197494134-3-20-2023-30-CC-SPOL-CPZVF6-20230317162327

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494134
Report Date: 03/17/2023
Date Signed: 03/20/2023 10:15:56 AM

Document Has Been Signed on 03/20/2023 10:15 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:	VERDEL FAMILY CHILD CARE		FACILITY NUMBER:	197494134
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 6	CENSUS: 4	DATE:	03/17/2023
TYPE OF VISIT:	Required - 1 Year	ANNOUNCED	TIME BEGAN:	01:23 PM
MET WITH:	Yolanda Verdel, Licensee		TIME COMPLETED:	04:40 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	Licensing Program Analysts (LPA) Shandra Powell conducted an announced combined Required 1 year and capacity increase inspection. There is an approved fire clearance on file approved on 03/03/2023. LPA arrived at the facility, identified self and met with Yolanda Verdel, Licensee, LPA provided Licensee with a copy of the LIC 126 Entrance Checklist to help facilitate the inspections. This is a single dwelling home. Licensee stated she and her adult daughter and father live in the home. Facility operation hours are Monday thru Fridays 7:00am to 6:00pm. Licensee guided analyst on a tour inside and outside of the home. There are no changes to the facility layout or to the off-limit areas of the family childcare home. Licensee stated the isolation area for ill children is in the living room of the home. Licensee provides Breakfast, Lunch and Snack. LPA observed 4 napping children (all preschoolers) at the time of the inspection. During inspection LPA observed a updated roster LIC9040 (6 children enrolled), Emergency Disaster Plan LIC610A, and Fire Drill Log (last drill conducted on February 24th, 2023. LPA observed the Facility License and PUB 394 Notification of Parents Rights posted in bedroom #4 on Parent Board. The Earthquake Preparedness LIC9148 was not posted at the time of initial inspection. LPA printed form LIC9148 and provided a copy to licensee to complete and post.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

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: VERDEL FAMILY CHILD CARE	FACILITY NUMBER: 197494134
	VISIT DATE: 03/17/2023

NARRATIVE

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The home is a one story, four bedrooms, two bathrooms home with an living room, kitchen and detached garage. The off-limit areas of the home are bedrooms #2 and #3 and bathroom #1 that are located off the hallway of the home. All Off-limits rooms are made inaccessible to children in care by child safety knobs observed on door handles. The Attic is made inaccessible to children by safety gate at the bottom of the stairs. The Living Room, Kitchen, Bedroom #1, Bedroom #4 and Bathroom #2 are On-Limits to children in care. The home has a detached garage that is off limits and inaccessible by gate and locks. Per Licensee, no child care is conducted in the garage. The primary childcare area of the home is located in the open living room, Bedroom #1 and Bedroom #4. LPA observed a wall heater with screen in hallway of home.

The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Home utilizes centralized heating and air conditioning as a heating and cooling source. Home has a working telephone (Cell). Hazardous materials in the kitchen and bathroom are inaccessible to children. Per Licensee all poisons are locked in a bin located in the backyard. According to the Licensee, there are no weapons or firearms at the home; None were observed by LPA. LPA observed several birds in cages in front yard of home.

The home is equipped with a fully charged fire extinguisher which is at least a 2A:10BC. The home is also equipped with a working smoke detector and carbon monoxide detector (dual). There is also a first aid kit equipped in the home. LPA observed current First Aid and CPR certificate for Licensee and Assistant with an expiration date of 01/2025. Licensee and Assistant also completed Mandated Reporter training on 07/21/2021(Licensee) and 02/13/2023 (Assistant).

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

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: VERDEL FAMILY CHILD CARE	FACILITY NUMBER: 197494134
	VISIT DATE: 03/17/2023

NARRATIVE

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Toys and playthings are safe, orderly and age-appropriate for the children. Licensee agrees that no baby-walkers, bouncers, jumpers, exersaucers and similar items will be used for children in care and are kept inaccessible; None were observed by LPA.

Outside play for the children is conducted in the driveway and backyard of the home. The outdoor play area is fenced in and also tented and is free from defects or dangerous conditions. Outside toys and playthings are also plentiful, safe, orderly and age appropriate. No pools, spas, hot tubs, fish ponds, or similar bodies of waters observed during the inspection.

LPA completed Children's File Review during inspection. LPA reviewed 4 children files all children files were missing LIC995A Notification of Parent Rights. All other forms and immunization's were located in file.

LPA reviewed Assistant file during inspection. File was complete and up to date with all documents.

Licensee stated was not providing care to infants at this time. LPA provided Licensee with a copy of a 15min Sleep Log and a copy of the Individual Infant Sleeping Plan (LIC 9227) during inspection.

During inspection LPA provided Licensee with a copy of LIC995A Notification of Parents Rights, LIC9148 Earthquake Preparedness, Safe Sleep pamphlet (What does a Safe Sleep Environment Look Like) and a copy of Infant Safe Sleep Regulations (102425) CCC Title 22.
Licensee states is not providing IMS (Incidental Medical Services) services. LPA explained when and how a written Plan for providing IMS care to the child(ren) will be needed and a copy must be sent to CCLD and one placed in each child(s) file.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

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: VERDEL FAMILY CHILD CARE	FACILITY NUMBER: 197494134
	VISIT DATE: 03/17/2023

NARRATIVE

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Update on Incidental Medical Services: Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

The following was thoroughly discussed with the licensee:

All adults living and working in the home must be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.

Licensee was reminded it is the Licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

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: VERDEL FAMILY CHILD CARE	FACILITY NUMBER: 197494134
	VISIT DATE: 03/17/2023

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The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office within 24 hours of the Unusual Incident and follow up with a written Unusual Incident/Injury Report (LIC 624B) within 7 business days.
Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (sudden infant death syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome

The licensee was also reminded of the following Safe Sleep Practices: always place infants on their backs for sleeping; use only a tight-fitting sheet on the crib or play yard mattress; do not hang any items from the crib or above the crib; keep all items, including blankets, out of the crib or play yard; pacifiers may be used as long as they do not have items attached to them; infants should not be swaddled or have any items covering them while sleeping; the temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the
inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee. 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, appeal rights and report provided to licensee.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

LIC809 (FAS) - (06/04)

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