Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370568
Report Date: 11/30/2018
Date Signed: 11/30/2018 01:35:43 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: 8DATE:
11/30/2018
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Colleen DuranTIME COMPLETED:
11:20 AM
NARRATIVE
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Licensing Program Analyst (LPA), Jacqueline Moore met with Licensee/Director Colleen Duran. LPA toured the inside and outside of the facility. Census was taken in the infant room: Eight awake infants being supervised by two staff. 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. This program operates Monday - Friday 6:00AM-6:00PM and ages served 0- 2 years old in the infant Room.
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. The bins had tight fitting covers. The napping area is separated from the activity area and has sufficient infant napping equipment. There were no baby walkers observed on the premises. The changing table is within the arm's reach of a sink. Bottles and dishes are labeled with the current date and children's names. The infants were being supervised in the activity area. There were no napping infants observed. Per the Licensee/Director there are no weapons, firearms or bodies of water in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material around and under high climbing equipment. Staff's files were reviewed for education verification, CPR/First Aid, infant units, Staff had the required mandated reporter training on file and the required immunization's on file for Pertussis and Influenza. Staff #2 did not have the Measles immunization on file. There was carbon monoxide detector present in the infant room during today's inspection.
A sample of children's files were reviewed for completeness of medical assessment, and 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 has an individual feeding plan for each infant and each infant has an infant Needs and Services Plan.
Report is continued on Page 2/ LIC 809 C
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Jacqueline MooreTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2018
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 3
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: 11/30/2018
NARRATIVE
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Page 2/LIC 809C
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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

The following was reviewed and discussed during today's inspection: Child care Advocate Program childcareadvocatesprogram@dss.ca.gov . Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org.A copy of the 2016 “A Child Care Providers Guild to Safe Sleep” was provided to the facility representative. English: https//www.cdph.ca.gov/programs/SIDS/Doucments/SIDSchildcaresafesleep.pdf. Quarterly updates, earthquake preparedness (copy given), never shake a baby (copy given), California Child Passenger Safety Law PUB269 2/18(copy given), and Safe Sleep Practices.

Based on LPAs observation of staff #2 missing Measles immunization the facility will be cited today. The facility was not incompliance with Title 22 Regulations, Division 12 during inspection. See LIC 809D.


An exit interview was conducted with the Licensee/ Director. Report was reviewed and discussed. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The first level appeal is to regional manager, address is above on the report. The Notice of Site Visit was posted. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. This report is to be on file and accessible for public review at the facility for at least 3 years.

Documents/Information to be updated and returned to the Licensing Office;


- Personnel Report (LIC 500)
- Emergency Disaster Plan (LIC 610)
- Designation of Administrative Responsibility (LIC 308)
- Administrative Organization (LIC 309)
- Fire Drill Log
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Jacqueline MooreTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2018
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 11/30/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/28/2018
Section Cited
HSC
1596.7995.(a)(1)
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Employees or volunteers at day care center; immunization requirements; records; exemptions
Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.
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This licensee/director says she will fix this deficiency by having staff #2 bring in measles immunization and will submit a copy to LPA by due date of 12/28/18 via email.
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Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement was not met as evidence that staff #2 did not have Measles Immunization on file during today's inspection. This is a potential health and safety risk to the children in care.
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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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Jacqueline MooreTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2018
LIC809 (FAS) - (06/04)
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