304205489-7-12-2019-06-CC-GMAI-BDZPWR-20190712114111

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304205489
Report Date: 07/12/2019
Date Signed: 07/12/2019 11:41:19 AM

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:	TONKIN, CATHERINE		FACILITY NUMBER:	304205489
ADMINISTRATOR:	TONKIN, CATHERINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 590-6185
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92841
CAPACITY:	14	CENSUS: 7	DATE:	07/12/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Catherine Tonkin - Licensee		TIME COMPLETED:	12:20 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 unannounced random inspection was conducted today by Licensing Program Analyst (LPA) Gigi Mai. Met with licensee, Catherine Tonkin, licensee guided analyst on a tour of the facility. Present at the time of the inspection were 7 day care children, all of them are school-age. There are presently 3 adults living in the home. A review of adult records indicates that all facility residents, staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. An updated LIC 279, Application for a Family Child Care Home was obtained during today's inspection. The home was toured inside and outside, licensee was operating within the licensed capacity. Operating hours are 7:00AM to 5:30PM, Monday through Friday. Licensee stated that OFF LIMITS areas are: all bedrooms, master bath, and garage. An updated LIC 999 was requested to be sent to licensing department for new off limit areas. Licensee acknowledged that children may never enter these off-limit areas. Cleaning solutions/chemicals, sharp utensils, and sharp knives are all inaccessible. Licensee stated poisons/hazardous items are kept in the garage and are key locked. Licensee understands that cleaning solutions/chemicals must be made inaccessible to children at all times and poisonous items must be key/combo locked at all times. The home has a large in ground pool with 5 ft. fencing and 2 self-latch gates that meet regulations on today’s inspection. Licensee no longer has a trampoline in her yard. Fire extinguisher (2A:10BC) observed to be fully charged, smoke detectors and carbon monoxide detector were present and tested during inspection. Fire drill log was not available, licensee stated drill was conducted on 07/10/2019. Children's file, parents rights, and rosters were reviewed on today's inspection. LPA verified there is a working telephone service (landline). The licensee stated that there are no firearms on the premises and none were observed during today's visit. LPA advised anytime when firearms are present, they must be locked and stored separately from the ammunition. - Page 1 of 3 -

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gigi Mai	TELEPHONE: (714) 703-2818
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019

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: TONKIN, CATHERINE	FACILITY NUMBER: 304205489
	VISIT DATE: 07/12/2019

NARRATIVE

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The following electronic links were also provided:
SIDS: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative
Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials
The Chaptered Legislation for AB 2084 (Nutritious Beverages) http://ccld.ca.gov/res/pdf/12APX-11.pdf

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Inspection, report review and exit interview was conducted. Notice of Site Visit was posted during the visit. 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. First level appeals should be sent to the regional manager to the address listed above. Licensee was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov.

- Page 3 of 3 - [End of Report]

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gigi Mai	TELEPHONE: (714) 703-2818
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019

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: TONKIN, CATHERINE	FACILITY NUMBER: 304205489
	VISIT DATE: 07/12/2019

NARRATIVE

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There are age appropriate toys on the premises for the potential ages served. The licensee stated she is present in the home and ensures that the children in care are supervised at all times. The licensee stated children are not left in parked vehicles. The licensee states when temporarily absent from the home, she arranges for a substitute adult to care for and supervise children in her absence. No smoking, No infant walkers, No Johnny jumpers, No exersaucer or any other similar items that fall into that category are allowed in the facility.

LPA observed pediatric CPR/First Aid certification (expires 02/17/2020) they are EMSA approved and current for the licensee. Proof of immunization against pertussis and measles, flu declination for licensee were reviewed and within compliance of SB 792.

Incidental Medical Services (IMS) policy was discussed, licensee stated she does not plan to provide it at this time. 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 licensing office within 30 days of providing IMS. The plan should describe the facility’s policies and procedures that ensure the proper safeguards are in place. 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

LPA reviewed Unusual Incident Report form and advised the applicant to contact Licensing Officer of the Day within 24 hours by phone or fax and complete the Unusual Incident Report (LIC 624B) within seven days. LPA reviewed with the licensee of Title 22 regulations, requirements of disaster drills, LIC 311D posting requirements, children’s records, facility/staff records, immunizations, mandated child abuse and injury/death reporting.

A Child Care Provider’s Guide to Safe Sleep packet, Safety Seat, Never Ever Shake a Baby information, California Child Passenger Safety Law were discussed and recommended to be posted. Safe Sleep Regulation and Effects of Lead Exposure were discussed and provided to the licensee. The licensee was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov - Page 2 of 3 -

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gigi Mai	TELEPHONE: (714) 703-2818
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019

LIC809 (FAS) - (06/04)

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