197494298-2-7-2023-58-CC-SORS-CNTRAX-20230207115151

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494298
Report Date: 02/07/2023
Date Signed: 02/07/2023 11:53:31 AM

Document Has Been Signed on 02/07/2023 11:53 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	TOUMARY FAMILY CHILD CARE		FACILITY NUMBER:	197494298
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	02/07/2023
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	TOUMARY, NARGES- Licensee		TIME COMPLETED:	12:15 PM

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On 2/7/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted an Unannounced Required Annual Inspection and was greeted by Licensee Narges Toumary. Also present during the inspection was licensees husband who is associated to the facility. LPA did not observe any children present, per licensee, there are 0 children currently enrolled. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation are Monday through Friday, 8am to 5pm. Home is equipped with a security camera system and the back door has an alarm which goes off any time it is opened.

Facility sketch reviewed and all areas identified on the facility sketch were inspected. This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen/dining room, living room, garage (licensee unable to access, homeowner private space), guest house (only accessible from the outside of the home; licensee unable to access, homeowner private space) and backyard. The isolation area will be in bedroom 2.

The on-limit areas are as follows: bedroom 2, bedroom 3, bathroom (located next to bedroom 3), living room, hallway, kitchen/dining room and laundry room (only when leading children to the backyard play area/to child care rooms), backyard (designated area).

The off-limit areas are as follows: bedroom 1, bathroom 2 (located across from the laundry room), gated pool area and guest house.

The Fire Extinguisher (2A-10-BC) is mounted on the wall in the kitchen and was serviced 11/2022. There is a working smoke detector/carbon monoxide detector located in the living room. The required carbon monoxide detectors and smoke detectors are in operable condition as tested by the licensee.

The home was inspected inside and out 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. The First Aid kit was observed and complete.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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

FACILITY NAME: TOUMARY FAMILY CHILD CARE	FACILITY NUMBER: 197494298
	VISIT DATE: 02/07/2023

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Per LIS the facility annual fees are current. There are age appropriate toys and napping equipment on the premises. Licensee has posted as required the License, and all other required postings in a visible location.

There are no firearms or ammunition on the premises. Home does have a fenced swimming pool. The fence is at least 5 feet high with a self-latching gate that opens away from the pool or body of water and remains locked. Fireplace located in bedroom 1 (off limits), it is screened and inaccessible to children in care.

LPA discussed Safe Sleep Regulations with licensee and provided licensee with a copy of a sample infant safe sleep log, LIC 9227, and Frequently Asked Questions regarding Infant Safe Sleep packet. 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. The outdoor play area in the backyard is fenced and there are no hazards to children present. LPA discussed the importance of ensuring that equipment is regularly inspected, dusted off as needed and removed or repaired if broken.

LPA provided licensee with a copy of the Capacity Regulations form as well as a sample emergency fire/disaster drill log which shall be completed and documented every 6 months. Licensees pediatric CPR/First Aid is current. Licensees Mandated Reporter Training is current. LPA provided information regarding the Mandated Reported Training regulation and the requirement to complete every two years. 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 and Licensee discussed 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: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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

FACILITY NAME: TOUMARY FAMILY CHILD CARE	FACILITY NUMBER: 197494298
	VISIT DATE: 02/07/2023

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 26 27 28 29 30 31 32	Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are being 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.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

LIC809 (FAS) - (06/04)

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