Facility-requested visit·August 18, 2022

On 8/18/2022 Licensing Program Analyst (LPA) Judy Laureano conducted an announced inspection with applicant Nadia Barsoum for the purpose of an increase of capacity inspection of 7110 Fullbright Avenue, Winnetka, CA 91306. The purpose of this inspection is 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 licensee is applying for an increase of capacity- Large Family Child Care Home license for a max capacity of 14. Per the application, at this time, the ages the applicant wishes to provide services for children ages birth to 12 years old with the hours and days of operations being Monday- Friday from 6:00 a.m. to 9:00 p.m. Licensee 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. Licensee has been licensed as a Small FCCH as of 3/2020. The home is a single family unit with 4 bedrooms with 2 bathroom, living room, dining room, kitchen and play room with a \302\275 bath. LPA reviewed copy of mortage statement reflecting Nadia Barsoum and Youssef Gergis as property owner. Currently living in the home is licensee, husband Youssef Gergis and two adults children, Kerolos Gergis and Marvy Gergis. Parents will access the home through the side entrance door. Entering the home through the side door, you are led to the play room designated as the day care room. LPA observed the room to have age appropriate toys and materials. A parent board was mounted on the side of the wall with all necessary posting. A changing table was observed next to the \302\275 bathroom located in the space. LPA observed a fire pull station next to the mounted television. Fire extinguisher and carbon monoxide and smoke detector were observed and tested. Page 2 All electrical outlets were observed to be covered. LPA observed a storage closet next to the \302\275 bath that has been designated as OFF LIMITS to the children in care. LPA observed the door to have a child proof doorknob cover. LPA observed a refrigerator next to a second exit. Licensee confirmed that program does not provide meals and/or snacks and all meals and snacks are stored in the refrigerator that are brought by the families. The bathroom that children use is located in the daycare space. LPA observed a \302\275 bathroom, a toilet and sink area. The bathroom has 2 steps that children go up in order to use the toilet. LPA observed hand washing signage by the sink area. Three steps that lead to the rest of the home were observed to be barricaded with a children\342\200\231s safety gate. The stairs led to the dinning room and kitchen area. LPA observed 4 pack and plays that licensee uses for napping. A working fire extinguisher and smoke and carbon monoxide detector were observed mounted in the dining room space. The kitchen area was observed and inspected. The stove, sink and counter space area were observed and inspected. Knifes and sharp objects observed to be made inaccessible to the children in care- magnet safety latches on all cabinets. Licensee confirmed that facility does not provide meals and snacks. Licensee uses the refrigerator located in the day care room to store children's snacks and meals. LPA discuss food preparation, storage and ensuring a log and information regarding dietary restrictions and allergies are kept up to date. The living room was observed and designated as OFF LIMITS to the children in care. LPA observed a decorative fire place that licensee confirmed is not in use. LPA requested licensee to complete a declaration-LIC 855 stating the fire place is not working and only a decorative fireplace. The living room was observed to have French doors that led to the back yard- covered patio and pool area. Next to the living room, Bedroom 1 was observed and designated as OFF LIMITS to the children in care. Licensee confirmed that bedroom door remains closed and locked during Page 3 the hours of operations. Next to the kitchen the main entrance of the home was observed. Day care does not use the main entrance to access the home. LPA observed a small hall way that leads to bedroom 2, bedroom 3, the master bedroom and bathroom and a full bathroom. Bedroom 2 and bedroom 3 were observed to have French doors that give access to the back yard. ALL areas have been designated as OFF LIMITS to the children in care. Licensee confirmed that all doors will remain locked during the hours of operations. The outdoor area is access through the daycare room. LPA observed a door that leads to the back yard. Licensee walks the children using the side of the home. The designated area is enclosed and covered with artificial turf. LPA observed a variety of age appropriate materials and children\342\200\231s plastic cars and an age appropriate slide. LPA observed the back yard to be fenced. LPA observed distinct separation between the OFF LIMITS AREA and the outdoor space of the day care. An outdoor covered seating area and decorative fire place were observed in the space next to the designated outdoor day care space. The fire place was observed to be barricade with a glass door. The area is fenced, making it inaccessible to the children in care. LPA observed a pool at the end of the yard. LPA observed the fence to be at least five feet high and fence does not obscure the pool from view. The bottom and sides of the fence comply with Division 1, Appendix Chapter 4 of the 1994 Uniform Building Code. In addition to meeting all of the aforementioned requirements for fences, gates shall swing away from the pool, self-close and have a self-latching device located no more than six inches from the top of the gate. Next to the pool area, LPA observed a covered deck area that has been designated as OFF LIMITS to the children in care. Children do have direct access to the covered patio, pool area or outdoor seating area with outdoor fire place. Licensee submitted a declaration stating that both the fire place located in the living room area and the outdoor fire place are currently not in use and are decorative pieces to the home; decorative fire places. Page 4 The following areas are OFF LIMITS to the children in care: 1. Living Room 2. Bedroom 1, Bedroom 2, Bedroom 3 and Master Bedroom and Bathroom 3. Bathroom in the hallways- main house of the home 4. Main entrance of the home No corrections were needed during today\342\200\231s inspections. Exit interview was conducted with licensee Nadia Barsoum. The licensing determination of this application will be reviewed with Licensing Program Manager for final resolution. 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. Page 5 LPA reviewed with [applicant, licensee, or facility representative] the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children\342\200\231s forms/records, family forms/records, and information to be posted. CHILDREN'S FORMS/RECORDS Children's files must contain the following documents/information: \342\200\242 Parent Notification, Additional Children in Care (LIC 9150), if you plan to care for more than 6 children for a Small Family Child Care Home, or more than 12 for a Large Family Child Care Home. \342\200\242 Copy of document verifying child\342\200\231s enrollment in Kindergarten or K-T. (22 CCR 102421(c)) \342\200\242 Affidavit Regarding Liability Insurance (LIC 282) - This form is required to be signed by each parent of a child in care if you do not have either liability insurance or a bond. \342\200\242 Consent for Medical Treatment (LIC 627) - This document gives you permission by the parent to seek emergency medical or dental care for their child if needed. \342\200\242 Consent/Verification for Nebulizer Care (LIC 9166) - Before a child care licensee or staff person can administer inhaled medication to a child in care, this form must be completed and filed in the child's record and in the personnel file. A separate form must be filled out for each person who administers inhaled medication to the child. \342\200\242 Identification and Emergency Information (LIC 700) - This form must be kept for each child in care and identifies whom to call in an emergency. \342\200\242 Notification of Parents' Rights (LIC 995A) - This form must be given to each parent at the time a child is accepted for care, along with the LIC 995E. \342\200\242 Caregiver Background Check Process (LIC 995E) - This form must be given to each parent at the time a child is accepted for care, along with the LIC 995A. \342\200\242 Family Child Care Consumer Awareness Information (LIC 9212) - This form must be given to the parents of each child in care. \342\200\242 California School Immunization Record (PM 286) or Confirmation of required immunization for children not enrolled in a public or private elementary school - For every infant, toddler, or preschool age child admitted into a Family Child Care Home, the provider must maintain current immunization records. PM 286 can be downloaded from the following website: http://www.cdph.ca.gov NOTE: Personal beliefs statement no longer applies (2015 SB 277). Page 6 \342\200\242 Acknowledgement of Receipt of Licensing Reports (LIC 9224), if applicable. \342\200\242 Blood Glucose Testing Consent (LIC 9222) Must be signed by parent prior to administering test. \342\200\242 Individual Infant Sleeping Plan (LIC 9227) \342\200\223 Must be kept for infants up to 12 months of age. \342\200\242 Sleep Logs \342\200\223 must be kept for infants up to 24 months of age. FACILITY FORMS/RECORDS \342\200\242 Facility files must contain the following documents/information: \342\200\242 Personnel Records as required in Title 22, Division 12, Chapter 3, Section 102416.1, including but not limited to, proof of current pediatric first aid, CPR and preventive health practices certificate, lead poisoning training, mandated reporter training (2015 AB 1207), TB test results, measles, pertussis and influenza/may decline influenza, and documentation of either a criminal record clearance or a criminal record exemption. \342\200\242 Unusual Incident/Injury Report (LIC 624B) - You must use this form and submit it to your local licensing office when reporting any incidents or injuries occurring during day care hours. \342\200\242 Child Care Facility Roster (LIC 9040) - It is required that each child care facility maintain a current roster of children who are provided care. \342\200\242 Notice of Employee Rights (LIC 9052) - This form must be filled out by all employees working in the Family Child Care Home. \342\200\242 Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC 9108) -This form is the Child Care Custodian's acknowledgement of the requirement to report suspected child abuse. \342\200\242 Property Owner/Landlord Consent Form (LIC 9149), if you plan to care for more than 6 children for a Small Family Child Care Home or more than 12 for a Large Family Child Care Home. \342\200\242 Property Owner/Landlord Notification Form (LIC 9151). \342\200\242 Proof of control of property, including but not limited to a copy of your deed, mortgage statement or property tax bill, or lease/rental agreement. \342\200\242 Verification that fire drills and disaster drills are conducted every six months. \342\200\242 Emergency Disaster Plan (LIC 610A) - Evidence satisfactory to the department that there is a fire escape and disaster plan for the facility and that fire drills and disaster drills will be conducted at least once every six months. \342\200\242 Earthquake Preparedness Checklist (LIC 9148) or equivalent, must be attached to the LIC 610A and available to the public. Page 7 INFORMATION TO BE POSTED IN YOUR FAMILY CHILD CARE HOME You are required by law to post the following in your home: \342\200\242 Facility Sketch (LIC 999A) or equivalent sketch \342\200\242 Notification of Parents' Rights Poster (PUB 394) - This poster must be placed in an area of the home where all parents can see it. \342\200\242 Facility License (LIC 203)-Your Family Child Care Home License must be posted in an area of the home where it can be easily seen. \342\200\242 Notice of Site Visit (LIC 9213) must remain posted for 30 days (during the hours that children are in care) after each site visit by a licensing representative. \342\200\242 Any licensing report documenting a type \342\200\234A\342\200\235 citation must be posted for 30 days during the hours that children are in care. \342\200\242 Any licensing report or other document verifying compliance or non-compliance with the Department\342\200\231s order to correct a Type \342\200\234A\342\200\235 deficiency must be posted for 30 days during the hours that children are in care. Licensee 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. Licensee was also encouraged to read the 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. 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. Page 8 LPA discussed the safe sleep regulations with applicant [or facility representative] 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. 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 Centers and the ADA, available at: http://www.ada.gov/childqanda.htm \302\267 Licensee was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides 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 Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed. \302\267 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. \302\267 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. \302\267 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) Page 9 \302\267 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. \302\267 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. \302\267 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. \302\267 Fire and safety drills must be performed every six months and documented for review by the Department. \302\267 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. \302\267 LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov \302\267 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