Assistant, who provided tour of facility. LPA explained the purpose of inspection and provided the inspection Entrance Checklist, LIC 126. LPA inspected rooms and areas on the facility sketch in which child-care services are provided and to which children have access. Thanuja Atapattu, licensee, arrived at 11:45am. Per licensee the hours of operation are Monday-Friday 6:30am-6:00pm. There were 10 children present, including 1 infant. Also present was Lidia Castanon, Assistant. All adults present have received the required background cleared and are associated to the facility. Individuals residing in the home were discussed and noted.

This is a one story home which consists of 3 bedrooms, 1 bathroom, kitchen, dining room, living room, and backyard (fenced). Areas accessible to children included: living room, dining, bathroom in the hallway, kitchen, two (2) bedrooms at the front of home, covered patio in the backyard where children have meals.

Per licensee, areas off limits to children and parents include: Master bedroom, two (2) storage sheds in the backyard. The master bedroom is maintained closed and locked, the storage sheds were observed to be closed and locked. The home has NO garage.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection:

LPA observed the required postings (Facility License, PUB 394: Notification of Parent's Rights, LIC 9148) at the entrance of home in the living room where parents drop off children.

LPA observed cleaning products in locked kitchen cabinet under sink and in locked cabinet in covered patio in back yard. Licensee was reminded to ensure cleaning products, detergents and items that are harmful to children in care are always maintained inaccessible to children in care.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ATAPATTU DHARMASENA FAMILY CHILD CARE	FACILITY NUMBER: 198018391
	VISIT DATE: 08/18/2022

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The bathroom that children use is located by the living room and observed to be clean and free of hazards.

Smoke and carbon monoxide detector was tested and is operable. Fire extinguisher indicated fully charged, purchase receipt with date 6/22/22 was observed/ Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via cell phone.

Currently, children are using the back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with including a medium sized trampoline with mesh cover observed to be zipped and closed. Per licensee, the trampoline is used for children age 6 and older, according to manufactured recommendation, also the children are always supervised while playing. LPA observed two (2) locked storage sheds in the backyard.

Facility does not have a pool or similar bodies of water.

Licensee understands that poisons must be locked, not only inaccessible to children. Per Licensee there are no firearms or weapons stored in the home. There are no pets in the home.

Staff and Children’s records were reviewed according to LIC 126 Inspection Entrance Checklist.

Infant Care: LPA informed licensee of the new Safe sleep regulations. LPA discussed PIN 20-24-CCP and provided a copy including LIC 9227 Infant Sleep Plan for infants under 12 months. Licensee states infants sleep in the bedroom 1, with door always open. Staff and licensee supervise infant for the duration of the nap and will document 15 minute checks.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: ATAPATTU DHARMASENA FAMILY CHILD CARE	FACILITY NUMBER: 198018391
	VISIT DATE: 08/18/2022

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During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

LPA observed that licensee is implementing current COVID-19 recommendations, precautions and procedures. Isolation area for sick children waiting to be picked up is in the bedroom, away from the other children.

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

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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/inspection-process.

There are no deficiencies cited during this inspection.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Thanuja Atapattu Dharmasena, Licensee.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

LIC809 (FAS) - (06/04)

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