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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700122
Report Date: 05/16/2023
Date Signed: 05/16/2023 11:52:00 AM

Document Has Been Signed on 05/16/2023 11:52 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:HARASIS FAMILY CHILDCAREFACILITY NUMBER:
195700122
ADMINISTRATOR:RAZIA HARASISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 612-8839
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/16/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:RAZIA HARASIS, LICENSEETIME COMPLETED:
12:10 PM
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On 5/16/2023, Licensing Program Analyst (LPA) Loyce Phillips conducted an announced Pre-Licensing inspection with Licensee Razia Harasis. This inspection is due to an application received for a relocation of large family childcare license. Licensee guided LPA on a tour of the home and intends to operate up to 23 hours. License was made aware that staff shall remain awake when children are awake. Licensee intends to provide breakfast, lunch, dinner and am/pm snacks.

Licensee currently has child-care insurance. Licensee resides in the home with spouse, mother-in-law and minor daughter. This is a 2 story home with 4 bedrooms, 3 bathrooms, living room, kitchen, formal dining room, family room, laundry room and attached garage.

The accessible areas are as follows: The family room (main day care room), kitchen, bathroom #3 located adjacent to formal dining room and outdoor patio (play area).

The off-limits areas are as follows: Entire upstairs area which includes 4 bedrooms and 2 bathrooms. Living room, formal dining room, front yard, left side yard of the home and swimming pool area. The swimming pool has mesh fence that surrounds the entire pool. The gate measured at 5ft. The gate door has a key lock which swings away from the pool, it self closes and is self latches. There is 3 inches of space from the ground to the bottom of the gate door. The home does not have any firearms. The home has stairs inaccessible by safety gate.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service. The home has central air and heat. The home has a fire place inaccessible to children. Poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children are inaccessible. Licensee advised children will nap on cots. Licensee has a smoke and carbon detector that was tested and operating. Medications are stored in the master bedroom. Knives and sharp objects are stored in the upper kitchen cabinet. Cleaning compounds are kept in the garage inaccessible to children. 809-C.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HARASIS FAMILY CHILDCARE
FACILITY NUMBER: 195700122
VISIT DATE: 05/16/2023
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LPA reviewed with Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

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 resources. 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. LPA provided Recently Approved Safe Sleep Regulations PIN 20-24-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. 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

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletter and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website athttps://www.cd.ss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Based on today's inspection, the facility is approved for a License pending managers approval. Exit interview conducted and report was reviewed with Licensee, Razia Harasis.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
LIC809 (FAS) - (06/04)
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