195700079-3-24-2023-58-CC-DADS-CQ9287-20230324170948

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700079
Report Date: 03/24/2023
Date Signed: 03/24/2023 05:10:03 PM

Document Has Been Signed on 03/24/2023 05:10 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	ALEXANDI FAMILY CHILD CARE		FACILITY NUMBER:	195700079
ADMINISTRATOR:	RAMONA ALEXANDI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 561-0144
CITY:	BURBANK	STATE: CA	ZIP CODE:	91504
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	03/24/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Applicant Ramona Alexandi		TIME COMPLETED:	05:30 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 3/24/2023 Licensing Program Analyst (LPA), Dalicia Adkins conducted a pre-licensing inspection for a family child care home. LPA met with applicant Ramona Alexandi. There were no other adults in the home at the time of the inspection. The home is clean, orderly and comfortable. All adults in the home have been fingerprinted and associated to the facility. The hours of operation will be 7:00am -7:00pm. Applicant is requesting to have a family child care home with a capacity of 14.

LPA factime LPM during the inspection for further clarification of the application to obtain a family chid care license. The applicant explained that the home was changed from its original built. The applicant applied for the license with the address of 438 Eton Drive. The property also has a home with address 436 Eton. The properties are located on a corner lot. 436 Eton is a 3 bedroom home. 438 was a garage that was demolished and changed to an ADU and the city issued an address of 438 Eton. The applicant resides in the now ADU 438 with her husband and 2 minor children which is a 1 bedroom. The property 436 Eton is under construction. The applicant has informed LPA and LPM once the construction of 436 Eton is completed the applicants mother and 2 minor children will reside in 436 Eton. The home has a pool on the property with an exterior wrought iron walking gate. After entering through the walking gate there is another wrought iron gate that rolls and is locked with a key.The wrought iron gate is 6 feet high and is transparent. Behind the rolling gate is a mesh gate that surrounds the pool. LPA observed a window that overlooks the pool however the mesh gate in in place. The gate for the mesh fence is on the 436 Eton side. Rolling gate has a gap at the bottom (about four inches). The pool does not meet regulation requirements at this time. Applicant has stated she will have the installers to place another bar so the gap will be smaller. The mesh fence has gaps as well and opening on the side, about 16 inches. The mesh gate is five feet, self-latching and self-closing. The gate opens away from the pool, applicant uses a key to lock the pool gate. LPA measured the gaps to be is about 1.5 inches . Applicant stated she will have the installers fix the mesh so the gap is smaller/closed.

Page 1

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 3 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALEXANDI FAMILY CHILD CARE	FACILITY NUMBER: 195700079
	VISIT DATE: 03/24/2023

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
26
27
28
29
30
31
32

The window overlooking the pool applicant will add an alarm so that if/when the window is opened the alarm will sound.

The applicant was informed of ADU and licensing for purposes of day care will be elevated to upper management. Applicant will will submit all approved permits for the ADU to LPA via email. LPA observed a tarp for shade next to a chain link fence. The chain link fence has a gap. Applicant has stated she will have her husband fix the fence so the gap is smaller/closed.

The department awaits the Burbank fire clearance.

The single family home with one bedroom and bathroom. Facility sketch submitted and areas on facility sketch identified. These areas were inspected by LPA. The bedroom will be off limits and is made inaccessible by locked doors and child safety lock. Applicant owns the home. Applicant provided proof of control of property. The children will nap and eat in the main living space. The children will use cots for napping. Children will utilize the back yard for outdoor play/activities. LPA observed large tree to provide shade for children.

LPA inspected the bathroom and did not observe any medications or poisons that could pose a potential risk to children in care. The kitchen was inspected during the visit. LPA did not observe any knives or sharp objects, detergents or cleaning supplies that would pose a potential risk to children in care. LPA observed child safety gate around the kitchen area. These items were made inaccessible to the children. LPA observed a charged fire extinguisher (2-A:10-B:C). LPA tested the smoke detector and carbon monoxide detector. Applicant has a first aid kit which includes band aids and a thermometer. The home has central air and heat. The applicant will place a cot near the bathroom and it will be used as the isolation area for ill children.

LPA observed age appropriate toys, furniture and activities for children while in care at the facility. The outside play area is gated all around. LPA advised applicant to place a safety .

Page 2

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023

LIC809 (FAS) - (06/04)

Page: 8 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALEXANDI FAMILY CHILD CARE	FACILITY NUMBER: 195700079
	VISIT DATE: 03/24/2023

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
26
27
28
29
30
31
32

There are no firearms on the premises. LPA did not observe any baby walkers, saucer chairs, trampolines, or bouncers. Per licensee there will not be any pets at the center.

The following corrections were discussed with applicant in order for the home to be ready for conducting child care:

1. Gapping in mesh gate/ opening on side of mesh gate
2. Gapping under wrought iron gate
3. Window overlooking the pool
4. Property Permit
5. Fire clearance is pending

A license to operate a Large Family child care home will be reviewed following final administrative review, and receipt of outstanding corrections needed. No license will be issued today 3/24/2023. Applicant will notify LPA when corrections are made. LPA took pictures of the home inside and outside.

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

LPA discussed the safe sleep regulations with applicant 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 applicant 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.

page 3

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023

LIC809 (FAS) - (06/04)

Page: 7 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALEXANDI FAMILY CHILD CARE	FACILITY NUMBER: 195700079
	VISIT DATE: 03/24/2023

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
26
27
28
29
30
31
32

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

LPA discussed Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. LPA proved license with a copy of LIC 311E. LPA discussed safe sleep regulations, copy of individual infant sleeping plan( LIC 9227) given. LPA discussed safe sleep wellness check, a copy of 15 minuet checklist given. Entrance Checklist (LIC 926) was provided to the applicant.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the applicant Ramona Alexandi

page 4

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023

LIC809 (FAS) - (06/04)

Page: 9 of 9