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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004501
Report Date: 05/30/2023
Date Signed: 05/30/2023 12:35:26 PM

Document Has Been Signed on 05/30/2023 12:35 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:HALL FAMILY CHILD CAREFACILITY NUMBER:
198004501
ADMINISTRATOR:HALL, SHELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 321-8977
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: 14TOTAL ENROLLED CHILDREN: 2CENSUS: 0DATE:
05/30/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Shelia Hall, LicenseeTIME COMPLETED:
12:55 PM
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On 05/30/2023 at 9:30 am, Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced annual – continuation from 05/9/2023 inspection at the above facility. LPA met with Shelia Hall, Licensee who guided analyst on a tour of the facility. There were no children present during this inspection. A family member was also present during the tour but left shortly after. LPA advised Licensee to get all family members fingerprinted if they visit often. Licensee is currently doing before and after school care. Current hours of operation are Monday to Friday 5:00am to 10:00 am and then again at 2:00pm to 9:00pm. Saturdays 6:00am to 2:00pm. However Licensee is available 24 hours if needed and understands that she cannot exceed 24 hour care at one time. Licensee states that she will care for children 0 years -18 years of age. LPA discussed overnight care regulations for care and supervision of children in care.

This is a single story home with three bedrooms and three bathrooms. LPA reminded licensee there is no eating or sleeping permitted in the converted garage. Along with the converted garage, the adjacent dining space and the kitchen is where care is mainly provided. All bedrooms are all off limits to children, and 2 bathrooms.. Children use the bathroom located in the converted garage. The living room is only access through passing. There were no accessible detached sheds or wall heater in the home. Licensee was reminded that all rooms that are off-limits need to be made inaccessible when children are present.



Meals and snacks are provided by the Licensee. Licensee was reminded that children who bring food from home must be labeled with the child’s name and properly stored or refrigerated.

Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: HALL FAMILY CHILD CARE
FACILITY NUMBER: 198004501
VISIT DATE: 05/30/2023
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During tour at Smoke and carbon monoxide detectors were not tested. Licensee stated she currently had a dual detector but it has no batteries. Type B was given. Fire extinguisher indicated fully charged and was serviced on 12/12/22. The home maintains telephone service via and cell phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children.

LPA observed that detergents, cleaning compounds and medication are stored in the hallway, inaccessible to children. Licensee understands that all poisons must be lock, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the living room away from the other children.

Currently Licensee does not care for infant. LPA reviewed the following in case Licensee decides to watch infants in the future: napping equipment cannot block entrances or exits. Infant mattresses need to be firm with tightly fitted sheets. No loose objects, bumpers, objects hanging, or objects attached to the play yards or cribs. Each should have their own play yard and bedding. LPA review and left copies of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, and 15 minute sleep check documentation for infants 0-24 months.

Children are using the back yard for outdoor play. LPA did not observe any objects that could be hazardous to children in care. LPA reminded Licensee that when children are using the backyard, visual supervision is required at all times. Per Licensee, children mainly play at Meadows Park. Per Licensee they walk to the park or drive. There is a spa in the backyard. Currently the spa has no water but reminds locked.


Children’s records were reviewed for (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. Staff records were reviewed. Currenlty Licensee did not have proof of current Pediatric First Aid and CPR certification or the Mandated Reporter. Type B was cited.

Licensee was reminded that all adults 18 and over living or working in the home, 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.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
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Document Has Been Signed on 05/30/2023 12:35 PM - It Cannot Be Edited


Created By: Susann Sanchez On 05/30/2023 at 11:47 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HALL FAMILY CHILD CARE
FACILITY NUMBER: 198004501

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. During inspection Licensee was unable to provide proof of a current Mandated Reporter training. Per Licensee, she remembered completing training but does not remeber when. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2023
Plan of Correction
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Per Licensee will complete Mandated Reporter and will submit a copy to LPA via email by POC due date of 06/30/23. Licensee asked LPA to send a refferal for the TSP program.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. During inspection Licensee was unable to provide proof of a current CPR & 1st Aid. Per Licensee, she remembered completing training but does not remeber when. This poses a potential health, safety or personal rights risk to persons in care. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2023
Plan of Correction
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Per Licensee will complete in person CPR & 1st Aid and will submit a copy to LPA via email by POC due date of 06/30/23. Licensee asked LPA to send a refferal for the TSP program.
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:Valarie Cook
LICENSING EVALUATOR NAME:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2023


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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: HALL FAMILY CHILD CARE
FACILITY NUMBER: 198004501
VISIT DATE: 05/30/2023
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There are no pets on the premises. Consult was given regarding technical support program (TSP).

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations with licensee 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 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. f you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program websitewww.cdss.ca.gov/inforesources/community-care-licensing/process

At 12:11pm, Licensee found batteries and was able to test smoke and carbon monoxide detectors. LPA removed deficiencies.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.


Based on the LPA's observations and records review the following deficiency will be cited today in accordance with California Title 22 Regulations. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, S. Hall. Appeal Rights were given and explained.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC809 (FAS) - (06/04)
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