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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304300271
Report Date: 09/11/2019
Date Signed: 09/11/2019 01:34:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:FINDLING, MELBAFACILITY NUMBER:
304300271
ADMINISTRATOR:FINDLING, MELBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 322-3031
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:14CENSUS: 6DATE:
09/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Melba FindlingTIME COMPLETED:
01:45 PM
NARRATIVE
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An unannounced annual inspection was conducted at the facility by Licensing Program Analysts (LPAs) Stacy Torrence and Eileen Corral. LPAs met with Melba Findling who guided analyst on a tour of the Early Childhood Setting indoors and outdoors. During today’s inspection, there was six children present. Licensee has a current children’s roster available. Licensee states that five adults live in the home. Operation hours are 6:30 a.m. to 6:30 p.m.; Monday through Friday. 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.
This is a two-story home which consist of five bedrooms, three bathrooms, living room, kitchen, dining room, family room (Fireplace; gated), garage, front yard (not fenced), and back yard (fenced). There is a child’s safety gate located at the bottom of the stairs. The licensee has designated the off-limit area as such; entire upstairs and two bedrooms and one bathroom; located downstairs (child’s safety gate in place). The licensee has designated the daycare area as the following; living room, family room, dining room, kitchen, one bathroom located in the hallway, front yard, and back yard. Licensee acknowledged that children may never enter these off-limit areas. There is a spa which has a cover that is properly latched, locks were in good repair, licensee stated the spa is empty.
The daycare area was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning supplies, medication, and hazardous items that can pose a danger to children. Per licensee there are no weapons or firearms in the facility. There were age appropriate toys and learning material. Fire/disaster drill log was reviewed. Outdoor play activity is in the front yard and back yard. Licensee stated that she is always present when children are outside playing. LPAs provided the licensee with a Declaration (LIC 855) form stating that she will be supervising the children at all times, while outside in the front yard. The required fire extinguisher (2A10BC), smoke detector, and carbon monoxide detector were in operable condition. First Aid kit was complete. Licensee and assistants have a current CPR/First Aid card with expiration dates of 01/21, 01/21, and 02/20. Children's records were reviewed. Child 6 was missing licensing required forms and immunization records. Child 1, 2, 3 and 5 were missing immunization records.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019
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: FINDLING, MELBA
FACILITY NUMBER: 304300271
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/20/2019
Section Cited

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102421(a) Immunization. Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. The requirement is not met as evidence by record review of Child #1, 2, 3 and 6 missing all required immunization records, and Child. #5
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is missing MMR record. This poses a potential risk to the health of children in care.
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Type B
09/20/2019
Section Cited

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102421(a) Child's Record. The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). The requirement is not met as evidence by record review of Child #6 is missing LIC 995A and LIC 9150. This poses a potential risk to the health of children in care.
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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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:
DATE: 09/11/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/11/2019
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: FINDLING, MELBA
FACILITY NUMBER: 304300271
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/25/2019
Section Cited

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1597.622(a)(1) Immunizations. Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles... The requirement is not met as evidence by record review of Staff #1. Staff #1 is missing proof of Pertussis, Measles, and Influenza.
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This poses a potential risk to the health of children in care.
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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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:
DATE: 09/11/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/11/2019
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FINDLING, MELBA
FACILITY NUMBER: 304300271
VISIT DATE: 09/11/2019
NARRATIVE
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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

Licensee had proof of immunization against pertussis, measles, and influenza. Licensee’s assistants did not have proof of all the required immunization. Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov. Licensee and assistants have not completed the Mandated Reporter Training. Website provided: http://mandatedreporterca.com/. Licensee was informed how/where to access regulations and forms from CCLD website: www.ccld.ca.gov. LPA provided licensee with the Effects of Lead Exposure handout.

During this inspection, LPA observed the following deficiencies and is being cited in accordance with California Code of Regulations, Title 22, Division 12, Sections 102418(a) Immunizations and 102421(a) Child’s Records. The following Health and Safety violation is being cited; H&S 1597.622(a)(1) Immunizations. The deficiencies are being cited on the attached LIC 809D. The following Technical Violation is given in accordance with H&S 1596.8662 Mandated Reporter 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. First level appeal is to Regional Manager, address is above on the report.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4