197411147-7-18-2024-30-CC-VWHY-D7APXC-20240718114207

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411147
Report Date: 07/18/2024
Date Signed: 07/18/2024 11:42:25 AM

Document Has Been Signed on 07/18/2024 11:42 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	FICKE FAMILY CHILD CARE		FACILITY NUMBER:	197411147
ADMINISTRATOR:	FICKE, LINDA & HENRY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 371-2039
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90503
CAPACITY:	14	CENSUS: 6	DATE:	07/18/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Linda & Henry Ficke		TIME COMPLETED:	11:45 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 July 18, 2024, Licensing Program Analysts (LPAs), Veronica Wheatley and Tyra Chavies conducted an Annual Inspection and was met by Licensees Linda & Henry Ficke. The licensee is operating days and hours of operation are Monday through Friday, 7:00am to 5:30pm. Parents and children enter through the front door. LPAs toured the four bedroom house and a census was taken. LPAs observed 6 day care children and 3 of their own school aged children present today. Capacity as specified on the license is being maintained. Current facility sketch reviewed and confirmed that the den and enclosed attached patio is used for providing care to children. All other rooms are off-limits and made inaccessible. The licensee's bedroom has a lock. Detergents, and cleaning solutions are made inaccessible. There is a working fire extinguisher, smoke detector, carbon monoxide detector (dual) and adequate heating and air condition for safety and comfort. There are no stairs in the home. The home has a fireplace which is barricaded. Safe toys and play equipment are observed. Bedding is kept separate and laundered by the licensee. The home has working telephone service and LPAs confirmed the phone number is 310-371-2039. LPAs observed a children's roster. LPAs discussed Safe Sleep Regulations with licensee. Cribs and play yards will be kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. LPAs observe one infant on the premises. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FICKE FAMILY CHILD CARE	FACILITY NUMBER: 197411147
	VISIT DATE: 07/18/2024

NARRATIVE

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LPA reviewed children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training expired 2/4/2022. Licensee’s pediatric CPR/First Aid expires June 17, 2025. A review of records indicates that all employees and/or volunteers do have immunization records on file for influenza, pertussis and measles.

The children play in the large backyard which is fenced. LPAs observed several age appropriate toys and equipment. LPA did not observe any bodies of water. There is one dog on the premises which is kept inaccessible to children. Licensee states there are no firearms on the premises.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm. LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, there are deficiencies cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Exit interview conducted. A copy of the report provided to the licensee.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024

LIC809 (FAS) - (06/04)

Page: 1 of 1

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FICKE FAMILY CHILD CARE	FACILITY NUMBER: 197411147
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observation and record review, the licensee did not comply with the section cited above in which the licensees Mandated Reporter training expired in 2022. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/25/2024
	Plan of Correction
1 2 3 4	The licensee will complete the Mandated Reporter training online and submit the completed training certificate to the Department by email by 7/25/2024.

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: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024

LIC809 (FAS) - (06/04)

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