197495134-11-17-2022-58-CC-LSTN-CL9TLF-20221117134929

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197495134
Report Date: 11/17/2022
Date Signed: 11/17/2022 01:49:43 PM

Document Has Been Signed on 11/17/2022 01:49 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:	HARASIS FAMILY CHILD CARE		FACILITY NUMBER:	197495134
ADMINISTRATOR:	RAZIA HARASIS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 612-8839
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91304
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	11/17/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	RAZIA HARASIS		TIME COMPLETED:	02:05 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 11/17/2022 at 9:31AM Licensing Program Analyst (LPA’s) Laticia Thompson arrived at the home of Razia Harasis (Applicant) to conduct an Announced Pre-Licensing Inspection. Applicant guided the LPA on a tour of the home. The home operation hours will be Sunday - Saturday 6:00am to 5:00am. The applicant is applying for a large family child care home license to care for a capacity of 14 children ages 0-13 years. Applicant’s home is a one story home. The home has 3 bedrooms, 2 bathrooms, kitchen, living room, dining room, den area (kids room) and a 2 car attached garage. LPA Laticia Thompson was greeted by Razia Harasis. LPA entered though the front door. Applicant stated parents and children will enter and exit through the front door. Family members residing in the home include the applicant, applicant husband and mother-in-law. Applicant is currently expecting a child. Applicant was informed that her children, under 10 years of age, will count in her capacity whenever the child is present during the hours of operation. Prior to visit a file review was conducted by LPA, applicant has an Emergency Disaster Plan, Property Landlord Notification, will provide an Incidental Medical Services Plan when an enrolled child has the need, the facility Child Abuse Statement (LIC 9108), Criminal Record Statement (LIC 508) and an Earthquake Preparedness Checklist. The applicant has up-to-date Preventative Health and Safety/Childhood Nutrition, First Aid/CRP/AED, and Mandated Reporter Trainings.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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: HARASIS FAMILY CHILD CARE	FACILITY NUMBER: 197495134
	VISIT DATE: 11/17/2022

NARRATIVE

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LPA inspected the dining room, living room area and kitchen (off-limits) and did not observe any visual hazards. There is a combined Smoke/Carbon Monoxide detector located in the dinning room area. LPA tested detector and found it to be in operable condition.

The kitchen has two mesh safety gates. The safety gate barricades children from accessing the kitchen area from the dinning room and kids area. Applicant stores over the counter medication in a kitchen cabinet on a top shelf that has a safety latch preventing access. Sharp utensils are stored in a cabinet above the refrigerator. LPA observed a fully charged 3 A 40 B:C fire extinguisher located under the kitchen sink. The home has 2 additional fire extinguisher that are up to standards (3A 40 B:C) fully charged, located in the garage and outside play area. The first aid kit is located on the kitchen counter top. There is an additional first aid kit in the garage. LPA observed the Parent board located on the kitchen wall next to the kids area. LPA observed the Parent Board with the required documents according to Title 22 Regulations required postings.

LPA inspected the kids area. LPA observed age-appropriate safe toys, play equipment and learning materials. The fireplace is screened and has safety latches to prevent access. There is a combined Smoke/Carbon Monoxide detector located on the wall, LPA tested detector and found it to be in operable condition. LPA observed one play yard and 6 cots for napping in connecting living room area. There is a safety gate preventing access.

The home is clean and orderly with central air/heating and ventilation for safety and comfort. Applicant stated living room area will be used to separate children that develop illness or signs of sickness.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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: HARASIS FAMILY CHILD CARE	FACILITY NUMBER: 197495134
	VISIT DATE: 11/17/2022

NARRATIVE

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Applicant has a working cell phone and will ensure the cell phone remains at the facility during operating hours.

Applicant will provide food for children. Applicant stated if children have allergies to food, parent will be required to provide food. Applicant will ensure that food is labeled if provided by parent.

Applicant stated there are no firearms and no one smokes in the home.

LPA did not observed any prohibited items in the home for example baby walkers, bouncers, Johnny jumpers, trampoline or saucer chairs. LPA provided applicant with a picture posting of prohibited items

LPA inspected all off-limits areas and did not observe any visual safety hazards with the exception of bedroom#3 and hall room cabinet. LPA observed medication and hygiene products in bedroom #3 and hall room cabinet. Applicant placed safety knobs on all off-limit bedroom doors. Applicant placed safety latches on hall room cabinet.

Outdoor play area is properly fenced to prevent access to off limit area that contains gardening tools. The play structure does not have an adequate supply of cushioning (see picture).

Poisons, detergents, cleaning compounds and medicines are stored where they are inaccessible to children in the garage.
Applicant will ensure that licensee shall be present in the home and ensure that children in care are supervised at all times.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: HARASIS FAMILY CHILD CARE	FACILITY NUMBER: 197495134
	VISIT DATE: 11/17/2022

NARRATIVE

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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with [applicant, licensee, or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product 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 their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information , see PIN 22-02-CCP. 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

Applicant will provide pictures of cushioning placed under play yard equipment by 11/28/2022.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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: HARASIS FAMILY CHILD CARE	FACILITY NUMBER: 197495134
	VISIT DATE: 11/17/2022

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	An exit interview was conducted with the plan of corrections that were discussed. A copy of this report was provided to the applicant. Final license determination will be made upon review by the Licensing Program Manager and corrections made.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

LIC809 (FAS) - (06/04)

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