198400776-8-9-2023-54-CC-JESA-CUJR9A-20230809124912

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400776
Report Date: 08/09/2023
Date Signed: 08/09/2023 12:49:17 PM

Document Has Been Signed on 08/09/2023 12:49 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	AUSTIN FAMILY CHILD CARE		FACILITY NUMBER:	198400776
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	08/09/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Licensee Nicole Austin		TIME COMPLETED:	01:00 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 8/9/2023 Licensing Program Analyst (LPA) Jeanette Estrada conducted a case management inspection for the purpose of evaluating the facility for a large license. LPA met with Licensee Nicole Austin and informed her of the reason for the visit. The facility provides care to children ages 6 weeks to 12 years old and is open Monday to Sunday 12AM to 11:50PM. Licensee was advised care cannot be provided for a continuous 24 hour period. At this time there are no children enrolled. An approved fire clearance for a capacity of 14 was issued on 7/25/23. This is a one story, 4 bedroom, 2 bathroom home with a living room/ dining room, kitchen, laundry room, enclosed backyard and garage. Per Licensee areas on limits to children are: Living room/dining room, 2 bathrooms, one bedroom used as a daycare room and the backyard. Per Licensee areas off limits to children are: 3 bedrooms (kept locked), kitchen (safety gates prevent access), laundry room(next to kitchen) and garage (only accessed through outside). All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA observed required posted documentation- Facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA discussed the importance of keeping an updated roster (LIC 9040) once children are enrolled. There is an operable carbon monoxide detector and an operable smoke detector in the facility.. LPA observed a 2A10BC Fire Extinguisher in the facility which indicated full and was purchased on 4/25/23. The home maintains telephone service (cell phone/landline). Food may be provided by Licensee or parents may have the option to bring food from home. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. There are toys and other age appropriate materials available for children to use in the day care room. Sharp objects, detergents and cleaning compounds were inaccessible to children in care. Knives are kept in a latched kitchen cabinet, cleaning compounds and detergents are kept in the locked off limits laundry room in an upper cabinet. Personal medication is stored in one of the off limits bedrooms.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: AUSTIN FAMILY CHILD CARE	FACILITY NUMBER: 198400776
	VISIT DATE: 08/09/2023

NARRATIVE

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Per Licensee they plan to administer medication if needed. Children's medication will be kept in an upper kitchen cabinet inaccessible to children in care.
The facility has central air and heating. LPA did not observe any fireplaces or wall heaters in the facility. Children will nap in the living room/day care room and they are provided appropriate napping equipment. Children have access to both restrooms in the facility. Both restrooms have latched cabinets under the sink. Personal items are kept in these cabinets. No medicine or cleaning products are kept in the restrooms. No accessible hazards were observed in the restrooms.
Children have access to the backyard for outdoor play. The backyard is fully enclosed. Per Licensee, children are supervised while playing outside. LPA observed appropriate toys and materials available for children outside. Poisons are kept in the off limits garage. Licensee understands that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in a section of the living room, separated from other children while under adult supervision. Per Licensee, there are no firearms or weapons stored in the home. LPA did not observe any pools or spas, or other bodies of water. There is 1 pet dog in the home which is kept in the off limit area of the home.
Infant Care: Currently there are no infants enrolled. Licensee has 4 play yards available for infants. The following was discussed with the Licensee, napping equipment shall not block entrances or exits, Infants shall not be swaddled in care. Car seats shall not be used for sleeping. LPAs discussed the Safe sleep regulation, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months.
Overnight Care: There is no overnight care provided at the moment. LPA discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
Licensee was advised children's records must contain the following items: (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227 Individual Infant Sleep Plan (Ages 0 to 12 months), 15 minute sleeping logs (Ages 0 to 24 months).
Licensee has completed the required Health and Safety Training, Nutrition Training, Lead training and Pediatric First Aid and CPR which expires 3/2024. Applicant has also completed the required Mandated Reporter Training which expires 10/19/24. Applicant has proof of the required immunization against measles, pertussis and flu. Applicant has submitted proof of TB clearance.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: AUSTIN FAMILY CHILD CARE	FACILITY NUMBER: 198400776
	VISIT DATE: 08/09/2023

NARRATIVE

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Licensee was advised of requirements for an assistant provider. Licensee was reminded that if an assistant provider is not available, the facility must follow capacity requirements for a small license.

LPA 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.

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

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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.

A large family child care license will be granted upon Department approval. Once licensed, the Licensee is required to comply with the terms and limitations stated on the license. Exit interview conducted and report was reviewed with Licensee Nicole Austin. Notice of site visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC809 (FAS) - (06/04)

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