191604096-8-5-2021-54-CC-SSAZ-C5LS6B-20210805133539

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191604096
Report Date: 08/05/2021
Date Signed: 08/05/2021 01:35:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MAYS FAMILY DAY CARE		FACILITY NUMBER:	191604096
ADMINISTRATOR:	MAYS, BOBBIE J.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 538-8336
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY:	12	CENSUS: 7	DATE:	08/05/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:53 AM
MET WITH:	Bobbie Mays, Licensee		TIME COMPLETED:	01:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced random inspection to the above facility. LPA met with Bobbie Mays, Licensee who guided analyst on a tour of the facility at 11:55am The licensee states that she currently has 13 children enrolled. There were seven children with Licensee and assistant present during inspection. Hours of operation are Monday to Sunday from 6:00 AM to 11:59 PM. This is a 2 story home which consists of 4 bedrooms, 4 bathrooms, kitchen, dining room, living room, day care room, garage, backyard, side yard. The children use a large enclosed family room (with bathroom) and sideyard for daycare. They enter and exit out the side entrance so every other part of the house is inaccessible. They do not use the garage for daycare. Per licensee, areas off limits to children and parents include: dining room, kitchen, living room, 4 bedrooms, 3 bathrooms, and backyard. The LPA toured all areas used by children during this visit. All areas used by children were inspected for safety, comfort, cleanliness, ventilation and heating (central). The licensee states that there are no poisons in the home. The licensee understands that any poisons must be locked with a key or combination lock. Detergents, cleaning compounds, medicines, sharp objects were are inaccessible. Per licensee, there are no weapons, firearms or bodies of water on the premises. There are appropriate toys observed for children. Fireplaces and open face heaters are inaccessible to prevent access by children. Fireplace is inaccessible and it is located in a off- limit area. The valve on the required 2A 10BC fire extinguisher indicates fully charged. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Carbon monoxide detector and smoke detector were tested and are operable. All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. Last drill conducted was on 07/19/2021. The licensee's Pediatric First Aid and CPR expires on 12/10/22. There are first aid supplies available.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAYS FAMILY DAY CARE	FACILITY NUMBER: 191604096
	VISIT DATE: 08/05/2021

NARRATIVE

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The home is observed to be clean and orderly. There is heating and ventilation for safety and comfort. There are toys available for children in the day care room. The licensee states that a cell phone is used for the daycare, and stays at the facility during operating hours.

The outdoor play area was observed to be fenced. Per licensee, children play in the sideyard for outdoor play.

The licensee is observed to be operating within the license capacity limitations. Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all the information specified by regulation.

H&S 1597.622: 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. The licensee does have proof of immunization against influenza, pertussis, and measles.

PETS: There are no pets on the premises.
POSTING REQUIREMENTS: Emergency Disaster Plan, Parent’s Rights Poster, Car Seat Law, and the Facility License are observed to be posted in the day care room.
PROHIBITED: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that falls into these categories are not permitted in a family child care facility. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME. **DO NOT SLEEP INFANTS IN CAR SEATS.**

Infant Care: Licensee states that she is currently not caring for infants but will in the future if one comes along.. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room. The licensee stated the following as a supervision plan for infants: Licensee states that infants sleep in the day care room. LPA provided the licensee with a copy of the Child Care Pro. LPA consulted and explained Child Abuse Reporting, Updated Patent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices. Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS. PIN 20-24 was given and explained. LPA also provided a copy of LIC 9227 and a Infant Sleeping Log.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAYS FAMILY DAY CARE	FACILITY NUMBER: 191604096
	VISIT DATE: 08/05/2021

NARRATIVE

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Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/ Licensee has proof of Mandated Reporter Training, and expires on 06/07/2022.

LPA discussed Department of Public Health, Early Care and Education Guidance COVID-19 recommendations. Per Licensee she is still following COVID19 guidelines and uses best practice.

Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (use LIC624B for written report). Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative, Robin Henderson. Failure to maintain posting as required will result in a civil penalty of $100.00. Appeal rights were given and explained.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

LIC809 (FAS) - (06/04)

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