192006958-2-5-2020-54-CC-ABAY-BLHQMT-20200205111804

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 192006958
Report Date: 02/05/2020
Date Signed: 02/05/2020 11:18:19 AM

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:	JETER FAMILY CHILD CARE		FACILITY NUMBER:	192006958
ADMINISTRATOR:	JETER, PAMELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 779-4266
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY:	14	CENSUS: 1	DATE:	02/05/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Pamela Jeter		TIME COMPLETED:	11:30 AM

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An Annual Random/Required Inspection was conducted by Licensing Program Analyst (LPA) Alicia Bailey on this date. LPA Bailey met with licensee Jeter, at 8:45am I explained the nature of the inspection. The Licensee guided the analyst on a tour at 8:50am of the facility on this date. This is a single story home, residing in facility are 2 Adults and 0 Children. 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. A parent board with required postings was observed at the facility. Present in the facility on this date are: 2 adult 1 child (6 children enrolled 5 school age children License for large FCCH). Licensee provided transportation to 5 school age children. Licensee child ratios were observed to be in compliance. Child Care days and hours are: Monday thru Sunday 6:00am to 5:00am 23 hours.

Areas used by the children were inspected as follows: Den, 1 bathroom, 1 bedroom Back yard. Licensee states main care is provided in den and playroom.

Areas off limits include: Living room, dinning room, Kitchen, 1 bedroom, 1 bathroom and garage.

**Rooms that are off-limits need to be made inaccessible during operating hours** The Licensee does understand that licensing staff may have access to off-limit areas during inspection visit if necessary

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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: JETER FAMILY CHILD CARE	FACILITY NUMBER: 192006958
	VISIT DATE: 02/05/2020

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There are NO weapons, firearms, swimming pool or spa observed on the premises. LPA Bailey toured the front yard and backyard, LPA Bailey observed that backyard is adequately fenced and was inspected for hazards.

At 10:00am LPA Bailey observed the kitchen counter tops were clean and free of clutter or standing food. Kitchen Cabinets has safety lock . Licensee provides breakfast, lunch and snack. LPA Bailey observed there are age appropriate toys and napping equipment on the premises. LPA Bailey observed first aid kit, fire extinguisher 2A10BC in the kitchen .The smoke detectors, carbon monoxide was tested by LPA are in operable condition. Licensee & Licensee assistant PED F/A & CPR EXP. 02/28/2020

LPA Bailey ask the licensee Jeter is she providing IMS. Licensee stated is not providing Incidental Medial Services at this time. Advised licensee will provided information if licensee decided in future to provided services.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - 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 Bailey reviewed with licensee Jeter Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. Infants should always sleep on their backs, mouths facing up. Licensee stated in the near future she may have infant enrolled advised licensee to stay current on new update's from our departments regarding child care for infants.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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: JETER FAMILY CHILD CARE	FACILITY NUMBER: 192006958
	VISIT DATE: 02/05/2020

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Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

Licensee was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation.

At 10:15 am LPA Bailey reviewed the Disaster Plan, Emergency Disaster Drill were reviewed.

A current roster of children enrolled must be available and maintained for a period of 3 years, even after children no longer are attending the facility. Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing.

Children records and required licensing forms were reviewed for completeness. Mandated child abuse reporting and criminal records clearance (finger prints and child abuse clearance) requirement was reviewed.

AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

Licensee expire on: 03/16/2020

Licensee assistant expire on:03/16/2020

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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: JETER FAMILY CHILD CARE	FACILITY NUMBER: 192006958
	VISIT DATE: 02/05/2020

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Health & Safety Code 1597.622(a1) Employees or volunteers at family day care home; immunization requirements; records; exemptions 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. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

Licensee has all Immunization's

Licensee Assistant has all Immunization's

No deficiencies were observed or cited in accordance to Title 22 of the California Code of Regulations and Health & Safety Codes. At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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: JETER FAMILY CHILD CARE	FACILITY NUMBER: 192006958
	VISIT DATE: 02/05/2020

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Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

****Licensee advised that signing the report does not imply agreement with the findings but is acknowledging receipt of the licensing report.*

A copy of this report, a notice of site visit and appeal rights exit interview conducted with the licensee .

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

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