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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376615009
Report Date: 05/12/2022
Date Signed: 05/12/2022 12:53:49 PM

Document Has Been Signed on 05/12/2022 12:53 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LEGGE, OLGA FAMILY CHILD CAREFACILITY NUMBER:
376615009
ADMINISTRATOR:LEGGE, OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 463-4854
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
05/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Olga Legge, LicenseeTIME COMPLETED:
01:55 PM
NARRATIVE
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On May 12, 2022 at 10:30 AM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced annual inspection and met with the Licensee Olga Legge. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. There was one child present with the Licensee during the inspection today. The facility is a two story home. The following areas are used for child care: The kitchen, day care room, play room, hallway bathroom, bedrooms #1 & 2 and the backyard. The off limit areas are the entire upstairs and the garage. The operation hours are Monday through Friday from 8:00 AM to 6:00 PM.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements, per LPA observation. The hazardous items were inaccessible to children in care. LPA informed licensee that poisons shall be placed in a storage area and locked at all times. LPA observed toys, play equipment and materials available for the children’s use. The home has a fenced backyard available for outdoor activities of children. The licensee was informed that children shall be supervised during outdoor activities. Licensee stated there are no bodies of water on the premises and LPA did not observe any bodies of water during the inspection. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certification expired in November 2021. The Licensee has the required immunization records. The Licensee does not have the Mandated Reporter Training (AB1207) as per regulations. LPA reminded the Licensee that the Mandated Reporter training shall be renewed every two years. LPA reviewed the children's records. The fire/disaster drills have been maintained. The last fire/disaster drill was conducted on 02/08/2022. The child roster was reviewed and in compliance. See LIC 809-C continuation...
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2022
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LEGGE, OLGA FAMILY CHILD CARE
FACILITY NUMBER: 376615009
VISIT DATE: 05/12/2022
NARRATIVE
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The Licensee currently does not plan on providing IMS to clients. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

The Licensee was reminded that all adults 18 and over living in the home, persons who provide 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 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 discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep web page 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.

LPA reviewed with Licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

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.

The following deficiencies have been cited on page two (LIC 809-D). An exit interview was conducted and the report along with the appeal rights were provided to the Licensee, Olga Legge.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/12/2022 12:53 PM - It Cannot Be Edited


Created By: Marie Hernandez On 05/12/2022 at 12:30 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEGGE, OLGA FAMILY CHILD CARE
FACILITY NUMBER: 376615009

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2022

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 LPA's observation and record review, the licensee did not comply with the section cited above which poses a potential health and safety risk to persons in care. The Licensee did not complete the online mandated reporter training (AB1207) as per regulation.
POC Due Date: 06/03/2022
Plan of Correction
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The Licensee stated she will complete the online mandated reporter training (AB1207) by June 3, 2022 and will submit a copy for the plan of correction to the Licensing Office by June 3, 2022. The Licensee will ensure to renew her certification every two years and prior to the expiration date.
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 LPA's observation and record review, the licensee did not comply with the section cited above in which poses a potential health and safety risk to persons in care. The Licensee's pediatric first aid/CPR certification expired November 2021.
POC Due Date: 06/03/2022
Plan of Correction
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The Licensee stated she will renew her pediatric first aid and CPR by June 3, 2022 and will submit a copy for the plan of correction to the Licensing Office by June 3, 2022. The Licensee will ensure to renew her certification prior to the expiration date.
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:Cynthia Gray
LICENSING EVALUATOR NAME:Marie Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2022


LIC809 (FAS) - (06/04)
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