Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370568
Report Date: 12/08/2015
Date Signed: 12/08/2015 03:43:28 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:COLLEEN'S CUDDLE BUGS CHILD CAREFACILITY NUMBER:
304370568
ADMINISTRATOR:DURAN, COLLEENFACILITY TYPE:
830
ADDRESS:2100 EAST LAMBERT ROADTELEPHONE:
(562) 266-1300
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:10CENSUS: 6DATE:
12/08/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:Stefanie JaramilloTIME COMPLETED:
04:15 PM
NARRATIVE
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(3) An unannounced Random/Annual visit was conducted today by Licensing Program Analyst (LPA), Rina Lopez, who met with Assistant Director, Stefanie Jaramillo. Census was taken inside the infant room, there were 2 staff with 6 infants in care upon LPA's arrival, two of the infants were napping and the other four infants were awake and were being supervised by both staff, leaving the napping infants unattended. Director, Colleen Duran arrived during visit.

A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.



The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture was inspected to ensure it’s in good condition, free of sharp, loose or pointed parts. Toilets and sinks were inspected to ensure they are in safe and in a sanitary operating condition; floors were inspected for safety and cleanliness. The kitchen was inspected for cleanliness, free of rodents/vermin, appropriate storage of food, and verification of posted menus. There are no weapons, firearms or bodies of water in the facility. Fireplace was screened. The playground was inspected for safety, good condition including appropriate cushioning material around and under high climbing equipment.

Staff files were reviewed for education verification, CPR/First Aid for at least one staff. A sample of children's files were reviewed for completeness of admission agreement, verification of sign in/out including time the child was signed in/out by authorized representative as well as verification of representatives full legal signature.
The facility was not in compliance and violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed and cited at the time of the visit. (See LIC 809-D for specific deficiencies).
SUPERVISOR'S NAME: Marian WallmeierTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Rina LopezTELEPHONE: (714) 703-2824
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2015
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: COLLEEN'S CUDDLE BUGS CHILD CARE
FACILITY NUMBER: 304370568
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2015
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/18/2015
Section Cited
101438.3(c)(1)
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Indoor Activity Space for Infants. The sleeping area for infants shall be physically separate from the indoor activity space.
During nap time, LPA observed two infants napping on cots in the activity area while there was one infant whom was awake.
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Licensee will send a plan of correction letter stating that infants will nap inside the napping area.
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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: Marian WallmeierTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Rina LopezTELEPHONE: (714) 703-2824
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2015
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: COLLEEN'S CUDDLE BUGS CHILD CARE
FACILITY NUMBER: 304370568
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2015
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/09/2015
Section Cited
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants. In addition to Section 101229, the following shall apply:
Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.
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LPA informed infant staff as well as Director, Colleen Duran that staff needs to be inside the infant napping area whenever there are infants napping.
Director will send plan of correction letter stating how the facility will comply with supervision of napping infants.
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During today's visit, LPA observed two infants napping inside the napping area while two staff were supervising 4 awake infants, leaving the napping infants unattended.
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In accordance with the California Health and Safety Code Section 1596.99(c), you are hereby notified that an immediate $150 civil penalty per violation, followed by $150 per day per violation will be assessed until corrected.
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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: Marian WallmeierTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Rina LopezTELEPHONE: (714) 703-2824
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2015
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: COLLEEN'S CUDDLE BUGS CHILD CARE
FACILITY NUMBER: 304370568
VISIT DATE: 12/08/2015
NARRATIVE
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“Upon receipt of Type A violations, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day, and to the parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file.”

An exit interview was conducted with Assistant Director, Stefanie Jaramillo. Plan of correction was discussed, and appeal rights were explained and printed on the back of this report. All appeals must be in writing and received by the licensing office within 10 days.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. The NOTICE must remain posted for 30 days. FAILURE TO POST ANY OF THE REQUIRED SITE VISIT REPORTS FOR 30 CONSECUTIVE DAYS WILL RESULT IN AN IMMEDIATE CIVIL PENALTY OF $100.
SUPERVISOR'S NAME: Marian WallmeierTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Rina LopezTELEPHONE: (714) 703-2824
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2015
LIC809 (FAS) - (06/04)
Page: 4 of 4