191805170-11-23-2021-30-CC-KSCT-C93338-20211123165306

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191805170
Report Date: 11/23/2021
Date Signed: 11/23/2021 04:53:21 PM

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:	FREEMAN FAMILY CHILD CARE		FACILITY NUMBER:	191805170
ADMINISTRATOR:	FREEMAN, LISA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 754-8049
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90044
CAPACITY:	14	CENSUS: 6	DATE:	11/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:24 PM
MET WITH:	Lisa Freeman- Licensee		TIME COMPLETED:	05:05 PM

NARRATIVE

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Licensing Program Analyst (LPA) Keyona Scott, conducted an unannounced Annual Required Inspection on 11/23/2021. LPA met with Licensee, Lisa Freeman at 12:38 PM. LPA observed six children in care, which includes one infant. All adults present, residing and working in the home are fingerprint cleared and associated to the facility.

LPA toured the inside and outside of the home. The current facility sketch was reviewed. The home is two story with three bedrooms, two bathrooms, a living room, dining room and kitchen. Licensee confirmed that the converted garage is used as the primary care area. LPA observed play yard crib, age appropriate toys and books in primary care area. The bedroom across from the primary care area is used for napping and eating. Children utilize the bathroom adjacent to the bedroom. The second level of the home is off-limits to children in care and made inaccessible by safety gate at the stairwell entrance. There is no fireplace in the home.

The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Home utilizes portable blade-less fans as a cooling source and portable heaters as a heating source. Home has a working telephone. Hazardous materials in the kitchen and bathroom are inaccessible to children. According to the Licensee, there are no weapons or firearms at the home; None were observed by LPA. There are no pets in the home.

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 11/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021

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: FREEMAN FAMILY CHILD CARE	FACILITY NUMBER: 191805170
	VISIT DATE: 11/23/2021

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The home is equipped with a fully charged fire extinguisher which is at least a 2A:10BC. The home is also equipped with at least one working smoke detector and carbon monoxide detector. There is also a first aid kit equipped in the home. LPA observed Licensee's First Aid and CPR certificate with an expiration date of 01/29/2022. Licensee completed Mandated Reporter training on 01/31/2021. LPA observed required postings posted.

The outdoor play area is located in the backyard, which is fully fenced and free from defects or dangerous conditions. LPA observed a swing set, small children's playhouse set and tricycles. No pools, spas, hot tubs, fish ponds or similar bodies of water were observed during the inspection.

LPA observed current Fire Disaster Drill log. Licensee conducted last fire disaster drill in June 2021.

LPA observed current Child Care Facility Roster of the children enrolled. There are currently eight children enrolled at the facility.

Licensee ensures that children in care, are supervised at all times and is aware children shall not be left in parked vehicles. Licensee was informed that car seats are used for transportation purposes only and are not used for sleeping children.

The facility operation hours are Monday through Friday, 24 hours.

The facility was operating in substantial compliance during today’s inspection on 11/23/2021. No deficiencies were cited.

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 11/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021

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: FREEMAN FAMILY CHILD CARE	FACILITY NUMBER: 191805170
	VISIT DATE: 11/23/2021

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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 if Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: CommonlyAsked Questions about Child Care Centers and the ADA available at: http://www.ada.gov/childqanda.htm

Licensee 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.

LPA discussed the safe sleep regulations with licensee 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 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.

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

Exit interview conducted and report was reviewed with the licensee Lisa Freeman.

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 11/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021

LIC809 (FAS) - (06/04)

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