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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197400552
Report Date: 09/04/2019
Date Signed: 09/04/2019 02:52:02 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:CHILDS FAMILY DAY CAREFACILITY NUMBER:
197400552
ADMINISTRATOR:WOLITA CHILDSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
3106383062
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY:12CENSUS: 10DATE:
09/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:47 PM
MET WITH:Wolita Childs_LicenseeTIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced annual random inspection at the facility listed above. LPA met with Licensee, who guided analyst on a tour of the facility. Also present during this inspection were Licensee Assistant/Daughter Marlika Childs and two uncleared adult males. Per the Licensee, there are 14 children currently enrolled. A current children’s roster was available for review. There were 10 children present upon arrival.

This is a one-story home which consists of two bedrooms, two bathrooms, kitchen, den, front yard and backyard (fenced). Children's areas include the front yard, kitchen, den, driveway and den restroom. LPA observed a fireplace and wall heater in the den, barricaded. The restroom that children use was observed safe and sanitary. Per Licensee, areas off limits to children and parents include: all bedrooms and hallway bathroom. The licensee provides all food for children in care.

The licensee states that two adults and two children currently live in the home. Per the Licensee, she currently has one assistant. LPA observed two adults present in the home without a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. Licensee states that there are no firearms stored in the home.

All areas identified on the facility sketch that are accessible to children were inspected for safety, comfort, and cleanliness. There is telephone service during operating hours via cellphone and landline. There is central ventilation and heating. Age appropriate toys and equipment were observed.

Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019
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 5
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: CHILDS FAMILY DAY CARE
FACILITY NUMBER: 197400552
VISIT DATE: 09/04/2019
NARRATIVE
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The valve on the required 2A 10BC fire extinguisher indicates fully charged. Smoke and carbon monoxide detectors were tested and are operable.

The home was observed clean and orderly. Appropriate sleeping arrangements were observed (Ingenuity Smart and Simple Play Yard.

Currently, children are using the front yard and driveway for outdoor play time. The outdoor play area was observed fenced. LPA observed appropriate toys and other materials for children in the yard. The licensee states that supervision is always provided.

The Licensee and Licensee Assistant have completed training on preventive health practices including Pediatric First Aid and CPR. The Licensee's Pediatric First Aid and CPR expires February 2020 while the Licensee's Assistant Pediatric and First Aid Certificate expires November 2019. There are first aid supplies available.

Children’s records were reviewed, including emergency information. Licensee missing files for two daycare children.

The Licensee and Licensee Assistant did not have proof of immunization against influenza, pertussis, and measles. Licensee and Licensee Assistant had no proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file.

All homes shall conduct fire and disaster drills at least once every six months and document the date and time of
each drill. LPA observed an Emergency Disaster Drill log.

LPA observed one pet (fish)on the premises during operating hours.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed posted.

LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that fall into these categories are not permitted in a family child care facility.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: CHILDS FAMILY DAY CARE
FACILITY NUMBER: 197400552
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/11/2019
Section Cited

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Staff Immunizations
Based on LPAs record review this requirement has not been met as evidenced by Licensee and Licensee Assistant provided no proof of immunization. This poses a potential risk to the health and safety of children in care.
Type B
09/11/2019
Section Cited

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Mandated Reporter
Based on LPAs record review this requirement has not been met as evidenced by Licensee and Licensee Assistant provided no proof of Mandated Reporter Certification. This poses a potential risk to the health and safety of children in care.
Type B
09/11/2019
Section Cited

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Childrens Records
Based on LPAs record review this requirement has not been met as evidenced by Child #9-10 did not have a file available at the facility. This poses a potential risk to the health and safety of children in care.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:
DATE: 09/04/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/04/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5
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: CHILDS FAMILY DAY CARE
FACILITY NUMBER: 197400552
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/06/2019
Section Cited

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Criminal Clearance
(d)(1) Obtain a California clearance or a criminal record exemption as required by the Department
Based on LPAs record review this requirement has not been met as evidenced by LPA’s observation two uncleared adult males in the facilty bedrooms.
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One adult male (Lewis) no last name given was observed in the bathroom, while another uncleared adult male (Licensee son) was found in the rear bedroom.

This poses an immediate risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:
DATE: 09/04/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/04/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: CHILDS FAMILY DAY CARE
FACILITY NUMBER: 197400552
VISIT DATE: 09/04/2019
NARRATIVE
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Licensee states that she is currently caring for infants. Licensee states that infants sleep in the den area/children's play room. Licensee was advised that infants must sleep in a standard crib only, where they are constantly supervised. LPA discussed with Licensee the Child Care Provider’s Guide to Safe Sleep to reduce the risk of SUID by the American Academy of Pediatrics. LPA also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, and Safe Sleeping practices.

Incidental Medical Services (IMS):
The licensee states that she does not 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 to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited must be cleared to protect the children’s health & safety.

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

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.

Exit interview was conducted with Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5