198020042-1-7-2021-54-CC-ECHZ-BX2S54-20210107123344

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020042
Report Date: 01/07/2021
Date Signed: 01/07/2021 12:34:43 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:	FLAHARTY FAMILY CHILD CARE		FACILITY NUMBER:	198020042
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 8	DATE:	01/07/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Araceli Flaharty		TIME COMPLETED:	12:30 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	This was a case management inspection conducted by Licensing Program Analyst (LPA) Elka Chavez due to Covid-19 and precautionary measures. This case management inspection was conducted with Licensee, Araceli Flaharty via FaceTime to address a request for a capacity increase to a Large Family Child Care with a capacity of 14 children. Per Licensee, child care will be provided from 6 a.m. to 6 p.m. from Monday through Friday. Licensee stated that the day care hours have been adjusted from 6 a.m. to 4 p.m. temporarily due to Covid-19. Licensee states she wants to care for children from birth to 10 years of age. During this tele-inspection the Licensee took LPA on a tour of the home. LPA observed a total of 8 children and 1 assistant. All areas identified on the facility sketch were inspected via Facetime. This is a single-story home which consists of three bedrooms, two bathrooms, family room/child care, kitchen, dining room, living room, and backyard (fenced). LPA observed outdoor play area (backyard) to be safe. Backyard is adequately fenced. LPA observed a fish pond with a safety wire net cover over it. Licensee stood on top of the wire net to show LPA the sturdiness of the cover. Areas off limits include: Bedroom number three located next to the patio. LPA observed the bedroom to be locked. Licensee unlocked the bedroom for LPA, the room is being used to store excess toys during Covid-19. Areas used by children include: two bedrooms, family room/day care room, bathroom located inside of the family room, bathroom located inside of the house and the fenced backyard. There are age appropriate toys and napping equipment on the premises. LPA observed cleaning compounds to be stored in a cabinet outside in the patio with a safety lock. LPA observed a fireplace in the living room with a metal screen bolted to the wall making it inaccessible to children. The applicant states that she provides food for children in care.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka Chavez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021

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: FLAHARTY FAMILY CHILD CARE	FACILITY NUMBER: 198020042
	VISIT DATE: 01/07/2021

NARRATIVE

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At 9:30 am, LPA observed the required (2A10BC) fire extinguisher in the kitchen indicates fully charged. LPA did not observe a service tag. LPA observed smoke detectors and carbon monoxide detectors in the family room/day care room and kitchen. LPA had the Licensee test the carbon monoxide and smoke detector located in the day care room and kitchen. LPA heard the alarm test to be in operable condition. Per licensee there are no weapons, firearms in the facility. First Aid and emergency kits are available. LPA observed the items to be stored in a locked cabinet in the hallway closet. The Licensee and Assistant has current Pediatric First Aid and CPR. Applicant has proof of immunization against influenza, pertussis, and measles. Applicant has proof of the Mandated Reporter Training.

The following was discussed with the Licensee:

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.
In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification, TB clearance, immunizations, and a valid criminal record clearance associated to the facility license.
A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.
The fire extinguisher type 2A10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.
Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. Mandated reporter requirements was reviewed and explained.
Fire and safety drills must be performed every six months and documented for review by the Department.
Smoking is prohibited in a family child care home, 24/7.
Children and Staff records must be maintained and updated as needed and must be available for review by the Department.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka Chavez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021

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: FLAHARTY FAMILY CHILD CARE	FACILITY NUMBER: 198020042
	VISIT DATE: 01/07/2021

NARRATIVE

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No baby bouncers, 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.

All adults living and working in the home shall be made of aware of the Departments right to inspection authority.

Forms/Records to Keep in Your Family Child Care Home (LIC 311D) with the applicant. LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov

LPA reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. *Infants should always sleep on their backs, mouths facing up*. LPA advised the applicant to sleep infants where they can always be directly supervised. LPA also advised against sleeping infants in a separate room.

Forms to be posted:
LIC6101A Emergency Disaster Plan, PUB394 Notification of Parents Rights Poster, Facility License
Facility Records: LIC 624B Unusual Incident/Injury Report, LIC 9040 Child Care Facility Roster, LIC 9052 Employee Rights, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse,
Staff Forms/Records - any assistant present must have the following on file: Proof of TB clearance (within one year), Notice of Employee Rights (LIC 9052), Criminal Record Statement (LIC 508), Statement Acknowledging Requirements to Report Suspected Child Abuse (LIC 9180).
Children’s records requirements: LIC 700 Identification and Emergency Information, LIC 627 Consent For Emergency Medical Treatment, LIC 282 Affidavit Regarding Liability Insurance, LIC 9150 Parent Notification Additional Children In Care, Immunization record, PUB 72- Family Child Care Consumer Guide, LIC 995A Notification of Parent’s Rights
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

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka Chavez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021

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: FLAHARTY FAMILY CHILD CARE	FACILITY NUMBER: 198020042
	VISIT DATE: 01/07/2021

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COVID-19 related guidelines and procedures were discussed with licensee. LPA inquired into licensee's daily operation as relates to drop off/pick up for children, social distancing, cleaning and disinfecting, application has been reviewed. A Covid-19 Technical Assistance tele-inspection was conducted on 8/27/20 with Licensee.http://ph.lacounty.gov/acd/ncorona2019/EducationToolkit/ECE/

There is a fire clearance on file for the home.

At this time, the Applicant is in compliance with California Title 22 Regulations. After further review by the department, Licensee will be notified if/when License is granted. Once licensed, the Licensee is required to adhere to the terms and limitation as stated on the license.

Exit interview was conducted with Licensee, Araceli Flaharty, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Licensee via email with a read receipt or confirmation of receipt of email, which will act as the Licensee’s signature.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka Chavez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021

LIC809 (FAS) - (06/04)

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