198019077-3-4-2020-33-CC-TRAO-BMDQTH-20200304112709

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019077
Report Date: 03/04/2020
Date Signed: 03/04/2020 11:27:17 AM

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:	KARIS FAMILY CHILD CARE		FACILITY NUMBER:	198019077
ADMINISTRATOR:	ANDREA MARY KARIS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(617) 529-2497
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91206
CAPACITY:	14	CENSUS: 11	DATE:	03/04/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Andrea Mary Karis, Licensee		TIME COMPLETED:	11:45 AM

NARRATIVE

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Licensing Program Analysts (LPAs) Thelma Razo and Crystal Green conducted an unannounced Required - 1 Year site inspection. Upon arrival, LPAs met with Licensee Andrea Mary Karis and toured the facility. There were 11 children present. Operating hours are from Monday through Friday, 8AM-6PM.

The facility is a one story, 2-Beds, 2-Baths home. The following areas are used for day-care: living room (Fireplace made inaccessible by a barricade), dining room, bedroom, 1 bathroom and front patio/yard for outdoor play. Off limit areas include: Master bedroom with private bathroom, kitchen, laundry room, and pantry next to laundry room. These areas are kept off limits with pressure gate.

Licensee has the Parent’s Rights poster, license and other appropriate forms posted on wall in the diving room. Licensee's First Aid/CPR certificate is valid thru 03/18/2020. Licensee's disaster drill log notes last drill conducted on 02/14/20. Licensee has a working telephone.

The daycare space was inspected. Fire extinguisher has been serviced in the last year, card on extinguisher notes September, 2019. Smoke detectors and carbon monoxide detectors are operational. LPA did not observe and exposed electrical outlets. The restroom is kept clean and orderly. No accessible hazards were observed. There is a First Aid Kit on top of the cubbies by the dining area. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. There is a driveway in the rear of the home. LPA did not observe any pools or spas, or other bodies of water.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: KARIS FAMILY CHILD CARE	FACILITY NUMBER: 198019077
	VISIT DATE: 03/04/2020

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Children's roster and files were reviewed and found complete. Licensee is up to date with her immunization. Assistant file was reviewed and found complete.

The following were discussed: No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPAs discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.
· LPA reviewed LIC 311D with licensee, reminding her of required forms. LPA reviewed SIDs, Never Shake A Baby, safe sleeping practices, lead poisoning, and staffing ratio based on capacity. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Handouts were provided to licensee.
· Incidental Medical Services (IMS) policy was discussed. Licensee currently do not have children enrolled who required IMS. 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
· Mandated reporter training must be renewed every two years. Licensee was reminded of the requirement to renew.

No deficiencies were cited on today's inspection. LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

Exit interview conducted with Licensee Andrea Karis. A copy of this report and appeal rights were provided.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

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