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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191805170
Report Date: 10/24/2024
Date Signed: 10/24/2024 12:01:35 PM


Document Has Been Signed on 10/24/2024 12:01 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:FREEMAN FAMILY CHILD CAREFACILITY NUMBER:
191805170
ADMINISTRATOR:FREEMAN, LISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 754-8049
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:14CENSUS: 3DATE:
10/24/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Lisa FreemanTIME COMPLETED:
12:15 PM
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On 10/24/2024 Licensing Program Analyst (LPA) Tyra Chavies conducted an unannounced Required 3 year inspection to the facility to ensure the health and safety standards as required governing California Family Child Care Homes.

Present at the time of inspection is Licensee, Lisa Freeman, supervising 6 children in care. Licensee stated that she is the only person living in the home currently. LPA Chavies confirmed that the telephone number is (323) 754-8049. The facility is open from 12:00 AM to 11:59 PM Monday-Firday. Home is available for overnight care as needed. The licensees were informed that any changes to ages, hours and days of operation shall be submitted to the department via signed LIC 279 for approval prior to initiation of changes. Licensee is participating in the local food program and provides meals (Breakfast, lunch and dinner as well as pm snacks.

The current facility sketch was reviewed. LPA toured the inside and outside of the home. The home is upstairs and downstairs and has safety gates, making the upstairs inaccessible to children care. There are three bedrooms, two bathrooms, a living room, dining room, an attached garage and kitchen. The second level of the home is off-limits to children in care as well as kitchen, dining room and living room. Licensee confirmed that the converted garage is used as the primary care area. LPA observed play yard cribs, 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.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tyra ChaviesTELEPHONE: 424-301-3204
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2024
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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FREEMAN FAMILY CHILD CARE
FACILITY NUMBER: 191805170
VISIT DATE: 10/24/2024
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The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation. Children have inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger. This facility does not provide medication.

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. There are no pets in the home. Drinking water is available both indoors and outdoors. The facility has a smoke and carbon monoxide detector. LPA inspected and verified that there is a 3A40BC fire extinguisher. There are no bodies of water on the property.

LPA reviewed 5 children's files and observed files complete with all the necessary LIC forms (LIC 282, 700, 627, 995A and Blue Medical Record Card.)  Licensee's Mandated Reporter Training, Pediatric First Aid and CPR were reviewed and has valid dates on certification.

POSTING REQUIREMENTS: License and other relevant notices are visible for public view and correctly posted on the wall (Facility Sketch, PUB 394, LIC 9148, LIC 610A). Fire and disaster drills are being conducted as scheduled every six months. Licensee will ensure fire/disaster drills are documented with date, time and year.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tyra ChaviesTELEPHONE: 424-301-3204
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FREEMAN FAMILY CHILD CARE
FACILITY NUMBER: 191805170
VISIT DATE: 10/24/2024
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The following were also discussed with the licensee:
· To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. 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/inspection-process.

· A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

· Licensee [or facility representative] was reminded that all adults 18 and over living or working in the home, including employees and volunteers, as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

· Licensee [or facility representative] was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

· LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tyra ChaviesTELEPHONE: 424-301-3204
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FREEMAN FAMILY CHILD CARE
FACILITY NUMBER: 191805170
VISIT DATE: 10/24/2024
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·The licensee, Lisa Freeman, was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Licensee was informed to call the CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B). Licensee was informed that licensee/ any employee is to call CCL office and file an Unusual Incident Report when a child is injured at the facility. Also, Licensee was informed to send in written form (LIC 624B) to CCL Office within 7 business days.

· No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.



When regulations are approved/changed/updated, providers will be notified through Provider Information Notice (PIN).

An exit interview was conducted with licensees, Lisa Freeman.

Per Title 22, of the California Code of Regulations, the following Technical Violations were discussed. (See LIC 9102) .

A copy of this report was read and given to licensee as well as LIC 9213 (Notice of Site Visit) LIC 9213 is required to be posted for 30 days.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tyra ChaviesTELEPHONE: 424-301-3204
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
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