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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845568
Report Date: 07/20/2022
Date Signed: 07/20/2022 06:32:28 PM

Document Has Been Signed on 07/20/2022 06:32 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:COX FAMILY CHILD CAREFACILITY NUMBER:
334845568
ADMINISTRATOR:COX, LANDUS & HANNEAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 447-9601
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
07/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:43 PM
MET WITH:Licensee Landus Cox & Hannea CoxTIME COMPLETED:
06:45 PM
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On 07/20/2022 at 12:43 PM, Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct an annual inspection. LPA was greeted by Employed Staff 1 and Staff 2 identified on the confidential names list and granted entry to tour the facility inside and out. Staff 2 stated that the licensees Hannea Cox and Landus Cox, were just around the corner and would be able to provide the records. At approximately 12:58 PM, the licensees Hannea Cox and Landus Cox, arrived at the facility. LPA requested to review the facility records and children’s records., and observed and/or discussed the following: Present were the licensees, 2 staff, 1 professional educational contractor. At 2:12 PM the LPA S.Brewer, exited the facility for a short break and resumed the inspection at 2:27 PM.

Normal days and hours of operation are Monday- Friday, 4:00 AM to 8:00 PM

OFF-LIMIT AREAS INCLUDE: 1st Floor Bedroom, Garage and Entire 2nd level.

The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains except what's noted in the LIC809D page of the report.

The facility is operating within the licensed capacity and appropriate ratios. At 12:45 PM, LPA took a census of 9 daycare children present, 2 residential minors between the ages of 10 and 12; At 2:27 PM, LPA conducted a 2nd census of 10 daycare children present, 1 added.

· The Licensee is present in the home and has ensured that children in care are supervised.


· When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children.
· A working telephone is present on 07/20/2022.
· Appropriate fire extinguished, smoke detector and carbon monoxide detector are present and were tested by the Licensee during this inspection on 07/20/2022.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2022
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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: COX FAMILY CHILD CARE
FACILITY NUMBER: 334845568
VISIT DATE: 07/20/2022
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· All hazardous items indoors are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children.
· Storage of poisons are NOT inaccessible to children in the backyard. At 2:39 PM the LPA observed an unlocked storage shed in the outdoor activity area, which is a newly installed unit and contained project materials, paint, bug repellants. Children were not observed to be present in the outdoor activity at that time.
· There is a properly barricaded fireplace on 07/20/2022.
· No guns or weapons present as stated by the Licensee. Licensees Hannea Cox and Landus Cox, understand all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Stairs are barricaded at this time on 07/20/2022.
· Home is clean and orderly, with heating and ventilation for safety and comfort
· Safe and appropriate toys and equipment are present for both indoor and outdoor activities. LPA observed 2 trampolines in the outdoor activity area. A statement for the trampolines will be obtained from the licensees.
· Outdoor play areas are fenced and/or appropriate supervision is present.
· Verification of control of property is verified by mortgage statement.
· Pediatric CPR and First Aid Card expires expire: 03/2023 -Landus Cox and 08/2022-Hannea Cox
· Health & Safety Certificate - completed on 09/23/2018 for Landus Cox and Hannea Cox.
· Mandated reporter General certificates: NOT ON FILE Child Care Expires: 10/2023 for Hannea Cox & Expired on 10/2020 for Landus Cox.
· Fire clearance: 08/24/2020
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 07/08/2022 at 3:59 PM, with 10 children present, 3 adults.
· There are no bodies of water on 07/20/2022. Licensees Hannea Cox and Landus Cox, understand all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Clean, safe and age appropriate toys on 07/20/2022
· Children’s files are complete on 07/20/2022.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: COX FAMILY CHILD CARE
FACILITY NUMBER: 334845568
VISIT DATE: 07/20/2022
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· Staff files are NOT complete Staff 1 employee 11/2021 is missing the Mandated Reporter Training certificates and Staff 2 employed in 02/2022 is missing the Mandated Reporter Training Certificates and proof of immunizations for MMR, Tdap. Both Staff 1 and 2 were present and supervising children in care.

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.

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. The LPA S.Brewer, discussed IMS services with the licensees Hannea and Landus Cox, who stated they have recently enrolled two children that will require Incidental Medical Services and agree to put together a plan for Child 7 and 10, on confidential names list, and submit to community care licensing for review and approval.

Licensees Hannea Cox and Landus Cox were 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.

LPA Susan Brewer, discussed the safe sleep regulations with licensees Hannea Cox and Landus Cox 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 re-called 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.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: COX FAMILY CHILD CARE
FACILITY NUMBER: 334845568
VISIT DATE: 07/20/2022
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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. If you have any questions regarding the process or tools, please send them by email to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A Type B citation was issued on 07/20/2022, See LIC809D page of report.

No civil penalty was assessed on 07/20/2022.

A notice of site visit was given and must remain posted for 30 days.

LPA S.Brewer, conducted exit interview and report was reviewed with the licensees Hannea Cox and Landus Cox.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/20/2022 06:32 PM - It Cannot Be Edited


Created By: Susan Brewer On 07/20/2022 at 05:37 PM
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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: COX FAMILY CHILD CARE
FACILITY NUMBER: 334845568

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on a record review for Staff, the licensees Hannea Cox and Landus Cox, did not comply with the section cited above where Staff 2, present and caring for children did not have proof of the MMR and Tdap vaccinations which poses a potential risk to the health, safety or personal rights risk to persons in care.
POC Due Date: 07/27/2022
Plan of Correction
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The licensees Hannea Cox and Landus Cox, agree to provide proof of immunizations for Staff 2, employed as of 02/2022, and submit proof by photo to the deparment via e-mail, fax or mail. The licensees agree to submit a statement of understanding the importance of the requirements for staff to be immunized and provide proof of immunizations prior to employement.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Pauline Beschorner
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2022


LIC809 (FAS) - (06/04)
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