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 | LPA Janet Tse met with licensee Martha Cardoza for an annual/random inspection. LPA explained the nature of today’s visit to her. At arrival, LPA observed 14 children including two infants and four school age with licensee's assistants (EE and OM) in the home. Licensee was out running errands, and she returned to the home later during the inspection. Days and hours of operation are Monday to Friday, 7:00am to 5:30pm. The adults that reside in the home are Licensee, her husband, her two adult daughters, with a 16 1/2-year-old child.
A listing of staff criminal record clearances associated to this facility in the CCL Licensing Information System (LIS) on 07/02/2019 was reviewed; and it indicates that all Facility staff or other individuals who require caregiver background clearances have received criminal record and child abuse index clearances or exemptions. Licensee understands upon notice of the Department to remove an individual from the home, or to exclude an individual from the home, the licensee shall immediately removes the individual and prevents them from returning to the home or having contact with children in care.
LPA toured the indoor and outdoor areas of the home during today’s inspection. LPA observed the home is clean and orderly, with heating and ventilation for safety and comfort of the children. LPA observed safe and sufficient materials, toys, and play equipment for the day care children. LPA observed in the children's bathroom a box of scrub with pre-loaded chlorox and a can of repair sealant underneath the bathroom sink, and shampoo in the lower shelf of the bathtub accessible to children. LPA observed a fully charged 2A10BC fire extinguisher. LPA observed a working smoke detector and a functioning carbon monoxide detector. Licensee stated there are no weapons/firearms in the home. Off limit areas indoor: living room, dining room, master bedroom, master bathroom, and two bedrooms. LPA observed a fenced backyard and no bodies of water. LPA observed a bouncer in the backyard. Licensee stated that the bouncer is from a parent and is used by an infant. Off limit areas outdoor: fenced off area which includes a locked storage shed and a dog run. LPA observed two dogs in the dog run. Licensee stated the dogs are vaccinated.
Facility Evaluation Report dated 07/03/2019 to be continued on next page: |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
07/15/2019
Section Cited
CCR
102417(g)(4) | 1
2
3
4
5
6
7 | Operation of a Family Child Care Home. Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement was not met as evidenced by: | 1
2
3
4
5
6
7 | Licensee shall store away the items to make them inaccessible to children. Licensee shall forward pictures of where and how the items are stored to LPA by 07/15/2019 due date.
This is a repeat violation of the same section within 12 months. Civil penalty of $250 is assessed. |
 | 8
9
10
11
12
13
14 | LPA observed in the children's bathroom a box of scrub with pre-loaded chlorox and a can of repair sealant underneath the bathroom sink, shampoo in the lower shelf of the bathtub accessible to children.
This poses a potential risk to the Health, Safety, or Personal Rights of children in care. | 8
9
10
11
12
13
14 | |
Type B
07/15/2019
Section Cited
CCR
102423(a)(2) | 1
2
3
4
5
6
7 | Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To receive safe, healthful, | 1
2
3
4
5
6
7 | Licensee shall cease using the bouncer and remove the bouncer from the presmises. Licensee shall forward a written plan of correction to indicate that the bouncer has been removed and that such equipment will not be present and/or to be used in the child care home. |
| 8
9
10
11
12
13
14 | and comfortable accommodations, furnishings, and equipment.
This requirement was not met as evidenced by:
LPA observed a bouncer in the backyard. Licensee stated that the bouncer is from a parent and is used by an infant.
This poses a potential risk to the Health, Safety, or Personal Rights of children in care. | 8
9
10
11
12
13
14 | This is a repeat violation of the same section within 12 months. Civil penalty of $250 is assessed. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
07/15/2019
Section Cited
CCR
102419(d) | 1
2
3
4
5
6
7 | Admission Procedures and Parental and Authorized Representative's Rights. At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parents’ Rights, LIC 995A (8/06),... | 1
2
3
4
5
6
7 | Licensee shall forward a copy of the LIC 995A with parent's signature for child #5 to LPA by 07/15/2019 due date. |
| 8
9
10
11
12
13
14 | This requirement was not met as evidenced by:
LPA observed No LIC 995A Notification of Parents’ Rights with parent's signature in child #5's file.
This poses a potential risk to the Health, Safety, or Personal Rights of children in care. | 8
9
10
11
12
13
14 | |
Type B
07/15/2019
Section Cited
CCR
102418(g)(1) | 1
2
3
4
5
6
7 | Immunizations. The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement includes updating each child's PM 286 (6/95) when the child is
due to receive required immunizations after | 1
2
3
4
5
6
7 | Licensee shall forward a copy of the PM286 for child #1, 4, 7, and 8 to LPA by 07/15/2019 due date. |
| 8
9
10
11
12
13
14 | enrollment in the family day care home. This requirement was not met as evidenced by: LPA obsereved children’s immunization records are not documented, maintained, and updated in form PM286 in child #1, 4, 7, and 8's files. / This poses a potential risk to the Health, Safety, or Personal Rights of children in care. | 8
9
10
11
12
13
14 | |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
07/15/2019
Section Cited
HSC
1596.8595(c) | 1
2
3
4
5
6
7 | A licensed child care home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as specified in paragraph (1) of subdivision (a) of Section 1596.893b. | 1
2
3
4
5
6
7 | Licensee shall forward a copy of the LIC 9224 with parent's signature for child #4 to LPA by 07/15/2019 due date. |
| 8
9
10
11
12
13
14 | This requirement was not met as evidenced by:
LPA observed no signed Acknowledgement of Receipt of Licensing Reports (LIC 9224) for Type A deficiencies issued on 08/02/2018 in child #4's file.
This poses a potential risk to the Health, Safety, or Personal Rights of children in care. | 8
9
10
11
12
13
14 | |
| 1
2
3
4
5
6
7 | | 1
2
3
4
5
6
7 | |
| 1
2
3
4
5
6
7 | | 1
2
3
4
5
6
7 | |