198002034-3-30-2023-54-CC-MAYA-CQERH8-20230330130157

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198002034
Report Date: 03/30/2023
Date Signed: 03/30/2023 01:02:11 PM

Document Has Been Signed on 03/30/2023 01:02 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	GLENN,NORMA FAMILY DAY CARE		FACILITY NUMBER:	198002034
ADMINISTRATOR:	GLENN, NORMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 420-1315
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90713
CAPACITY:	14	CENSUS: 3	DATE:	03/30/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Licensee, Norma Glenn		TIME COMPLETED:	01:15 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 March 30, 2023 at 11:30 AM, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Licensee, Norma Glenn. The purpose of the inspection was to conduct the Required - 1 Year inspection. The operating hours of the facility is Monday through Friday from 6:00 AM to 5:30 PM. Entrance Checklist (LIC 126) was provided to the Licensee upon arrival. Individuals residing in the home were discussed and noted. At the time of the inspection, 3 children were present. Licensee guided LPA on a tour of the inside and outside of the home. This facility is a single family home that consists of 2 bedrooms, 2 bathrooms, living room, dining room, family room, kitchen, laundry area (adjacent to kitchen), detached garage, detached workshop, fenced front yard, fenced driveway, and fenced backyard. Areas that are accessible to children include: the living room, dining room, kitchen, laundry area, 1 bathroom, and fenced driveway. Per Licensee, the children utilize the fenced driveway for outdoor activity. Areas off-limits to children include: 2 bedrooms, 1 bathroom, family room, detached garage, detached workshop, gated front yard, and gated backyard. LPA observed the bedroom doors closed and child safety knobs placed on the doors to prevent access to areas that are off-limits to children. LPA observed the door leading into the family room, closed, locked and a child safety knob installed making the room and 1 bathroom inaccessible to children in care. LPA observed the garage door closed and locked making the area inaccessible to children. LPA also observed gates that were closed and locked, making the front yard, back yard, and detached workshop inaccessible. The Licensee was advised that off-limit areas must be made inaccessible during operating hours or while children in care are present.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GLENN,NORMA FAMILY DAY CARE	FACILITY NUMBER: 198002034
	VISIT DATE: 03/30/2023

NARRATIVE

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The following documents were posted in a prominent, publicly accessible area: Facility License, Notification of Parents' Rights (PUB 394), Earthquake Preparedness (LIC 9148), Emergency Disaster Plan (LIC 610A), Verification of Disaster and Fire Drills, and Facility Roster (LIC 9040).

Areas used by children were inspected for safety, comfort, heating, cleanliness and telephone service. The facility has central air and heating. The home does not have a fireplace or any wall heaters. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are made inaccessible. Per Licensee, there are no poisons kept in the home. Licensee was advised that if any poisons are purchased, it is required to be locked with a key or combination lock.

Per Licensee, there are no firearms, weapons or bodies of water on the premises. LPA observed a water fountain located in the front yard. The water fountain is empty and did not contain any water. The water fountain is located in a gated area that is inaccessible to children in care. Licensee has 3 dogs and birds that are isolated from children in care.

LPA observed age appropriate toys and napping equipment for children. LPA observed electrical outlet covers throughout the home. LPA observed the required fire extinguisher (2:A-10:BC or larger) that is fully charged. Licensee was reminded to have the fire extinguisher serviced yearly. Smoke and carbon monoxide detectors were tested and are operable. First Aid kits and emergency supplies are available and located at the entrance of the home.

Licensee stated that she provides snacks and meals to children. Per Licensee, children do not bring food from home. Licensee was informed that if food is brought from the child's home it shall be labeled with the child’s name and properly stored or refrigerated.

Licensee has a current Pediatric First Aid and CPR certification (EMSA-approved, expires October 2023). Licensee has proof of immunization against measles and pertussis. Licensee has a decline declaration for influenza on record, and a TB clearance. Licensee completed the Preventative Health and Safety Practices training on July 30, 2017 and July 24, 2022. Licensee completed the Mandated Reporter (AB 1207) training on July 4, 2022. Licensee was advised that the Mandated Reporter training (AB 1207) must be completed every 2 years and is available at www.mandatedreporterca.com.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GLENN,NORMA FAMILY DAY CARE	FACILITY NUMBER: 198002034
	VISIT DATE: 03/30/2023

NARRATIVE

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LPA conducted a record review of 3 children's files. Based on the file review, the children's records were complete and contained all of the required documents per licensing regulations, including the Individual Infant Sleep Plan (LIC 9227) and documentation for the 15-minute physical checks for sleeping infants.

LPA discussed the safe sleep regulations with Licensee 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 Licensee 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.

This facility provides Incidental Medical Services – IMS. At this time, no children enrolled require medication. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

Licensee 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PINs), Program Quarterly Update Newsletters and other important information communication platforms.

LPA provided assistance to the Licensee on how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GLENN,NORMA FAMILY DAY CARE	FACILITY NUMBER: 198002034
	VISIT DATE: 03/30/2023

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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/inspection-process.

No deficiencies were cited during today's inspection. A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee, Norma Glenn.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

LIC809 (FAS) - (06/04)

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