198020761-8-24-2021-33-CC-AGOK-C67QH5-20210824121034

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020761
Report Date: 08/24/2021
Date Signed: 08/24/2021 12:10:39 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	KALAYCI FAMILY CHILD CARE		FACILITY NUMBER:	198020761
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	08/24/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Maral Kalayci		TIME COMPLETED:	12:30 PM

NARRATIVE

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On August 24th, 2021, an unannounced Case Management Inspection was conducted by Licensing Program Analyst (LPA) Alanna Gontarek regarding a pending application for an increase in capacity. The Licensee's husband was also present during this inspection. There were 0 children present. LPA met with Licensee Maral Kalayci, who guided LPA on an indoor and outdoor tour of the facility.

The Licensee is requesting an increase in capacity from 8 to 14 children. The Licensing Department received a granted Fire Clearance for a capacity of 14 children on 8/19/21. During today's inspection, LPA toured the facility and did not observe any deficiencies regarding today’s inspection. LPA received proof of employment (from April 2018 to June 2019) via letter from previous employer/center, prior to today's visit.

Areas to be used by children: Living Room, Kitchen, Dining Room, 1 Bathroom (located in hallway), Backyard (fenced), and Side Yard (fenced).

Areas off-limits to children: 3 Bedrooms, 1 Master Bathroom, Laundry Room, Garage, and Front Yard (not fenced)

The following was discussed: 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 clearance prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.

Rooms that are off-limits need to be made inaccessible during operating hours. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines, No baby bouncers, and any other item that falls into that category are not permitted in the facility. Effective January 1, 2010, licensees of family childcare homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KALAYCI FAMILY CHILD CARE	FACILITY NUMBER: 198020761
	VISIT DATE: 08/24/2021

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Role and responsibilities of being a Mandated Reporter were reviewed. The Licensee was advised how to access forms and Regulations online at www.ccld.ca.gov. Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care.

The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS), New Safe Sleep Regulations, LIC 9227 Infant Plan, Effects of Lead Exposure, and Never-Shake-a-Baby were discussed and information was provided.

LPA will recommend approval of the increase in capacity as the home meets Title 22 Code of Regulations and a fire clearance has been approved for a maximum capacity of 14 children.

At this time, the Licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. Appeal Rights were also explained and provided during today's visit.

Exit interview was conducted with Licensee, Maral Kalayci.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021

LIC809 (FAS) - (06/04)

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