198400019-6-4-2021-54-CC-DGIS-C3NT6U-20210604142744

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400019
Report Date: 06/04/2021
Date Signed: 06/04/2021 02:28:01 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:	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: 2	DATE:	06/04/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Ashlie Halfond, Licensee		TIME COMPLETED:	02:30 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	Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced annual inspection to the above facility on 6/4/2021 at 12:00PM. LPA met with Ashlie Halfond, Licensee who guided analyst on a tour of the facility. Per Licensee, there are four children that are currently enrolled, two of which are their own. There were two children present upon arrival (licensee's children). This is a two-story home which consists of four bedrooms, two bathrooms, kitchen, dining room, living room, front yard and backyard (fenced). Main care is provided in the living room and one bedroom downstairs. The children use the bathroom off the hallway next to the nap room. As of now all children are infants and none are using the bathroom. LPA observed that there is a fireplace in the living room and it is barricaded. Per Licensee, areas off limits to children and parents include: upstairs (door leads to stairs), kitchen (child safety gate). Due to licensee not having preschool children in care, the second downstairs bedroom is off limits until further notice. Hours of operation are Mon-Fri 8:30am-3:30pm. 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. There is a cellphone that is used and the stays at the facility during operation hours. There is ventilation and heating (central). The following was observed and reviewed during this inspection: Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children in the kitchen. Poisons are locked outside in the garage. The restroom that children use was observed to be clean and free of hazards. ------------------Page 1

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

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: HALFOND FAMILY CHILD CARE	FACILITY NUMBER: 198400019
	VISIT DATE: 06/04/2021

NARRATIVE

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The valve on the required 2A 10BC fire extinguisher indicates fully charged and was last serviced on 08/2020 as indicated on service tag. Smoke and carbon monoxide detectors were tested at 12:30PM and are operable.

The home is observed to be clean and orderly. Where children less than five years old are in care, stairs are fenced or barricaded. There is a closed door that leads to the stairs. There are toys and other age appropriate material available for children.

Infant Care: LPA informed applicant of the new Safe sleep regulation and provided PIN 20-24-CCP. The applicant states the following as a supervision plan for infants: infants will sleep in the nap room that will be supervised at all times and they will have a crib/pack n play for each infant. LPA provided the applicant with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. Online copy can be downloaded at: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

Currently, children are using the font and back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor yard.

There are no pools or spas, or other bodies of water. Licensee has three pets in the home, one dog and two cats. Licensee states that there are no weapons or firearms in the home. Smoking is prohibited in a licensed Family Child Care Home. LPA did not observe anyone smoking in the home.

The licensee has completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 7/2021. The licensee does have proof of immunization against influenza, pertussis, and measles. LPA observed that the Licensee does have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. There are first aid supplies available.

Children’s records were reviewed, including emergency information and Individual Infant Sleeping Plan LIC 9227 were observed to be complete.

Health and Safety Code 1596.7996 Effective January 1, 2019, Child Care Centers and Family Child Care Homes are required to provide parents and guardians of children enrolled, enrolling or reenrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations and options for locations of affordable blood lead tests. 2019 Lead flyer Provided. ----P.2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

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: HALFOND FAMILY CHILD CARE	FACILITY NUMBER: 198400019
	VISIT DATE: 06/04/2021

NARRATIVE

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Incidental Medical Services (IMS):
The licensee states that they may provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

Additional Items discussed during inspection: COVID-19 self-assessment and precautionary procedures. Applicant provided LPA with completed self-assessment on 6/4/2021.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Ashlie Halfond, Licensee, including, but not limited to Appeal Procedures and Appeal Rights. -----------------------Page 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

LIC809 (FAS) - (06/04)

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