197494101-1-3-2025-58-CC-VWHY-DCKUHX-20250103143636

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494101
Report Date: 01/03/2025
Date Signed: 01/03/2025 02:36:47 PM

Document Has Been Signed on 01/03/2025 02:36 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:	ARDON FAMILY CHILD CARE		FACILITY NUMBER:	197494101
ADMINISTRATOR/ DIRECTOR:	ARDON, ROSSY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 557-6186
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	01/03/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:30 AM
MET WITH:	Rossy Ardon		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

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 1/3/2025, Licensing Program Analyst (LPA) Veronica Wheatley conducted an Annual Inspection and was met by Licensee, Rossy Ardon. Days and hours of operation, Monday -Friday 8:00am to 6:00pm. LPA toured the home inside and outside. LPA observed 5 daycare children of which one is the licensee's 6 year old son. Current facility sketch reviewed and the licensee confirmed that the children are allowed in the living room, dining room and one bedroom. The bedroom is used for napping. The remainder of the home is off-limits. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible during the inspection. The home has a screened fireplace in the living room. There are no stairs in the home. There is a working fire extinguisher, smoke detector, and carbon monoxide detector. There is adequate heating and ventilation for safety and comfort. The home has a stationary heating and air condition system in the living room. A portable heater is up high in the bedroom. Several safe toys and play equipment were observed. The home has working telephone service and LPA confirmed the phone number.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ARDON FAMILY CHILD CARE	FACILITY NUMBER: 197494101
	VISIT DATE: 01/03/2025

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. The licensee does not transport children. The outdoor play area is off limits at this time until the backyard is fenced from the other home in the rear premises. There is a separate address so fingerprints for tenants are not required. LPA did not observe any bodies of water.

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

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 Safe Sleep Regulations with licensee. LPA observed a crib or play yards for each infant. The play yard or crib is 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. Licensee will keep a sleeping log for the children. Provider will physically check 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. Licensee has a camera to monitor the infants sleeping. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Capacity as specified on the license is being maintained. There is one infant on the premises today.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: ARDON FAMILY CHILD CARE	FACILITY NUMBER: 197494101
	VISIT DATE: 01/03/2025

NARRATIVE

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LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, 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, type B deficiencies are cited.

Exit interview conducted. The report was read and provided to the licensee. The report shall be made available to the public upon request. Notice of Site Visit will be posted for 30 days.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 01/03/2025 02:36 PM - It Cannot Be Edited

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: ARDON FAMILY CHILD CARE	FACILITY NUMBER: 197494101
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/03/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

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 that the Mandated Reporter Training has expired. This is required every 2 years and poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/17/2025
	Plan of Correction
1 2 3 4	Licensee will complete the Mandated Reporter Training online by 1/17/25 and submit proof of completion to the Department.

Section Cited

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. 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 that the Pediatric CPR and first aid has expired. This is required every 2 years and poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/17/2025
	Plan of Correction
1 2 3 4	Licensee will complete the Mandated Reporter Training online by 1/17/25 and submit proof of completion to the Department.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Maureen Neal	TELEPHONE: (424) 301-3042
Veronica Wheatley	TELEPHONE: (424) 301-3051
	DATE: 01/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025

LIC809 (FAS) - (06/04)

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