197418698-1-30-2023-30-CC-ARIR-CNKP2G-20230130095551

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418698
Report Date: 01/30/2023
Date Signed: 01/30/2023 09:55:58 AM

Document Has Been Signed on 01/30/2023 09:55 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:	WIJESUNDARA FAMILY CHILD CARE		FACILITY NUMBER:	197418698
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 4	CENSUS: 2	DATE:	01/30/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Janaki Wijesundara, Licensee		TIME COMPLETED:	10:15 AM

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On 1/30/2023 at 8:35 AM, Licensing Program Analyst (LPA) Adrian Risher conducted an announced Case Management visit for the purpose of an inspection for a proposed capacity increase. LPA met with Janaki Wijesundara, Licensee and toured the facility inside and out. The facility is applying for a capacity increase from 8 to 14. There were 2 children present at the time of the inspection. Hours of operation are Monday through Friday from 7am to 5:30pm. The fire clearance was granted on 1/17/2023 by inspector R. Ruelas.

The single family home has 3 bedrooms and 2 bathrooms. The daycare will consist of the living room, kitchen, Bedroom 2 and Bedroom 3. The living room is used for daily activities. The children eat in the kitchen. Bedroom 2 is used for the infants to nap. Bedroom 3 is used as a play room. Licensee is using playpens and cots for napping. These areas were inspected by LPA. The other bedrooms and rooms are considered off-limits and inaccessible.

LPA inspected the bathroom and did not observe any medications or poisons that could pose a potential risk to children in care. The kitchen was inspected during the visit. LPA did not observe any knives or sharp objects, detergents or cleaning supplies that would pose a potential risk to children in care. These items were made inaccessible to the children.

LPA observed age appropriate toys, furniture and activities for children while in care at the facility. LPA did not observe any bodies of water. The outside play area is gated all around.

LPA observed a charged fire extinguisher (2-A:10-B:C). LPA observed operable smoke detector and carbon monoxide detector. The detergents, cleaning supplies and medications are inaccessible to children. Applicant has a first aid kit which includes band aids and a thermometer. The home has central air and heat.

Per the applicant, there are no firearms on the premises. There is one dog in the home. LPA did not observe any baby walkers, exersaucers or bouncers.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WIJESUNDARA FAMILY CHILD CARE	FACILITY NUMBER: 197418698
	VISIT DATE: 01/30/2023

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The parent board will be posted for parents to view required information such as the license, parent's rights poster, personal rights, and emergency disaster plan. A copy of the children's roster will be kept accessible.

Applicant has current CPR, first aid, health and safety which expires 07/2023. Mandated reporter training was completed on 05/27/2022.

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.

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 resource. 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.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Janaki Wijesundara

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023

LIC809 (FAS) - (06/04)

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