376100179-8-24-2021-51-CC-JREG-C67PUC-20210824113718

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100179
Report Date: 08/24/2021
Date Signed: 08/24/2021 11:37:23 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	TROFIMOV, LARA FAMILY CHILD CARE		FACILITY NUMBER:	376100179
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	08/24/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Licensee Lara Trofimov		TIME COMPLETED:	11:40 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	On 8/24/21 at 10:45 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of an Annual inspection. During this visit, there were 5 children in care, two under the age of two years. None of the children over 2 had their masks on but Licensee had child sized masks on the counter and provided them to the three children. The two girls had no issues wearing one but the little boy refused. Licensee says she encourages them daily. The facility is within ratio and capacity. During this visit, LPA also evaluated the facility for approval of a requested increase in capacity to a large family home. Fire clearance was received on 8/13/21. LPA toured the home. Primary child care areas are first floor and fully fenced backyard with the exception of the laundry room and garage. Off limits areas have been made inaccessible with the use of safety gates and door knob covers. There are no weapons stored in the home or on the property and there are no bodies of water present. The fireplace has been secured and the stairs have been made inaccessible with the use of a safety gate. The fire extinguisher is full and of adequate size and mounted on the wall by the pull alarm. The smoke alarm (mounted on the ceiling by the stairs) and carbon monoxide detector (mounted near the fire extinguisher and the pull alarm) are operational. The home is clean, orderly and has adequate ventilation and heating. Licensee has provided sufficient space for the children to eat, sleep and play within the home. Children’s toys and play equipment are safe and age appropriate. There is a working telephone and all required forms are posted. Outdoor play space is fully fenced and supervision is provided at all times. No hazards were noted. Children’s files were reviewed for emergency information. Licensee's pediatric CPR/FA certificate with The Training Source is valid through 3/23/22. SB 792 (Staff Immunizations - Measles, Pertussis, Influenza) and current TB tests are required for all staff. Requirements have been met. As Russian is Licensee's first language and she does not speak English fluently, she is exempt from the Mandated Reporter Training requirement.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: TROFIMOV, LARA FAMILY CHILD CARE	FACILITY NUMBER: 376100179
	VISIT DATE: 08/24/2021

NARRATIVE

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Licensee is to be present in the home to ensure children are supervised and reminded that no children are to be left in parked vehicles and car seats are not to use used for sleeping. Children will be observed upon entry and throughout the day for signs of illness an an appropriate isolation area is established for sick children. Capacity limitations for large and small family homes were reviewed. Licensee understands that she may not operate at a large family home capacity without an assistant.

Safe Sleep was discussed to include requirements for cribs/play yards, proper infant placement, supervision and documentation while sleeping. An Individual Sleeping Plan (LIC 9227) and safe sleep log were provided. LPA discussed California Megan's Law and the website was provided as follows: www.meganslaw.ca.gov.
Licensee is reminded that infants may not be swaddled while in care, walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use and that the day care may not use the garage or the second floor of the home as indicated on the fire clearance.

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, an updated Plan of Operation that includes 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. There is no approved Plan on file and no services are in place.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

No deficiencies are cited. The request for increase in capacity from 8 to 14 is approved. An updated license will be sent for posting.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC809 (FAS) - (06/04)

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