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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304313209
Report Date: 08/14/2019
Date Signed: 08/14/2019 12:34:14 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:MELDRUM, SUSANNAFACILITY NUMBER:
304313209
ADMINISTRATOR:MELDRUM, SUSANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 650-6983
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY:14CENSUS: 7DATE:
08/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Susanna Meldrum, LicenseeTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Yesenia Villa conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes are met. Upon arrival LPA Villa was greeted by licensee Susanna Meldrum, also present during todays inspection were assistants Lisa Crist and Amaris Orellana. All adults present during this inspection have obtained a criminal record clearance prior to working or residing in the home. Census was obtained during todays inspection there were 7 children present, 4 toddlers and 3 infants. The facility was observed to be within ratio. Licensee states her hours of operation are from 7:30 am-5:45pm, Monday thru Friday.Licensee states there are 14 children enrolled in the day care. An updated children roster was available during this inspection. Per Licensee there are 4 adults and 1 child age 10 residing in the home.

LPA Villa toured the home inside and outdoors. Per Licensee the home is a 5 bedroom and 6 bathroom residence. The rooms utilized for the day care are the back room designated as the infant napping room the garage and the restroom in the hallway. The children use the side of the home for outdoor play time. There is a swimming pool and jacuzzi in the back yard that was observed to be fenced and meets bodies of water regulations. Per Licensee the children do not use the swimming pool or jacuzzi. The backyard was observed to be fenced with age appropriate toys and free of hazards. The off-limit areas are enclosed by a baby gate separating the day care from the rest of the home. The Licensee was reminded that full supervision is required at all times to ensure children do not have access to the off-limit areas.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the play room. Pediatric First Aid/CPR certificates are valid thru 02/04/2020 for licensee. Staff files were reviewed for Immunizations, MMR, TDAP and Influenza and Mandated Reporter Training. All files were observed to be complete. Seven children’s records were reviewed for LIC700 and Immunization cards. All records were observed to be complete. Licensee was reminded that the Mandated reporter training expires every two years. Disaster drill log was updated and available during inspection. Licensee has a working telephone via cell phone and home phone.

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
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 2
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: MELDRUM, SUSANNA
FACILITY NUMBER: 304313209
VISIT DATE: 08/14/2019
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Detergents and cleaning supplies were inaccessible to the children in care. Fire extinguisher was inspected and met state regulations. There is an operational smoke detector and carbon monoxide in the playroom and the hall way. The licensee maintains a first aid kit in the home. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category is to be in the home. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

LPAs reviewed SIDs, Never Shake A Baby, safe sleeping practices pamphlet. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep guidelines flyer was provided during today’s visit.



Incidental Medical Services (IMS) policy was discussed. Licensee states there are no children requiring medication in her care. 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

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov, Licensee was advised where to access the quarterly updates.A notice of site visit was issued today along with appeal rights and instruction. Licensee was advised failure to post Notice of site visit will result in a $100.00 civil penalty fee.

There were no deficiencies cited during todays inspection.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
LIC809 (FAS) - (06/04)
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