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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016368
Report Date: 07/27/2022
Date Signed: 07/27/2022 11:55:46 AM

Document Has Been Signed on 07/27/2022 11:55 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ROPPO FAMILY CHILD CAREFACILITY NUMBER:
198016368
ADMINISTRATOR:ROPPO, ROKINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 768-8402
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
07/27/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Rokina Roppo - LicenseeTIME COMPLETED:
12:10 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced annual random inspection to the above facility. At 9:15am, LPA met with licensee, Rokina Roppo. Also present during this inspection, is Licensee’s assistant. The licensee states that she currently has 2 children enrolled. A current children’s roster is available and is current. Licensee’s hours of operation are 9am-12pm, Monday-Friday.

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, living room, detached garage, front yard and backyard (fenced). Per licensee, the children use 1 bedroom, 1 bathroom, living room, dining room, kitchen, and backyard. Licensee states she wishes to use the garage as a child activity space. LPA reviewed detached garage during inspection and observed it to be clean and free of hazards. Licensee will submit updated facility sketch and will be approved pending Department review. Per licensee, areas off limits to children and parents include: 2 bedrooms, 1 bathroom, and front yard. All areas identified on the facility sketch were inspected. The licensee provides food for children in care.

The licensee states that 1 adult and 1 minor currently live in the home. Persons who live in the home are identified on the attached LIC811. Licensee states that she currently has one assistant. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Per licensee, there are no weapons, firearms or bodies of water on the premises.

PHYSICAL PLANT


At 9:25pm, LPA was lead on a tour of the facility by the licensee. The tour began in the detached garage which is being used for storage space of toys, equipment, and materials at the time of inspection. Per licensee, until the space is approved to be used by children, either the assistant or the licensee will be entering the garage in order to retrieve the items needed. LPA obtained updated facility sketch and statement noting the requested update to the facility.
REPORT CONTINUES PAGE 1 of 4
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ROPPO FAMILY CHILD CARE
FACILITY NUMBER: 198016368
VISIT DATE: 07/27/2022
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LPA observed the back yard area. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are observed to be posted. The outdoor play area was observed to be fenced. At this time, children are using the back yard for outdoor play time. The facility schedule is mainly based outside, weather permitting, and takes place in the backyard. There is a garden area with a table and seats where children enjoy meal time. LPA observed a book corner with cushion seats, a snack prep/group cooking area, circle time area, sand box, table and seats for material use, and a play structure for children to utilize. Per licensee, one of the outdoor areas will be used as an area for an ill child until an authorized representative comes to pick up child.

The tour continued inside the house. There is a bathroom directly to the right upon entry through the backdoor that children will be using. There is a cabinet underneath the sink that has a safety lock on it. The bedroom on the other side of the bathroom is not currently in use but is currently a licensed room that would be used in the event of days requiring indoor schedule. The tour continued through the kitchen. At 9:45am, A fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 03/24/2022, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. LPA observed a child safety lock on the cabinet underneath the kitchen sink, making detergents, cleaning compounds, medications, and other items which could pose a danger are inaccessible to children. Sharp knives were observed to be kept up high above the fridge. There are first aid supplies available. The dining room is adjacent to the kitchen and is used as an office by the licensee. The last room reviewed was the living room which has a fireplace that has been sealed with a safety lock to prevent access by children in care. Smoke and carbon monoxide detectors were tested and are operable. Facility currently does not have nap time due to being a half day session. Mat is available for child who may need to rest. The licensee states that a cell phone is used and stays at the facility during operating hours. The licensee is observed to be operating within the license capacity limitations.

FACILITY RECORDS:


The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 02/2024. Licensee does not have current mandated reporter training, one on file expired 06/18/2021. Licensee states they were unaware that it needed to be completed every two years. A technical Violation is being issued. The 2 staff do not have proof of immunization against pertussis and measles. LPA discussed the state requirement for child care providers. Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all the information specified by regulation.
REPORT CONTINUES PAGE 2 of 4
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
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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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ROPPO FAMILY CHILD CARE
FACILITY NUMBER: 198016368
VISIT DATE: 07/27/2022
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The following was discussed:
-Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately.
-There are no pets on the premises.
-Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that falls into these categories are not permitted in a family child care facility.
-Smoking is prohibited in a license family child care home.

Infant Care: Licensee states that they are not currently caring for infants. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room. LPA provided the licensee with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS. LPA consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices. PIN 20-24-CCP was provided and explained during the inspection.

Incidental Medical Services (IMS):


The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

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



REPORT CONTINUES PAGE 3 of 4
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
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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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ROPPO FAMILY CHILD CARE
FACILITY NUMBER: 198016368
VISIT DATE: 07/27/2022
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LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative.

Exit interview was conducted with Licensee Rokina Roppo, at 11:47am, and Plan of Corrections was reviewed and developed. A copy of the report was provided.



END OF REPORT PAGE 4 of 4
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/27/2022 11:55 AM - It Cannot Be Edited


Created By: Nolan Tcheng On 07/27/2022 at 11:28 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ROPPO FAMILY CHILD CARE

FACILITY NUMBER: 198016368

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on interview and record review, the licensee did not comply with the section cited above in 2 of 2 staff files did not have immunization records for Pertussis and Measles, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/29/2022
Plan of Correction
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Per licensee, licensee and assistant will go to their licensed physician and obtain proof of immunity to Pertussis and measles, and will submit proof to LPA by POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claudia Guangorena
LICENSING EVALUATOR NAME:Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2022


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