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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414238
Report Date: 10/06/2022
Date Signed: 10/06/2022 02:56:20 PM

Document Has Been Signed on 10/06/2022 02:56 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:PARRILLO FAMILY CHILD CAREFACILITY NUMBER:
197414238
ADMINISTRATOR:PARRILLO, DANIELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 739-1048
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
10/06/2022
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:PARRILLO, DANIELLETIME COMPLETED:
03:15 PM
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On 10/06/2022 LPA conducted an unannounced annual inspection continuance visit to complete the annual inspection conducted on 10/05/2022. LPA met with Licensee Danielle Parrillo. LPA observed 7 children and 1 assistance upon arrival.

Licensing Program Analyst (LPA) conducted an unannounced annual inspection to the above facility on 10/05/2022. Licensee guided analyst on a tour of the facility. LPA provided Licensee with a copy of the Entrance Checklist (LIC 126) prior to visiting the facility. Licensee assistant Maria Manzo was present at facility caring for children.

LPA observed 11 children. Per Licensee, operation hours are 24hours. There are 43 children that are currently enrolled. Licensee stated there are currently 3 assistants all other individuals on roster are only visitors. The licensee has land line telephone service. Licensee has 3 pet dogs that reside within the home (licensee provided vaccination information). This is a two-story home which consists of 4 bedrooms, 4 bathrooms, kitchen, dining room, living room, family room, front yard, backyard (fenced) and pool. The children use the bathroom in the playroom area located in the backroom of the home.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2022
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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Document Has Been Signed on 10/06/2022 02:56 PM - It Cannot Be Edited


Created By: Laticia S Thompson On 10/06/2022 at 01:21 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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type A
Section Cited
CCR
102425(c)
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.

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 by not having the documentation Individual sleep plan for an infant, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/06/2022
Plan of Correction
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Licensee will complete the required document and keep the form in the infant file.
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:Lisa Rios
LICENSING EVALUATOR NAME:Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022


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Document Has Been Signed on 10/06/2022 02:56 PM - It Cannot Be Edited


Created By: Laticia S Thompson On 10/06/2022 at 01:21 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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Request Denied
Type B
Section Cited
CCR
102417(d)(1)
Operation of A Family Child Care Home
(d) The home shall provide safe toys, play equipment and materials. (1) Fixtures, furniture, and equipment that have been banned or recalled by the United States Consumer Product Safety Commission shall not be used for children in care or accessible to children in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation of a bouncer in the living room area, the licensee did not comply with the section cited above which posesa poten tial health, safety or personal rights risk to persons in care.
POC Due Date: 10/06/2022
Plan of Correction
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Licensee removed items on 10/05/2022 and placed items back in area based on LPA's observation on 10/06/2022. Licensee stated items will be removed by 10/07/2022
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:Lisa Rios
LICENSING EVALUATOR NAME:Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022


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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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238
VISIT DATE: 10/06/2022
NARRATIVE
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The parents enter through the side gate on the corner of the home were some postings are located. The entire second floor is off limits. Licensee does not have a safety gate or barricade preventing children from accessing stairs. On the first floor of the home the living room, family room, bedroom and bathroom next to the bedroom, and kitchen are off limits. The dinning room area will be used as an isolation area only for sick/ill children. During today’s visit LPA did not observe a safety gate in place in the playroom and the door was not closed preventing children from accessing first floor of the home.

In the playroom area where children are cared for LPA observed appropriate play equipment, furniture and learning materials. Sleeping arrangements were observed each child has a cot and a blanket. Infant play yards did not hinder the entrance or exit from the sleeping space. On today's visit 10/06/2022 LPA observed a blanket in one play yard. No objects were observed hanging above or attached to the side of the play yards. One of the play yard mattresses did not have a sheet on the mattress pad. One of the play yard mattress sheet was soiled and smelled of urine.

LPA observed 2 first aid kits one located under the sink and one located on the wall. The fire extinguisher is located on the wall near the bathroom 2-A:10-B:C. During visit licensee purchased a carbon monoxide detector and installed in the room on the ceiling the following day 10/06/2022. Licensee had some type of detector that did not have any labeling. Licensee contacted ADT during visit and ADT did not confirm carbon monoxide monitoring. Licensee has CCLd posting inside this room also.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238
VISIT DATE: 10/06/2022
NARRATIVE
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LPA inspected the kitchen area. All accessible cabinets and drawer were inspected. Upon inspecting the kitchen LPA observed cleaning solution under the kitchen sink and hazardous materials on kitchen counter accessible to children. Licensee removed items immediately. The licensee provides food for children in care.LPA observed a block containing knives in living room area in a cabinet. There were no children in this area. LPA advised Licensee to place a security latch on cabinet.

LPA inspected the family room area. Upon expecting the family room LPA observed containers with dog food and water on the floor accessible to children. Licensee removed items from area. LPA observed prohibited play equipment (bouncer) in the living room area. Licensee stated the play equipment was for her grandchild only. Licensee removed the items from the area. Upon return of 10/06/2022 LPA observed that play equipment was returned to area. There is a fireplace in the living room area that is screened.



LPA inspected bedrooms and bathrooms on 2nd floor area and did not observed any visual safety hazards. Licensee states there is one firearm in the home. LPA observed firearm in off limit area located in son’s bedroom. The firearm is stored in a secured locked safety box. The ammunition is stored and locked separately from firearm in off limit area of the home in the master bedroom,

LPA inspected the backyard area and observed safe toys and play equipment. The back yard has artificial turf material for cushioning and has enclosed fencing.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238
VISIT DATE: 10/06/2022
NARRATIVE
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 LPA inspected the pool area and observed it be in compliance. The fencing that is used to make the body of water inaccessible is five feet high and completely surrounds the body of water. The fencing does not obscure the view of the body of water from the facility. The bottom of the fence is no more than two inches from the ground. (four inches if the fence is on a hard surface such as concrete). There are no door or window of the facility that provides direct access to the body of water. The beams are spaced at least 45 inches apart. The fence gate swings away from the body of water and is self closing and latching. The latching device is no more than six inches form the top of the gate.

LPA reviewed 6 children files 5 in compliance 1 not in compliance. C#6 infant did not have an Individual Sleep plan (LIC 9227) LPA observed 4 staff members files and found that 16hours Preventive Health and Safety training was not on file. All staff has current CPR/First Aid certificated and Mandated Reporter Certificates.

Licensee was reminded that all adults 18 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

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238
VISIT DATE: 10/06/2022
NARRATIVE
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LPA discussed the safe sleep regulations with licensee [or facility representative] 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 [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.

The facility has been cited for Type A, Type B violations and Technical Violations

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form (LIC 9224) must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this Report (LIC809 & LIC809D), Appeal Rights (LIC9058) and Notice of Site Visit (LIC9213) were reviewed and provided to the Licensee.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238
VISIT DATE: 10/06/2022
NARRATIVE
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Licensee will provide declaration that Ricardo Ramirez is not a resident of the home pending background clearance and will not visit the facility during operating hours. Licensee stated she was considering renting a room to this individual.

Licensee will provide a declaration stating the individuals on roster that are not assistance are not caring for children and only visitors.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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Document Has Been Signed on 04/10/2023 04:01 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 10/07/2022 09:28 AM


Created By: Laticia S Thompson On 10/06/2022 at 02:54 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Infant Safe Sleep
Deficient Practice Statement
1
2
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4
POC Due Date:
Plan of Correction
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4
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:Lisa Rios
LICENSING EVALUATOR NAME:Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022


LIC809 (FAS) - (06/04)
Page: 9 of 10
Document Has Been Signed on 10/06/2022 02:56 PM - It Cannot Be Edited


Created By: Laticia S Thompson On 10/06/2022 at 02:54 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: PARRILLO FAMILY CHILD CARE
FACILITY NUMBER: 197414238

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type B
Section Cited
CCR
102417(d)(1)
Operation of A Family Child Care Home
(d) The home shall provide safe toys, play equipment and materials. (1) Fixtures, furniture, and equipment that have been banned or recalled by the United States Consumer Product Safety Commission shall not be used for children in care or accessible to children in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
Plan of Correction
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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:Lisa Rios
LICENSING EVALUATOR NAME:Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022


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