300608538-5-9-2019-06-CC-STOE-BBZRXW-20190509132525

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300608538
Report Date: 05/09/2019
Date Signed: 05/09/2019 01:25:47 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	CONANT, LEONOR/CARLOS		FACILITY NUMBER:	300608538
ADMINISTRATOR:	CONANT, LEONOR & CARLOS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 772-8791
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	14	CENSUS: 8	DATE:	05/09/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Leonor Conant		TIME COMPLETED:	01:40 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	An inspection was conducted at the facility by Licensing Program Analyst (LPA) Stacy Torrence. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. According to licensee, there are presently three adults living in the home. During today’s inspection the home was toured, and the licensee was operating within the licensed capacity. Present during today's inspection was the Licensee, Leonor Conant, and Licensee’s two Assistants; Argentina Velasquez and Kaitlyn Farrell. There were eight children present today. Licensee currently have 15 children enrolled. Current children’s roster was available. This is a two-story home which consists of seven bedrooms, four bathrooms, living room, two playrooms, kitchen, dining room, front yard (fenced), back yard(fenced), and garage. The floor plan was verified. Off limit areas include: entire upstairs. Licensee provide food for the children in care. The licensee's pediatric CPR/First Aid certification are current. Items which could pose a danger to children were not accessible to children. Poisonous items were not observed during today's inspection. The smoke detector and carbon monoxide were tested and are operable. Fire extinguisher is fully charged. Emergency Disaster drill log within the past six months was available. The licensee stated there are no firearms and/or other dangerous weapons in the home and none were observed during today's visit. Children's records: parents' rights and California School Immunization Record were reviewed. Incidental Medical Services-IMS was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Family Child Care Homes Sections 102417. 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 CONTINUE ON NEXT PAGE 1 OF 2

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CONANT, LEONOR/CARLOS	FACILITY NUMBER: 300608538
	VISIT DATE: 05/09/2019

NARRATIVE

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Licensee had proof of immunization against Pertussis, Measles, and Influenza. Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov . A copy of the 2016 “A Child Care Providers Guild to Safe Sleep”.
Mandated Reporter Training was discussed with the licensee. Licensee and one Assistant have completed the mandated reporter training. The other assistant is Spanish speaker; LPA advised Licensee that the training is not offered in the assistant's language at the time; therefore, she's not required to complete the training.

Exit interview was conducted. Report reviewed and discussed with the licensee. Notice of Site Visit was posted. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal rights provided and explained. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Licensee was informed how/where to access regulations and forms from CCLD website: www.ccld.ca.gov.

END OF REPORT

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

LIC809 (FAS) - (06/04)

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