304205597-6-20-2019-06-CC-DVAA-BDBN8K-20190620101429

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304205597
Report Date: 06/20/2019
Date Signed: 06/20/2019 11:26:38 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:	LENZINI, JEANETTE		FACILITY NUMBER:	304205597
ADMINISTRATOR:	LENZINI, JEANETTE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 594-0247
CITY:	LOS ALAMITOS	STATE: CA	ZIP CODE:	90720
CAPACITY:	14	CENSUS: 10	DATE:	06/20/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Jeanette Lenzini		TIME COMPLETED:	10:45 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	An inspection was conducted at the facility by LPA, Dean Valencia. 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. There are presently 2 adults living in the home. During today’s inspection the home and grounds were toured and the licensee was operating within the licensed capacity. There were 10 children in care at the time of the inspection, 5 of whom were infants (under 2). It was observed that the provider is operating out of compliance of ratio. A printout of ratio was provided and discussed. Operating hours are 6am to 6pm, Mon–Fri. The floor plan was verified. Off limits areas are made inaccessible by means of baby gate. The licensee's pediatric CPR/First Aid certification is current, which expires 7/2019. Items which could pose a danger to children (detergents, cleaning compounds, and medications) were stored out of the reach of children. Poisonous items are not stored on site, and none were observed during today's inspection. There is a working smoke detector, and fire extinguisher in the home. The home did not have a carbon monoxide detector. The licensee does not have a current roster of children in care, to review. The facility has conducted an emergency drill within the past six months, and is documenting these drills. The licensee stated there are no firearms and/or other dangerous weapons in the home and none were observed during today's visit. The children use the backyard and the front yard as the outdoor play areas. There are no bodies of water on the premises. Children's records were reviewed, and are in compliance. 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 . (continued on LIC809C)

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LENZINI, JEANETTE	FACILITY NUMBER: 304205597
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/20/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.543

Physical Plant - Family Day Care Homes

Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections.
	Deficient Practice Statement
1 2 3 4	During a physical plant inspection, LPA observed that the facility did not have a carbon monoxide detector. This is a potential threat to the children's health and safety.
	POC Due Date: 06/27/2019
	Plan of Correction
1 2 3 4	The licensee stated she will purchase a carbon monoxide detector, install the device in the home, and send photo proof to LPA by 6/27/19. LPA contact information was given to licensee.

Type B

Section Cited

CCR

102417(g)(8)

Records - Operation of A Family Child Care Home

(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
	Deficient Practice Statement
1 2 3 4	Based on a review of facility records, LPA observed that the licensee did not have a current roster available to review. This is a potential threat to the children's health and safety.
	POC Due Date: 06/27/2019
	Plan of Correction
1 2 3 4	The licensee stated she will complete and maintain the roster of children in care and send photo proof to LPA by 6/27/19. LPA contact information was given to licensee.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

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: LENZINI, JEANETTE	FACILITY NUMBER: 304205597
	VISIT DATE: 06/20/2019

NARRATIVE

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Proof of immunization against pertussis, influenza (or written declination), and measles for licensee(s)/assistants/volunteers were reviewed and within compliance of SB 792.
The licensee was advised on how to receive notifications about quarterly updates, and provided with the Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov
A copy of the 2016 “A Child Care Providers Guild to Safe Sleep” was provided to the facility representative: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
Safe Sleep Regulation Concepts (4/2018) was provided for the Licensee. LPA discussed safe sleep and new safe sleep concepts with the provider. Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years, per A.B. 1207. This training was discussed with provider, and licensee stated she will complete this training. The provider was given a pamphlet on Lead Exposure and was discussed with provider.

Exit interview was conducted, and this report was reviewed and discussed. Notice of Site Visit was posted during the visit. The licensee was informed that the Notice of Site Visit must be posted for 30 consecutive days from today's date. Failure to post and remain posted will result in civil penalties of $100 per day. The licensee was provided a copy of their appeal/licensee rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. First level appeal is to Regional manager, office address is on page 1 of this report. The licensee was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov. and accessibility/information about the website was discussed with the provider. This report is to be on file and accessible for public review at the facility, for the next 3 years.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see attached LIC 809D.
Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign form LIC9224 to be kept in each child's file.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LENZINI, JEANETTE	FACILITY NUMBER: 304205597
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/20/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102416.5(d)(1)

Staffing Ratio and Capacity - Staffing Ratio and Capacity

(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or
	Deficient Practice Statement
1 2 3 4	During a physical plant inspection, LPA observed that of the 10 children in care, 5 are infants. This puts the facility out of compliance of ratio. This is an immediate threat to the children's health and safety.
	POC Due Date: 06/20/2019
	Plan of Correction
1 2 3 4	The licensee stated that she will immediately disenroll an infant from care, starting today 6/20/19, to return to ratio compliance and not having more than 4 infants in care.

Type A

Section Cited

CCR

102416.5(e)

Staffing Ratio and Capacity - Staffing Ratio and Capacity

(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
	Deficient Practice Statement
1 2 3 4	During a physical plant inspection and interview with the licensee and assistant, LPA was able to determine that although the facility is in compliance during today's inspection and has an adult assistant available to assist with children, there is not always an assistant present when more than 8 children or large capacity ratio of children are being cared for.
	POC Due Date: 06/20/2019
	Plan of Correction
1 2 3 4	The licensee stated that she will immediately begin having an assistant present at all times the small FCCH capacity and/or ratio is surpassed, starting today 6/20/19, to return to ratio compliance.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

LIC809 (FAS) - (06/04)

Page: 4 of 4