364845654-7-25-2019-09-CC-DHOE-BEEVL5-20190725163121

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364845654
Report Date: 07/25/2019
Date Signed: 07/25/2019 04:31:39 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	HAMWI FAMILY CHILD CARE		FACILITY NUMBER:	364845654
ADMINISTRATOR:	ATIKAHAMWI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 609-7581
CITY:	FONTANA	STATE: CA	ZIP CODE:	92336
CAPACITY:	14	CENSUS: 0	DATE:	07/25/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:16 PM
MET WITH:	Atika Hamwi		TIME COMPLETED:	04:40 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	On 7/25/19 at 2:16pm, Licensing Program Analysts (LPAs) Destinee Hogue and Blanca Ruiz-Silva conducted an inspection at the above facility. The applicant was previously licensed and has relocated to a new facility. LPAs toured the facility inside and out, reviewed records and observed and discussed the following: Normal days and hours of operation are: Monday-Friday, 6:00am to 6:00pm OFF-LIMIT AREAS INCLUDE: ENTIRE UPSTAIRS, GARAGE, AND DOWNSTAIRS OFFICE · Appropriate fire extinguisher, smoke detector and carbon monoxide detector are present and were tested by the applicant during this inspection. · All hazardous items are not inaccessible. See plan of corrections below. · Toxins and poisons are not locked. See plan of corrections below. · Applicant stated there are no guns or weapons present at the facility. APPLICANT UNDERSTANDS ALL GUNS, WEAPONS AND AMMUNITION MUST BE KEY-LOCKED SEPARATELY AND MADE INACCESSIBLE PER TITLE 22 REGULATIONS. · Stairs are not properly barricaded. See plan of corrections below. · Fireplace is properly screened · Verification of control of property on file · Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights forms are not posted. · Pediatric CPR and First Aid Card expires on 07/31/19 · Health & Safety Certificate was completed on 5/1/16 · LPAs observed a decorative rock water fall in the right corner of backyard. LPAs did not observe water streaming from the waterfall during this inspection. Per applicant, the water flows from the top and does not hold more than 3 inches of water. During this inspection Applicant stated she will not be utilizing the water feature during day care hours. APPLICANT UNDERSTANDS ALL BODIES OF

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: HAMWI FAMILY CHILD CARE	FACILITY NUMBER: 364845654
	VISIT DATE: 07/25/2019

NARRATIVE

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immediately assess, and $100 per day afterwards for EACH repeated violation until corrected.
NOTE: Repeat violations are defined as a violation of a previously cited statutory or regulatory Section and/or subsection within 12 months prior.
- AB 1207 – Mandated Child Abuse Reporting: Child Day Care Personnel Training, beginning January 1, 2018 – 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. Applicants must meet requirements as a precondition to licensure. Existing licensees must meet requirements by March 30, 2018. New employees shall have 90 days to complete training as required. This training requirement may be directly met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ and are provided in English and Spanish. If no training is made available in a required person’s primary language, then those persons shall be exempt from this requirement
- AB2370 – Effective January 1, 2019 – Lead Poisoning – Providers are required to provide a lead toxicity prevention handout to parents/guardians of newly enrolled and newly reenrolled children with information on risks and effects of lead poisoning; blood lead testing recommendations and requirements; and options for obtaining blood lead testing, including free and/or discounted testing. There will be a training component of this added to the Preventative Health Training beginning July 1, 2020.
- Effective January 1, 2017 – Children under 2 years of age shall ride in a rear-facing car seat unless the child weighs 40 or more pounds OR is 40 or more inches tall. For additional information regarding car seat laws see www.chp.ca.gov

Applicant/Licensee responsibilities:
- Access to forms & Regulations for Family Child Care Homes online at www.ccld.ca.gov
- Responsibility to know the regulations for anyone providing care
- Inaccessibility of hazards must be constantly reassessed depending on the children in care
- Current facility’s phone numbers must be on file at all times.
- Failure to meet the posting requirements shall result in an immediate $100 civil penalty.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: HAMWI FAMILY CHILD CARE	FACILITY NUMBER: 364845654
	VISIT DATE: 07/25/2019

NARRATIVE

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· For more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Risk-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep

The following was reviewed with the applicant(s):
- SB 277 – Immunizations, Personal Beliefs Exemption, effective January 1, 2016 - Eliminates the exemption from existing specified immunization requirements based upon personal beliefs, and only allows an exemption from future immunization requirements deemed appropriate by the State Department of Public Health or a medical professional for medical reasons.
- AB290 – Child Nutrition, effective January 1, 2016 - Each family day care home licensee who provides care, shall have at least one hour of childhood nutrition training as part of the preventive health practices course or courses.
- SB792 – Immunization requirements for staff, volunteers, effective 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. Each employee and volunteer shall receive an influenza vaccination or they may provide a statement declining the vaccination. If employees/volunteers are receiving the influenza vaccination they must do so between August 1 and December 1 of each year.
- AB2231 (2016) – Increased Civil Penalties, effective July 1, 2017 – Failing to correct a violation the civil penalty is increased to $100 per day for EACH violation until corrected. Failing to correct a repeated violation the civil penalty is increased to $250 immediately assessed, and $100 per day afterwards for EACH repeated violation until corrected. Zero Tolerance violation the civil penalty is increased to $500 immediately assess, and $100 per day for EACH violation after that until corrected. Any repeated Zero Tolerance violation the civil penalty is increased to $1,000

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: HAMWI FAMILY CHILD CARE	FACILITY NUMBER: 364845654
	VISIT DATE: 07/25/2019

NARRATIVE

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WATER INCLUDING PONDS, ABOVE GROUND POOLS & SPAS, IN-GROUND POOLS & SPAS, AND SOME FOUNTAINS MUST BE PROPERLY COVERED OR FENCED PER TITLE 22 REGULATIONS. The Department must be notified before and after installation of the above types of bodies of water. All wading pools or similar product must be emptied immediately after use and stored in an upright position when not in use.
· During this inspection LPAs did not observe clean, safe and age appropriate toys at the facility. See plan of corrections below.
· There are no toxic plants observed at this time.
· Applicant did not have a current roster available during this inspection.
· Applicant did not have documentation of emergency disaster drills during this inspection.
· Children’s and employee records were not reviewed. Applicant did not have these records available during this inspection.
· Criminal record clearances are required prior to all adults living or working in a Family Child Care Home. A civil penalty of $100.00 per day the person has been present, may be assessed.
Resident and/or staff records reviewed on 7/25/19 indicate that all adults who require caregiver
background checks have received all required clearances or exemptions.
As a REMINDER: when your child(ren) turn 18 years of age, you MUST SUBMIT an updated LIC279, LIC508 and TB Screen and have your child submit for LIVESCAN background clearance. This also applies to any adult PRIOR to them moving into the home or who currently lives in the home. Also, PRIOR to employment of any adult, you must submit the LIC508, copy of driver’s license, TB screening, proof of MMR, TDAP and FLU vaccinations and obtain a background clearance through LIVESCAN.
· 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

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: HAMWI FAMILY CHILD CARE	FACILITY NUMBER: 364845654
	VISIT DATE: 07/25/2019

NARRATIVE

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- Documentation of fire & earthquake drills to be conducted every six months
- Responsibilities of being a mandated reporter
- Baby walkers, bouncy seats, exersaucers and other similar items are prohibited
- The applicant is urged visit the U.S. Consumer Product Safety Commission webpage at www.cpsc.gov to ensure that equipment purchased for the day care has not been recalled
- Once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809/LIC9099) must also be posted for 30 days. A civil penalty of $100 per violation will be assessed for noncompliance.
- Please subscribe to childcareadvocatesprogram@dss.ca.gov to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. This website can also be accessed through www.ccld.ca.gov
- The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766).

Before licensure, the following needs to be corrected/completed:
1) Toxins and poisons. During this inspection LPAs observed seven 4.53 gallons of paint cans in rooms that will be utilized by day care children. On top of the kitchen counter, LPAs observed Ajax cleaning powder, Lysol Multi-Surface cleaner, Awesome Bleach, Awesome cleaner, Awesome window cleaner, and Ajax dish soap. These items pose an immediate health and safety risk to children in care. Applicant must remove these items and make them inaccessible to children in care. Proof must be sent within 30 days of today’s inspection.
2) Hazardous items. Applicant agreed to remove ladder that is in the hallway that is leading to the day care room.
3) Stairway needs to be properly barricaded.
4) Required department postings must be posted for parent/guardian review.
5) Children, employee, emergency disaster drills, and roster must be available upon request.
6) Toys for day care children must be present at the facility.
7) Updated Facility Sketch (LIC999)

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019

LIC809 (FAS) - (06/04)

Page: 5 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: HAMWI FAMILY CHILD CARE	FACILITY NUMBER: 364845654
	VISIT DATE: 07/25/2019

NARRATIVE

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Once all corrections have been made, with proof sent to licensing, the application for a Small Family Child Care Home will be submitted for approval with a maximum capacity of 6, or 8 with parent notification. As agreed upon by the applicant, all corrections are due by August 26, 2019. If not received within 30 days from the date of this report, the application may be withdrawn.

LPAs printed Title 22, Division 12, Chapter 1, Article 06. Continuing Requirements, 102416.3 Alterations to Existing Buildings or Grounds. LPAs informed Applicant that she is required to notify the department if she plans to utilize the water feature during day care hours.

During the exit interview, the Applicant Atika Hamwi confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.
A copy of this report was provided to the applicant on this date and must be made available to the public upon request for the next 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019

LIC809 (FAS) - (06/04)

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