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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191610972
Report Date: 02/04/2022
Date Signed: 02/22/2022 09:57:38 AM


Document Has Been Signed on 02/22/2022 09:57 AM - 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:BARRETT FAMILY CHILD CAREFACILITY NUMBER:
191610972
ADMINISTRATOR:BARRETT, ROSEMARYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 329-1618
CITY:TORRANCESTATE: CAZIP CODE:
90504
CAPACITY:14CENSUS: 4DATE:
02/04/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Rosemary BarrettTIME COMPLETED:
05:00 PM
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On February 4, 2022, Licensing Program Analyst (LPA), V. Wheatley conducted an unannounced Annual Required Inspection and was met by Licensee Rosemary Barrett. The licensee's daughter who is also her assistant was on the premises. The licensee is operating Days and hours of operation are Monday through Friday, 7:15am to 5:30pm. Children enter through the front door and may be picked up at the rear gate.

LPA toured the home inside and outside and a census was taken. LPA observed four (4) day day care children present today. Current facility sketch reviewed and confirmed that the living room and the main bathroom is used for providing care accessible to children. All other rooms are off-limits and made inaccessible. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There is a working fire extinguisher, smoke detector/carbon monoxide combo detector and adequate heating and air condition for safety and comfort. There are no stairs in the home. Safe toys and play equipment are observed. Bedding is kept separate and laundered by the licensee. The home has working telephone service and LPA confirmed the phone number.

LPA discussed Safe Sleep Regulations with licensee. Cribs and play yards will be kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: BARRETT FAMILY CHILD CARE
FACILITY NUMBER: 191610972
VISIT DATE: 02/04/2022
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LPA reviewed children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training expires 9/23/23. Licensee’s pediatric CPR/First Aid expires January 2023. A review of records indicates that all employees and/or volunteers do have immunization records on file for influenza, pertussis and measles.

There is a swimming pool and jacuzzi on the premises. There is a 5 foot high fence around the pool and jacuzzi. The fence has a self-latching gate. LPA tested the gate which is working properly. Per the licensee, the children utilize the pool with adult supervision. The licensee obtains parent's permission from the parents and is certified by the American Red Cross in Water Safety for Parents and Caregivers. Per the licensee, there are no firearms or ammunition on the premises.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

A copy of this report will be emailed to the licensee and will be acknowledged via Read Receipt.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2