Pre-licensing visit·August 9, 2023

On 8/9/2023 Licensing Program Analyst (LPA) V. Wheatley conducted an announced inspection with applicant for the purpose of a pre-licensing inspection of 23700 Nadir Street, West Hills, CA 91304. The purpose of this inspection is for a relocation license to ensure the standards for a Family Child Care Home are being met in accordance to California Tittle 22 Regulations and California Health and Safety Codes. The home is a two-story house. The parents and children will enter through the backyard from the side street through a gate. The applicant, the applicant's mother Ilex Alexander Komarova and the applicant's cousin Lana Pasechmikova were present. The home is clean, orderly and well ventilated. The home is equipped with central air conditioning and heating. The applicant is applying for a large family child care license with a maximum capacity of 14. The applicant is the owner and provided a copy of the escrow papers with her name. The fire department granted a fire department clearance. Per the application, currently, the ages the applicant wishes to provide services for children 18 months to 12 years old with the hours of 8am to 6pm, Monday through Friday. Applicant was informed that any changes to ages, hours and days of operation shall be submitted to the department for approval prior to initiation of changes. LPA observed 5 bedrooms and 2 bathrooms. The two bedrooms and family room will be used for the day care. The entire upstairs is off-limits and there is a child proof gate at the bottom of the stairs. The dining room in the kitchen will also be used. The kitchen is off-limits. There is a child proof gate at the entrance of the kitchen. LPA observed a screened and locked fireplace in the family room. All electrical outlets are covered. There is a attached garage which is off-limits. The applicant understands the children must be supervised at all times. PAGE 2 The home has central and air condition. LPA observed all electrical outlets covered in the living room and inaccessible. LPA advised applicant to contact their local Resource and Referral Agency and inquiry regarding Food Program options. LPA discuss food preparation, storage and ensuring a log and information regarding dietary restrictions and allergies are kept up to date. The fire extinguisher is located inaccessible the day care. LPA checked the smoke detector and carbon monoxide detector which are (dual) all working properly. CPR/first aid expires November 2023 and the Mandated Reporter Training expires March 2024. According to the applicant, there is one cat on the premises. There are no firearms on the premises. LPA did not observe any bodies of water. LPA observed a clean and safe backyard. The children will play in the grassy area with the paved area only. The other grassy area is off limits and separated by a fence. LPA observed several toys and age appropriate equipment. The following items are required for licensing: 1. Yellow caution tape at the outdoor entrance for the step to prevent injury 2. Proof of ownership emailed to LPA 3. Touch less Thermometer The applicant will be licensed for 14 capacity upon the Department management approval. A fire department approval was received on Exit interview conducted. A copy of the report will be provided to applicant. PAGE 3 The following was discussed with the applicant: Applicant was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State\342\200\231s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP\342\200\231s direct contact information is as followed: Phone number: (916) 654-1541 Email Address: childcareadvocatesprogram@dss.ca.gov Immunizations : Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a childcare facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the inspection. Mandated Reporter Training: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com . Licensee was reminded of their responsibility to report suspected child abuse. Applicant was made reminded that it is the licensee\342\200\231s, as well as anyone who assists in providing care responsibility to know the regulations. Applicant was also encouraged to read the P.I.N.S. and Child Care quarterly updates every season as they come out to stay informed of any changes or updates to statutes and regulations. Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. Applicant was made aware that state law prohibits baby walkers, bouncy seats, exer-saucers and any other items that fall into that category. Applicant was also reminded that only children who are eating may be in highchairs and that car seats are utilized only for transportation. PAGE 4 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 discussed Safe Sleep Regulations with licensee. Cribs and play yards will be kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider will physically check on sleeping infants every fifteen minutes and document any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. 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. The applicant was informed regarding Incidental Medical Services \342\200\223 IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 PAGE 5 *Applicant was also informed that the provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. *Applicant 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. *In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license. A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility. *Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License shall be terminated. (If paying by check please make sure to write facility number on check to ensure that payment is applied to your facility number) *The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked, and batteries should be replaced. *Changes should be reported the to the Department as soon as they occur such as construction and remodeling, telephone number changes and/or if you move from home. *Reporting requirements: Applicant must report any unusual incident or injuries to the Child Care Regional office by telephone within 24 hours and in writing within 7 days. Applicant was provided with LIC 624 as a reference. *Fire and safety drills must be performed every six months and documented for review by the Department. *All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation. *LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov PAGE 6 Mandatory Forms for the children\342\200\231s files and provider\342\200\231s files were discussed . Applicant was referred to LIC 311D: Records To Keep in Your Family Child Care. FORMS TO BE POSTED LIC203 Facility License LIC 610A Emergency Disaster Plan LIC 9148 Earthquake Preparedness Checklist PUB394 Notification of Parents Rights Poster Children\342\200\231s Records Requirements: LIC 700 Identification and Emergency Information LIC 627 Consent for Emergency Medical Treatment LIC 282 Affidavit Regarding Liability Insurance LIC 9150 Parent Notification Additional Children in Care LIC 9166 Consent/Verification for Nebulizer Care CDPH 286 (Immunization Blue Card) with Immunization record PUB 72- Family Child Care Consumer Guide LIC 995A Notification of Parent\342\200\231s Rights LIC 995E Caregiver Background Check Process LIC 9212 Family Child Care Consumer Awareness Information PM 286 California School Immunization Record (blue card)- http://www.dhs.ca.gov/publications/forms/immunization.htm LIC 9224 Acknowledgement of Receipt of Licensing Report, if applicable. Facility Records : LIC 624B Unusual Incident/Injury Report LIC 9040 Child Care Facility Roster LIC 9052 Employee Rights, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse LIC 9149 Landlord Consent Form, if you plan to care for more than 6 for Small or 12 for Large LIC 9151 Property Owner/Landlord Notification Form