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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407376
Report Date: 01/31/2025
Date Signed: 01/31/2025 03:07:44 PM

Document Has Been Signed on 01/31/2025 03:07 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:TSINMAN FAMILY CHILD CAREFACILITY NUMBER:
197407376
ADMINISTRATOR/
DIRECTOR:
TSINMAN, GRIGORIY & RITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 851-5935
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 7DATE:
01/31/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Licensee RitaTsinman TIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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On 1/31/2025, Licensing Program Analyst (LPA) Amelia Morales conducted an unannounced- Required 3 Year inspection to the above facility. The purpose of the inspection was to ensure that health, safety, and personal rights as required by Title 22 Regulations governing California Family Child Care Homes are being met by the Licensee. LPA met with Licensee Rita Tsinman, who guided analyst on a tour of the home. An entrance checklist was provided. A census was taken there were 7 children during the time of the visit, one volunteer, and one staff member. LPA verified that licensee has obtained criminal record clearance and is associated to the facility.
The children’s roster was reviewed and is current. Per licensee, the facilities hours of operation are Monday through Friday 7:00 AM to 6:00PM.

This is a one story home which includes: living room, dining room, left driveway, detached garage, kitchen, laundry room, backyard,one bedroom, and one bathroom. Facility is part of duplex property, with other property separate address (1302 N. Poinsettia Pl.). That is also a licensed family child care home (#197414648). Per licensee children in care do not have access to the duplex next door, home located at 1302 N. Poinsettia Place, Los Angeles, CA 90046.

Per Licensee, areas off limits to children and parents include: the kitchen, left driveway and detached garage, and laundry room. The kitchen has a baby gate making it inaccessible to the children in care. Per Licensee, food is provided by Licensee. Food is prepared in the kitchen, areas were toured for safety, cleanliness and proper equipment.

The laundry room is located next to the kitchen which has a door separating the two rooms. The laundry room door remains closed. LPA observed detergents next to the washer and dryer at the top of a closed cabinet. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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: TSINMAN FAMILY CHILD CARE
FACILITY NUMBER: 197407376
VISIT DATE: 01/31/2025
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Per Licensee, areas that are accessible to children include: living room, dining room, one bedroom and one bathroom. LPA observed on the outdoor area at the right side of the back yard which licensee use only for activities and front yard.

LPA observed that the outdoor play area is fenced. Per applicant, when children are having outside time, they will ensure 100% supervision and never leave children unattended. There were no bodies of water present.

LPA observed the following: the home is clean and orderly. There were age-appropriate toys and play items. Licensee was informed that baby-walkers, bouncers, jumpers, and other prohibited items will not be used for children in care. All electrical outlets have safety covers.  Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. The Licensee states that there are no poisons in the home.  The Licensee does understand that poison must be locked with a key or combination lock. Per licensee, there are no pets. LPA did not observe any pets at the time of visit.  Per Licensee, isolation area for sick children is in the living room couch. The home is equipped with surveillance cameras outside the home. LPA observed mats at the facility for napping purposes.

The Smoke/carbon monoxide detector was observed in the living room, was tested and found to be not operable. LPA informed Licensee that the batteries must be changed. Per Licensee, they understand that the carbon monoxide must be operable, Licensee was able to change the batteries in front of LPA Morales.

The required (2A10BC) fire extinguisher was observed in the laundry room and was purchased on 1/10/2025. The Licensee has current Pediatric First Aid and CPR. Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has also taken the Mandated Reporter Training.

— Pediatric First Aid and CPR Card valid until: 5/20/2025
— Mandated Reporter AB1207 valid until: 10/27/2025


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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: TSINMAN FAMILY CHILD CARE
FACILITY NUMBER: 197407376
VISIT DATE: 01/31/2025
NARRATIVE
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA reviewed with Licensee the Safe Sleep Log that must be documented anytime a child is a asleep. LPA informed Licensee that infants under 24 months must be checked on and documented every 15 minutes. LPA advised that it must be placed in the infants file. Licensee provided a Safe Sleep Log to Licensee.

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-and­resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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.

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: https://www.ada.gov/resources/child-care-centers/.


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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 01/31/2025 03:07 PM - It Cannot Be Edited


Created By: Amelia Morales On 01/31/2025 at 02:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TSINMAN FAMILY CHILD CARE

FACILITY NUMBER: 197407376

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/31/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 1 out of 4 childrens files did not have the infant Safe Sleep Log documented, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/14/2025
Plan of Correction
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Licensee will doucument infant Safe Sleep Log every 15 min and send through text to LPA Morales on POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Betty Bell
LICENSING EVALUATOR NAME:Amelia Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2025


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: TSINMAN FAMILY CHILD CARE
FACILITY NUMBER: 197407376
VISIT DATE: 01/31/2025
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee Rita Tsinman, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Rita Tsinman.




















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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC809 (FAS) - (06/04)
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