406214989-2-27-2023-17-CC-GRES-CPFVN6-20230227153438

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406214989
Report Date: 02/27/2023
Date Signed: 02/27/2023 03:34:50 PM

Document Has Been Signed on 02/27/2023 03:34 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	RAJ FAMILY CHILD CARE AKA LITTLE OSOS DAYCARE		FACILITY NUMBER:	406214989
ADMINISTRATOR:	CHRISTINA RAJ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 578-3810
CITY:	LOS OSOS	STATE: CA	ZIP CODE:	93402
CAPACITY:	14	CENSUS: 10	DATE:	02/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Christina Raj		TIME COMPLETED:	03:40 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 February 27, 2023, at 12:45 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced One (1) Year Required inspection. LPA asked pre- screening questions related to COVID- 19 and licensee’s responses indicate there are no COVID-19 exposures on site. LPA met with licensee, Christina Raj and discussed the purpose of the inspection. As soon as LPA arrived, Licensee stated that her child's school called due to medical emergency. Upfront, Licensee stated she has 10 children at the moment. She attempted to call two assistants and were not responding. Licensee was starting to contact parents to pick up children when her spouse/assistant and her own child arrived from the Urgent Care. LPA in the company of Licensee toured the interior and exterior of the day care. LPA observed required licensing forms are posted in wall, age appropriate toys are available at the FCCH. LPA observed smoke and carbon monoxide detectors in the home. The fire extinguisher was purchased on 10/8/2022. Licensee was reminded that fire extinguisher should be serviced every year or to purchase a new one. Home conducts and documents fire and disaster drill every month, last drill was conducted on 1/6/2023. . Bathroom was observed to be clean and free of toxins. Hazardous items and cleaning materials are kept inaccessible to day care children. The fenced front yard is used for outdoor activities. LPA observed covered and locked hot tub located in he backyard which is off limits to day care children. Licensee stated guns and ammunition are stored separately in 2 different vaults inaccessible to day care children. LPA reviewed facility file, Pediatric CPR and First Aid expires on 7/6/2023. Licensee and assistant renewed Mandated Reporter Training certificate will expire on 3/4/2024. Licensee was reminded to renew the Mandated Reporter Training every two FCCH has current roster of children in care. Children's records were reviewed, Child # 1 was enrolled without the parent completing the LIC 9227, Individual Safe Sleep Plan, Licensee stated she checks napping infants every 15 minutes but stopped documenting when child reached 12 months. Continued on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAJ FAMILY CHILD CARE AKA LITTLE OSOS DAYCARE	FACILITY NUMBER: 406214989
	VISIT DATE: 02/27/2023

NARRATIVE

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The FCCH is not providing Incidental Medical Services (IMS). 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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment
Licensee was reminded that all adults 18 year old and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

During today's inspection, deficiencies were cited and documented on LIC 809 D. Appeal Rights were given and discussed. A notice of site visit was posted The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted and report was reviewed with the licensee, Christina Raj

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/27/2023 03:34 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAJ FAMILY CHILD CARE AKA LITTLE OSOS DAYCARE	FACILITY NUMBER: 406214989
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/27/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(c)(2)

Infant Safe Sleep

An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with the section cited above, Child # 1 was enrolled with out the LIC 9227 Individual Safe Sleep Plan which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/09/2023
	Plan of Correction
1 2 3 4	Licensee agreed to submit a written plan of correction on how to ensure that LIC 9227 Individual Safe Sleep Plan will be completed and kept on file for infant 0-12 months old, POC shall be submitted no later than 3/9/2023.

Type B

Section Cited

CCR

102425(j)(2)(D)

Infant Safe Sleep

Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with the section cited above, Child # 1 and Child #2 have no sleep logs which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee stated she was checking but not documenting the nap time .
	POC Due Date: 03/09/2023
	Plan of Correction
1 2 3 4	Licensee agreed to submit written plan of correction on how to ensure that sleeping infants age 0-24 months will be checked and ldocumented every 15 minutes. POC shall be submitted no later than 3/9/2023

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: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 02/27/2023 03:34 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAJ FAMILY CHILD CARE AKA LITTLE OSOS DAYCARE	FACILITY NUMBER: 406214989
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/27/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.5(e)

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). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview the licensee did not comply with the section cited above, there were 10 napping children when LPA arrived at the FCCH which poses/posed a potential health, safety or personal rights risk to persons in care. Upfront, licensee stated that her child's school called due to a medical emergecy reason and her husband has to take her child to Urgent Care.
	POC Due Date: 02/28/2023
	Plan of Correction
1 2 3 4	The deficiency was corrected at the time of inspection. Licensee attempted to contact 2 other assistants but were not responding. Licensee was startaing to contact parents to pick the children, when the spouse/assistant arrived with their own child at the facility. Proof of Urgent care visit was provided.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

LIC809 (FAS) - (06/04)

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