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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197418786
Report Date:
11/03/2022
Date Signed:
01/12/2023 04:26:03 PM
Document Has Been Signed on
01/12/2023 04:26 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
CCLD Regional Office
,
300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO
,
CA
90245
FACILITY NAME:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
ADMINISTRATOR:
MCDUFFY, TERRENCE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(323) 440-9518
CITY:
INGLEWOOD
STATE:
CA
ZIP CODE:
90305
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
5
DATE:
11/03/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
02:00 PM
MET WITH:
Terrence McDuffy
TIME COMPLETED:
07:00 PM
NARRATIVE
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On 11/3/2022, Licensing Program Analyst (LPA), V. Wheatley conducted an unannounced Annual Required Inspection and was met by Licensee, Terrence McDuffy. The licensee's assistant, Staff #1 was also present. Days and hours of operation are currently M-F 7am to 6pm.
LPA toured the home inside and outside and a census was taken. LPA observed 5 children on the premises. Current facility sketch reviewed and confirmed that the family room is used for child care. There is a bedroom and bathroom adjacent that LPA observed. All other bedrooms are upstairs and are off-limits. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises per licensee. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are stairs in the home have a child proof gate. Safe toys and play equipment are observed. The home has working telephone service. LPA confirmed the phone number.
LPA 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. LPA observed the play pens with blankets. 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.
SUPERVISORS NAME
:
Maureen Neal
LICENSING EVALUATOR NAME
:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE
:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
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
8
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:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
VISIT DATE:
11/03/2022
NARRATIVE
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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. Licensee states that transportation is provided. LPA informed licensee that a transportation agreement must be in children's file. The outdoor play area in the backyard is not fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.
LPA was unable to review files. Licensee states the records are next door at his parents home who are licensed. Licensee’s has Mandated Reporter Training and pediatric CPR/First Aid. LPA was unable to review staff records for licensee and employees and/or volunteers have immunization records on file for influenza, pertussis and measles.
Not all adults who reside or work in the home have a criminal record clearance or exemption. The licensee's brother Clifford McDuffy does not have a fingerprint clearance and is transporting children. 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 with the licensee the Community Care Licensing website
www.ccld.ca.gov
which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, 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, deficiencies are 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.
A copy of this report will be provided to the licensee and appeal rights.
SUPERVISORS NAME
:
Maureen Neal
LICENSING EVALUATOR NAME
:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE
:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
LIC809
(FAS) - (06/04)
Page:
2
of
8
Document Has Been Signed on
01/12/2023 04:26 PM
- It Cannot Be Edited
Created By:
Veronica Wheatley
On
11/03/2022
at
05:33 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:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
11/03/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102370(d)
Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation Clifford McDuffy III the brother of the licensee was present in the day care and is transporting children. The licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. A civil penalty of $500.00 dollars will be assessed.
POC Due Date:
11/04/2022
Plan of Correction
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2
3
4
Licensee's brother Clifford McDuffy III may not work in any child care until he is fingerprint cleared. The licensee will submit a plan of correction to the department by 11/4/22.
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
LICENSING EVALUATOR NAME:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
LIC809
(FAS) - (06/04)
Page:
3
of
8
Document Has Been Signed on
01/12/2023 04:26 PM
- It Cannot Be Edited
Created By:
Veronica Wheatley
On
11/03/2022
at
05:33 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:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
11/03/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(d)
Personnel Records
(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on LPA's observation the licensee did not comply with the section cited above in that there were no staff records available for the licensee or the licensee's grandmother (assistant) (Staff #1) which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
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3
4
Licensee will submit copies of all staff records to the Department by 11/7/22. The records are required to be on the premises at all times. LIcensee will ensure these records are on the premises and up to date at all times.
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
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3
4
Based on LPA's observation, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. The licensee did not provide copies of proof of his or the staff #1 required immunizations during the inspection.
POC Due Date:
11/07/2022
Plan of Correction
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Licensee will submit copies of his required immunization records and also his grandmother's immunization records to the Department by 11/7/22.
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
LICENSING EVALUATOR NAME:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
LIC809
(FAS) - (06/04)
Page:
4
of
8
Document Has Been Signed on
01/12/2023 04:26 PM
- It Cannot Be Edited
Created By:
Veronica Wheatley
On
11/03/2022
at
05:33 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:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
11/03/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.
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 for not having the emergency documents with the names of adults to be contacted in case of an emergency for 5 children that were present today. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will submit copies of all children's emergency information to the Department by 11/7/22. The records are required to be on the premises at all times. LIcensee will ensure these records are on the premises and up to date at all times.
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
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 for not having the required immunization records for the children enrolled. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will submit copies of the children's immunization records to the Department by 11/7/22. The records are required to be on the premises at all times. LIcensee will ensure these records are on the premises and up to date at all times.
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
LICENSING EVALUATOR NAME:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
LIC809
(FAS) - (06/04)
Page:
5
of
8
Document Has Been Signed on
01/12/2023 04:26 PM
- It Cannot Be Edited
Created By:
Veronica Wheatley
On
11/03/2022
at
05:33 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:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
11/03/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to person in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will request a copy of the children's immunization record from the parents and submit copies of the required immunization records for the day care children to the Department by 11/7/22. Licensee understands these copies must be retained the in each child's file.
Type B
Section Cited
CCR
102419(d)
Admission Procedures and Parental and Authorized Representative's Rights
(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA's observation, the licensee did not comply with the section cited above in that the forms are required to be provided to the day care parents. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will submit copies of the required forms to the parents and have then complete the required forms. The licensee will submit copies to the Department by 11/7/22.
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
LICENSING EVALUATOR NAME:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
LIC809
(FAS) - (06/04)
Page:
6
of
8
Document Has Been Signed on
01/12/2023 04:26 PM
- It Cannot Be Edited
Created By:
Veronica Wheatley
On
11/03/2022
at
05:33 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:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
11/03/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).
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 for not having any emergency cards for each child in care. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will have the parents complete the emergency card section of the Department forms and submit to the Department for a Plan of Correction. Licensee understands these forms are required for each child enrolled and must be on the premises for the Department's review at all times.
Type B
Section Cited
CCR
102417(g)(8)
Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
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 for not having the Children's Roster which documents each child in care. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will submit the Children's roster to the Department for a Plan of Correction. Licensee understands this form is required and must be on the premises at all times.
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
LICENSING EVALUATOR NAME:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
LIC809
(FAS) - (06/04)
Page:
7
of
8
Document Has Been Signed on
01/12/2023 04:26 PM
- It Cannot Be Edited
Created By:
Veronica Wheatley
On
11/03/2022
at
05:33 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:
MCDUFFY FAMILY CHILD CARE
FACILITY NUMBER:
197418786
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
11/03/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(m)(3)
Operation of A Family Child Care Home
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.
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 for not having documents for 5 children that were present today. Licensee did not have a copy of the affidavits signed by parents.
This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will submit copies of affidavits signed by parents to the Department by 11/7/22. The records are required to be on the premises at all times. Licensee will ensure these records are on the premises and up to date at all times.
Type B
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
1
2
3
4
Based on LPA's observation and record review, the licensee did not comply with the section cited above for not having an Individual Infant Sleeping Paln (LIC 9227) for the infants that were present today. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/07/2022
Plan of Correction
1
2
3
4
Licensee will submit copies of LIC 9227 signed by parents who have infants under 1 year old enrolled to the Department by 11/7/22. The records are required to be on the premises at all times. Licensee will ensure these records are on the premises.
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
LICENSING EVALUATOR NAME:
Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE:
11/03/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/03/2022
LIC809
(FAS) - (06/04)
Page:
8
of
8