198400019-7-1-2019-54-CC-AALN-BDNLRG-20190701085907

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400019
Report Date: 06/26/2019
Date Signed: 07/01/2019 08:59:12 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	HALFOND FAMILY CHILD CARE		FACILITY NUMBER:	198400019
ADMINISTRATOR:	ASHLIE HALFOND		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 270-1250
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90018
CAPACITY:	14	CENSUS: 1	DATE:	06/26/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Ashlie Halfond		TIME COMPLETED:	10:15 AM

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	A PRELICENSING INSPECTION WAS CONDUCTED IN ENGLISH Licensing Program Analysts Ariel Cazares and Dayna Chambers conducted a pre-licensing inspection today for a change of location. LPAs met with the applicant Ashlie Jo Halfond who was previously licensed at #197419697. LPAs were guided on a tour of the facility. The applicant will operate M-F 8am-5:30pm caring for children 2 months-5 years. Currently living in the home are applicant, spouse, and child. All areas identified on the facility sketch were inspected. This is a two story home which consists of 4 bedrooms, 2 bathrooms, kitchen, family/living room, backyard and frontyard(fenced), garage. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Off limits/inaccessible to daycare children: Second floor (via door lock), kitchen on the first floor (via safety gate), and backyard. Accessible to daycare children: First floor (except the kitchen) and the frontyard. LPA inspected the areas to be used by the daycare children. Two bedrooms will be used for napping and activities. Napping equipment was observed in form of infant cribs (appropriate) and mats. The children's restroom was inspected and no hazards were observed. There is a room near the foyer where children can play. The front yard was inspected and observed to be safe and hazard free. No bodies of water such as pools, spas, ponds, were observed. Two cats in home will remain upstairs. The kitchen will be remain off limits via a safety gate. LPA observed in the The kitchen will be remain off limits via a safety gate. LPA observed in the charged. Knives are kept in a higher level cabinet. There is a smoke and carbon monoxide combination detector in the hallway near the children's restroom was tested and found to be functional. LPA observed a fireplace in the play room that is properly barricaded. The home has central air and heating. No wall or floor heaters were observed. There are no firearms or weapons in the home per applicant.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: HALFOND FAMILY CHILD CARE	FACILITY NUMBER: 198400019
	VISIT DATE: 06/26/2019

NARRATIVE

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LPA reviewed safe sleep practices with applicant. A copy of the Safe Sleep Concepts was provided. LPA advised applicant to maintain both staff and children's records, children's rosters, and other required postings. LPA reviewed criminal record clearance and transfers with applicant. Smoking is prohibited in the home. Baby bouncers, baby walkers, johnny jumpers, exersaucers, and other like items are not permitted use for day-care children. Mandated reporter training must be renewed every 2 years.

The following must be completed prior to a regular license being granted:
1. Completion of Preventative Health & Safety course (with 1-hour nutrition)
*Proof of enrollment was submitted

2. Pending proof of measles vaccine or immunity
* Proof of completed blood work was submitted

There is a fire clearance on file with the department. LPA is recommending a provisional license for 90-days be granted until missing items are submitted. An exit interview was conducted with applicant Ashlie Jo Halfond. A copy of this report was provided.

*Due to computer issues, the electronic version of this report was not provided.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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