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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400308
Report Date: 02/13/2024
Date Signed: 02/13/2024 10:27:43 AM

Document Has Been Signed on 02/13/2024 10:27 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RUSS FAMILY CHILD CAREFACILITY NUMBER:
198400308
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
02/13/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sabrina Russ, LicenseeTIME COMPLETED:
10:45 AM
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On 02/13/2024 at 9:00 AM, Licensing Program Analysts (LPAs)Katrina Chicote and Claudia Kam conducted an Unannounced Licensee Initiated inspection to the above facility. Licensee is requesting a capacity increase from a small family child care home capacity 8 to a large family child care home max capacity 14. Upon arrival, LPAs disclosed the purpose of the inspection and was granted entry to facility by Licensee, who provided guided tour of the facility both indoors and outdoors. Adults in the home were discussed and all have criminal record clearance. Also present were two adults (A1 and A2). A1, Licensee’s Assistant, was observed providing care to children at time of inspection. There were three day care children present, which includes one infant, during today’s inspection. Licensee states that there are currently eight children enrolled. The children's roster was reviewed and is current. Per Licensee, the facility’s hours of operation are 7 days a week/24 hours. Licensee states she understands license limitations and she cannot provide care for a child longer than 23 hours. LPA reviewed Overnight Care procedures with Licensee at time of inspection. LPAs observed required postings on bulletin board to the left upon entry. Disaster drill log was also available during today’s inspection, last disaster drill conducted on 08/15/2023. LPAs reminded Licensee of Title 22 requirement to conduct drills every six months.

This is a two-story home which consists of four bedrooms and 2.5 bathrooms, Kitchen, Living Room, Family Room, and Foyer. Areas used by the children include the Foyer (located upon entry), Living Room (located to the left of Foyer), Family Room (located through Living Room), Kitchen (located to the rear of the home), and Half Bathroom (located to the rear of the home through Kitchen). Per Licensee, areas off limits to children and parents include entire upstairs which contains four bedrooms and two bathrooms. LPAs observed that there is an operable baby gate at the bottom of the steps making upstairs area off limits to children in care.
Report Continues - Page 1 of 4
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RUSS FAMILY CHILD CARE
FACILITY NUMBER: 198400308
VISIT DATE: 02/13/2024
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All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. LPAs observed a fireplace in Living Room that has been barricaded making it off limits to children in care. There is a working telephone maintained in the home. At 9:02 AM, LPAs observed Foyer to have child appropriate seating available and learning rug that have been well maintained. There is a variety of age appropriate toys available for children that includes plastic push toys, plastic carts, and infant activity tables that are free of loose and sharp parts available. At 9:04 AM, LPA observed Living Room to have couch available and other age appropriate toys, free of loose and sharp parts. At 9:06 AM, LPAs observed Family Room to have a sectional couch, a television hanging, and to be free of hazards at time of inspection. Per Licensee, Family Room and Living Room are used for napping and LPAs observed pack-n-plays and cots available in Family Room. Licensee understand that when children are napping and/or staying overnight that she must stay on the same floor as daycare children. Licensee states she provides food to children in care and children use Family Room for eating. LPAs observed child appropriate tables and chairs available for children to use for eating through out first floor. At 9:10 AM, LPAs observed Kitchen to be free of hazards and to have operable child safety lock on under cabinet sink where detergents and cleaning compounds are kept and knives to be kept on high shelf in Kitchen making these hazardous items inaccessible to children in at time of inspection. The Licensee states that there are no poisons in the home used to kill vermin. The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the age, size, and abilities of children in care. At 9:14 AM, LPAs observed half bathroom that children will use to have operable toilet and sink, adequate supplies, and to have general area safety and sanitation at time of inspection.

Per Licensee, the children will not have access to backyard area for Outdoor Play at this time. Licensee states she is in the middle of re-organizing and would like to add a swing set in the backyard. LPAs observed backyard has grass and adequate perimeter fencing through-out the yard. LPAs notified Licensee that once she is done with updating the backyard and installing swing set to notify Department and provide photos. LPAs obtained written declaration at time of inspection in regards to children not using backyard at this time.

LPAs did not observe any pets at time of inspection and Licensee confirms she has no pets. Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises, no weapons/firearms and/or bodies of water were observed by LPAs at time of inspection.
Report Continues - Page 2 of 4
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RUSS FAMILY CHILD CARE
FACILITY NUMBER: 198400308
VISIT DATE: 02/13/2024
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At 9:35 AM, LPAs observed the valve on the required 2A 10BC fire extinguisher indicates fully charged with proof of purchase receipt for 01/27/2024. At 9:37 AM, LPAs tested smoke and carbon monoxide detectors which were observed to be in operable condition. Per Licensee, she keeps a large First Aid kit in the backyard shed and immediate First Aid is kept top of the stairs. The Licensee has current Pediatric First Aid and CPR valid until 01/02/2025. Per Licensee, isolation area for sick children is typically the Living Room, where couch is located, but is flexible depending on which room is currently not being used by the children. Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has taken the Mandated Reporter Training completed on 12/30/2022. At 9:50 AM, Children's records and Staff records were reviewed for required forms and logged on LIC 857 and LIC 859.

The following were discussed:
Incidental Medical Services (IMS)
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

Licensee (or facility representative) was reminded that all adults 18 and over living or working in the home, 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.

Rooms that are off-limits need to be made inaccessible during operating hours. NO smoking, NO infant walkers, NO Johnny jumpers, NO saucer chairs, NO incline sleepers and any other item that falls into that category are permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

 Report Continues - Page 3 of 4

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RUSS FAMILY CHILD CARE
FACILITY NUMBER: 198400308
VISIT DATE: 02/13/2024
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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.

The Licensee was advised how to access forms and Regulations online at www.ccld.ca.gov. Licensee was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.



AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: http://www.mandatedreporterca.com/

Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today. Based on LPAs observation on this date and a fire clearance having been granted on 01/17/2024, a large capacity family child care home license will be granted.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Licensee, Sabrina Russ.

Report Ends - Page 4 of 4

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4