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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494837
Report Date: 02/06/2025
Date Signed: 02/06/2025 12:24:03 PM

Document Has Been Signed on 02/06/2025 12:24 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:VHANAKAWARE FAMILY CHILD CAREFACILITY NUMBER:
197494837
ADMINISTRATOR/
DIRECTOR:		MAYURA VHANAKAWAREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(937) 707-3168
CITY:HARBOR CITYSTATE: CAZIP CODE:
90710
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/06/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Mayura Vhanakaware, LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On 02/06/2025, Devon Carus & Adrian Risher Licensing Program Analysts (LPAs) conducted a subsequent visit to deliver the findings for an Unusual Incident Report (UIR) reported to the department by the licensee.

A full investigation was conducted by Investigator Veronica Padilla of the Department’s Investigation Bureau regarding a child that was injured at the facility.

The incident occurred at a prior licensed family childcare home licensed by the same provider(1974 94837). However, since the incident the licensee relocated to where she is currently providing care.

Based on the evidence obtained during the investigation, which included interviews with relevant parties, relevant documentation obtained to include medical records there is a preponderance of the evidence, to show that the allegation occurred, therefore the above allegation is substantiated.

A child in care sustained a fractured leg when the licensee did not use care on placing a child in a crib for a nap. Based on the child’s age the crib was not age-appropriate which is a personal rights violation and led to lack of supervision by the licensee when she did not check on the child timely to ensure child had not sustained any injuries and was free from pain. This is an immediate risk to the health & safety risk for children in care and a Type A violation. A $500.00 civil penalty will be assessed for lack of timely care & supervision.

The civil penalty is being assessed on the Harbor City address for the record. This location is where the incident occurred.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VHANAKAWARE FAMILY CHILD CARE
FACILITY NUMBER: 197494837
VISIT DATE: 02/06/2025
NARRATIVE
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Upon receipt of this report, the Licensee shall post the Notice of Site Visit (LIC 9213) and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224) form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

Exit interview was conducted and a copy of the report was provided. Appeal rights were reviewed and provided.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/06/2025 12:24 PM - It Cannot Be Edited


Created By: Adrian Risher On 02/06/2025 at 10:45 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VHANAKAWARE FAMILY CHILD CARE
FACILITY NUMBER: 197494837

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/14/2025
Section Cited
CCR
102423(a)(2)

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102423 (a) (2) Personal Rights
(a) Each child receiving services from a family childcare home shall have certain rights...These rights include... (2) To receive safe, healthful, and comfortable accommodations, ... and equipment. This requirement was not met as evidenced by
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Licensee will watch a video on Care Supervision & Personal Rights https://ccld.childcarevideos.org/family-child-care-providers/ no later than 02/14/2025.
Licensee is required to take the online FCC Orientation & explain in writing what she learned & submit the certificate no
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A child sustained a fractured leg when the licensee did not carefully place the child in a crib. Licensee did not check on child timely to render aid. Licensee did not utilize age-appropriate napping equipment for the child. This is an immeditate health & safety risk for children in care.
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 later than 2/14/2025. The Department will hold a virtual meeting with licensee to discuss the seriousness of the deficiencies & an additional plan of action. Licensee will be notified of the date of meeting.
Type A
02/14/2025
Section Cited
CCR1024117(a)

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1024117 (a) Operation of a Family Childcare Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times…. This requirement was not as evidenced by:A child sustained a fractured leg when licensee did not use care on placing a child in
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Licensee will watch a video on Care Supervision & Personal Rights https://ccld.childcarevideos.org/family-child-care-providers/ no later than 2/14/2025.
Licensee is required to take the online FCC Orientation & explain in writing what she learned & submit the certificate no
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a crib for a nap.Based on the child’s age the crib was not age-appropriate which is a personal rights violation and led to lack of supervision when licensee did not check on child timely to ensure child was free from pain. This is a health & safety risk for children in care.
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 later than 2/14/2025. The Department will hold a virtual meeting with licensee to discuss the seriousness of the deficiencies & an additional plan of action. Licensee will be notified of the date of meeting.
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:Maureen Neal
LICENSING EVALUATOR NAME:Adrian Risher
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2025


LIC809 (FAS) - (06/04)
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