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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493887
Report Date: 04/22/2024
Date Signed: 04/22/2024 11:32:12 AM

Document Has Been Signed on 04/22/2024 11:32 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ADLER FAMILY CHILD CAREFACILITY NUMBER:
197493887
ADMINISTRATOR/
DIRECTOR:		ALDER, EMMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 433-4187
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY: 14TOTAL ENROLLED CHILDREN: 24CENSUS: 9DATE:
04/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:EMMA ADLER, LICENSEETIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 04/22/2024 Licensing Program Analyst (LPA) Lisa Clayton arrived at the home to conduct an Unannounced Annual Random Inspection. LPA Clayton was greeted by Licensee Emma Adler. LPA Clayton observed 9 children being supervised and cared for appropriately by licensee and 3 fingerprint cleared staff. Hours of operation are Monday through Friday, 9:00am to 4:00pm. Licensee provided snacks and water.

The home was toured with the Licensee for a health and safety inspection. The home is neat and clean with heating and ventilation for safety and comfort.

This is a single-family home which consists of the following: living room, dining room/kitchen, family room, 3 bedrooms (one is a converted garage), 2 full bathrooms, laundry room, covered patio, fenced front yard and fenced backyard.

The ON LIMIT areas are as follows: living room (quiet room) dining room/kitchen, bathroom #2, family room (main day care/napping room) fenced front yard and fenced backyard. The ISOLATION AREA will be in the quiet room (living room).

The OFF-LIMIT AREAS are as follows: bedroom 1, 2 and 3, bathroom #1, and laundry room, all of which will be inaccessible by child safety gates, closed and/or locked doors and visual supervision.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2024
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 04/22/2024 11:32 AM - It Cannot Be Edited


Created By: Lisa Clayton On 04/22/2024 at 11:13 AM
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: ADLER FAMILY CHILD CARE
FACILITY NUMBER: 197493887

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(5)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Clayton observation of an above ground fish pond in the fenced front yard, with no gate or cover as required in the above referenced regulation, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/22/2024
Plan of Correction
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Licensee states she will drain and remove the fish pond today and provide LPA Clayton and the Department proof of it's removal no later than tomorrow 04/23/2024 (pictures to be sent to LPA Clayton).
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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 04/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/22/2024


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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ADLER FAMILY CHILD CARE
FACILITY NUMBER: 197493887
VISIT DATE: 04/22/2024
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Per Licensee, there are no firearms in the home. Any poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children are inaccessible.

The home has a fully charged 2A:10: BC Fire Extinguisher, a working smoke detector and a working carbon monoxide detector and working telephone. LPA confirmed the phone number 310 923-6291.

LPA reviewed 5 children’s files and observed them to be in compliance as they contained current contact information for authorized representatives and/or relatives who can assume responsibility for the child, and signed Parent’s Rights.



Licensee and staff have CPR/First Aid certificates. LPA Clayton reminded licensee that Mandated Reporter training certificates are to be renewed every 2 years. LPA Clayton discussed immunizations required for childcare providers.

Licensee states she does not provide care to children under the age of 2. LPA Clayton advised licensee to access the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and­resources/safesleep as an additional resource. LPA Clayton informed applicant of the importance of checking for recalled infant devices on the United States Consumer Products 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 the purchased equipment.



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 upon completion. 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 reminded Licensee of 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.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ADLER FAMILY CHILD CARE
FACILITY NUMBER: 197493887
VISIT DATE: 04/22/2024
NARRATIVE
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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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&R) throughout California.

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



LPA Clayton observed an above ground fishpond in the fenced front yard. LPA Clayton and licensee reviewed Title 22 Regulations regarding the inaccessibility of pools, including swimming pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fishponds or similar bodies of water, through a pool cover or by surrounding the pool with a fence. Licensee has agreed to remove the pond no later than tomorrow 04/23/2024.

Licensee will provide the following to LPA Clayton and the Department no later than 04/26/2024:
· proof of Mandated Reporter Training for herself and staff
· proof of immunization records required for childcare providers (MMR, Tdap/Dtap, TB, Flu)
· updated Disaster Plan

LPA Clayton advised licensee to have the wooden play structure inspected for wear and tear as well as structural integrity as soon as possible.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ADLER FAMILY CHILD CARE
FACILITY NUMBER: 197493887
VISIT DATE: 04/22/2024
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Per Title 22 Regulations and Health and Safety Codes Deficiencies and Technical Violations were cited today (see LIC 809D and LIC 9102).

An exit interview was conducted, a copy of this report was read and provided to licensee Emma and will be made available to the public upon request.

LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
LIC809 (FAS) - (06/04)
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