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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418165
Report Date: 11/30/2021
Date Signed: 12/01/2021 05:00:59 PM

Document Has Been Signed on 12/01/2021 05:00 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BINDER FAMILY CHILD CAREFACILITY NUMBER:
197418165
ADMINISTRATOR:BINDER, PATTIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 469-2787
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 11DATE:
11/30/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Patty BinderTIME COMPLETED:
12:45 PM
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On 11/30/2021 at 9:30 am Licensing Program Analyst (LPA) Judy Laureano conducted an announced inspection with licensee, Patti Binder for the purpose of an increase of capacity inspection for 12511 Rosy Circle, Los Angeles, CA 90066. The purpose of this increase of capacity visit 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. A fire clearance was approved by LA County Fire Department on 9/21/2021.

The applicant rent/leases the property with children and husband. Both children are away at college. Landlord consent was received and filed.

The capacity of the Large Family Child Care Home is 14. Per the application, at this time, the ages the applicant wishes to provide services for are children 2.6 years old to 6 years old with the hours of operation of Tuesday Friday from 9:00 a.m. to 1:30 p.m. 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.

The home is a two-story home with the 1st floor designated for day care use only and the 2nd story designated as OFF LIMITS to the children in care. The home consists of 4 bedrooms and two bathrooms upstairs and one bedroom, living room with fireplace, dining room, kitchen, laundry room and family room with a sliding door that leads to the backyard designated for day care. The home does have an attached garage that is designated as OFF LIMITS to the children in care.

Parents access the home through the front door, LPA observed a safety gate in the

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2021
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BINDER FAMILY CHILD CARE
FACILITY NUMBER: 197418165
VISIT DATE: 11/30/2021
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doorway ensuring the safety of the children. The living room was observed to have a gated fireplace and age appropriate materials. Children’s cubbies with a variety of toys, blocks and other materials were observed. LPA observed the pull alarm in the living room next to the children’s cubbies.

Next to living room the kitchen was observed. The stove, refrigerator, sink and counter space area were observed and inspected. Knifes and sharp object were observed to be made inaccessible to the children in care. Applicant confirmed that facility will be providing meals and snacks. LPA discuss food preparation, storage and ensuring a log and information regarding dietary restrictions and allergies are kept up to date. As a COVID precautions, LPA advised applicants to use disposable paper goods. LPA observed a Fire Extinguisher and Fire Drill log next to the pantry closets. LPA observed applicant test the fire alarm and carbon monoxide alarm inside the kitchen.

Next to kitchen, a family room/day care room was observed to have children’s size table and chairs. LPA observed age appropriate materials. Next to the family room/day care room, LPA observed the laundry room that has been designated as OFF LIMITS to the children in care. Licensee confirmed that the door is always locked, and only staff has access to the room. LPA observed a safety gate and lock making the area in accessible. LPA observed a door in the laundry room that LPA observed a door that leads to the back yard.
Outside the kitchen LPA observed a closet use to store program materials. LPA advised applicant to move the hand soap and sanitizer to a higher shelve to ensure is inaccessible to the children in care.

The bathroom that children will use was observed and inspected. A toilet, children’s size portable toilet, bathtub/shower and cabinets were observed. All electrical outlets were covered. Cabinets under the sink was observed to have extra supplies for the bathroom. LPA discussed COVID-19 precautions such as using paper towels in the bathroom and ensuring that high traffic areas are cleaned in between uses.

Next to the bathroom, LPA observed Bedroom 1/office space, designated OFF LIMITS. A safety gate was observed making the space inaccessible. The bedroom/office was observed to have a closet that leads to the attached garage. Both doors were observed to be locked.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BINDER FAMILY CHILD CARE
FACILITY NUMBER: 197418165
VISIT DATE: 11/30/2021
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A staircase with a safety gate at the bottom of the stairs was observed across from the kitchen. LPA observed the 2nd floor. Licensee confirmed that the 2nd floor is OFF LIMITS to the children in care. LPA advised licensee to ensure that doors are maintained closed and locked as an added precaution and to always ensure the safety gate is always placed at the bottom of the stairs.

Backyard has been designated for the use of the day care. LPA observed a playhouse with a variety of age appropriate toys. Licensee confirmed that children eat outside, weather permitting.

No corrections were observed during today’s inspections. Exit interview was conducted with applicants Patti Binder. The licensing determination of this application will be reviewed with Licensing Program Manager for final resolution.

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’s 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’s direct contact information is as followed: Phone number: (916) 654-1541 Email Address: [email protected]



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.

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.

LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BINDER FAMILY CHILD CARE
FACILITY NUMBER: 197418165
VISIT DATE: 11/30/2021
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Mandatory Forms for the children’s files and provider’s 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’s 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’s 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
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BINDER FAMILY CHILD CARE
FACILITY NUMBER: 197418165
VISIT DATE: 11/30/2021
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LPA also informed Licensee, Patti Binder, 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

· 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.

· Fire and safety drills must be performed every six months and documented for review by the Department.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
LIC809 (FAS) - (06/04)
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