198400019-4-17-2023-54-CC-DGIS-CQYTRZ-20230417145822

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400019
Report Date: 04/17/2023
Date Signed: 04/17/2023 02:58:36 PM

Document Has Been Signed on 04/17/2023 02:58 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
MONTEREY PARK S WEST, 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: 11	DATE:	04/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:19 PM
MET WITH:	Ashlie Hallfond, Licensee		TIME COMPLETED:	03:15 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	Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced annual required inspection at the above facility on 4/17/23 at 12/10 PM. LPA met with Ashlie Halfond. LPA toured the facility. There were 11 children and three adults present upon arrival. Facility capacity is in compliance for a large Family Child Care Home. This is a two-story home which consists of two bedrooms and one bathroom upstairs and two bedrooms, one bathroom, kitchen, dining room, living room, detached garage (locked) front yard and backyard (fenced), downstairs. Main care is provided in the living room and two bedroom downstairs. Per Licensee, areas off limits to children and parents include: upstairs (locked door leads to stairs), kitchen (child safety gate) and detached garage. Hours of operation are Mon-Fri 8:30am-4:30pm. Licensee provides snacks for children in care. Children bring their own lunch and water bottles.. Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed childcare home. 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 reviewed required posted documentation located in the front entrance for Facility License, Publication (PUB) 394- Notification of Parent Rights, Licensing Form (LIC) 9148- Earthquake Preparedness form and LIC 610- Facility Disaster Plan. Facility records were reviewed for LIC 9040- Facility Roster and Disaster drill log. last drill conducted on 12/2022. -------------------PAGE 1

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HALFOND FAMILY CHILD CARE	FACILITY NUMBER: 198400019
	VISIT DATE: 04/17/2023

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
26
27
28
29
30
31
32

Dual Smoke and carbon monoxide detector in the main care area was tested and is operable. Fire extinguisher indicated fully charged and was serviced, 2/2023. The home maintains telephone service via cell phone.

Bedroom #1 is used as a classroom for the preschool children. The living room is used as a classroom for infants. Bedroom #2 is used as a nap room for the infants. Older children have cots and bedding for nap. Facility utilizes a sign in/out procedure for parents. Children have cubbies to store personal belongings. LPA observed infant bottles are labeled with children's names. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children in each area. Floor heaters in main care areas are screened. LPA observed fireplace in the main care living room that is not used and is blocked off with plexiglass. Detergents, cleaning compounds and medication are stored in the off limits kitchen and in the locked garage, inaccessible to children. Isolation area for sick children waiting to be picked up in the dining room, away from the other children. Licensee there are no firearms or weapons stored in the home.

The bathroom that children use is located off the hallway, near the main care bedrooms on the first floor. LPA observed a changing table in the bathroom with changing supplies and sanitizer used after each change. Restroom was observed to be clean and free of hazards.

Infant Care: Currently licensee cares for three infants. LPA observed two cribs and a play yard visible in infant nap area. Napping equipment does not block entrances or exits. Nap equipment was observed to have standard flat mat or mattress with tightly fitted sheet. LPA did not observe loose object, bumpers, objects hanging, or objects attached to the cribs/play yard. Cribs are labeled with children's names. Per licensee wet or soiled sheets are taken off and washed. Extra bedding in on hand to replace.. Licensee is implementing safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months and 15-minute sleep check documentation for infants 0-24 months. Licensee states the following a sleep supervision plan for infants: Infant nap in the infant bedroom, provider checks on infants every 15 minutes and documents observation. There are also cameras in the nap area with audio and visual that can be checked at all times.

Children mainly use the back yard for outdoor play. Front yard is also used when needed. The outdoor play areas were observed to be fenced. LPA observed that the outdoor areas have toys and other materials for . -----------------------PAGE 2

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HALFOND FAMILY CHILD CARE	FACILITY NUMBER: 198400019
	VISIT DATE: 04/17/2023

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
26
27
28
29
30
31
32

children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor spaces.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months). All documents were complete.

Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC-501: Personnel Record, LIC 508- Criminal Record Statement, LIC 9052- Employee Rights, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse and current Mandated Reporter Training Certificate. Documents were discussed.

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.

Incidental Medical Services (IMS):
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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

Based on LPA's observations there will be no deficiencies cites today 4/17/23.

To improve the quality and value of the new inspection process, a survey will be sent to the email address information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

----------------------PAGE 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HALFOND FAMILY CHILD CARE	FACILITY NUMBER: 198400019
	VISIT DATE: 04/17/2023

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
26
27
28
29
30
31
32

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.

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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Ashlie Halfond.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4