197403631-1-12-2023-54-CC-AMOY-CN296B-20230112220515

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197403631
Report Date: 01/12/2023
Date Signed: 01/12/2023 10:05:25 PM

Document Has Been Signed on 01/12/2023 10:05 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	WOODS FAMILY DAY CARE		FACILITY NUMBER:	197403631
ADMINISTRATOR:	LAFREDA WOODS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 291-0704
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90062
CAPACITY:	14	CENSUS: 0	DATE:	01/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	La Freda Woods, Licensee		TIME COMPLETED:	01:15 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Licensing Program Analyst (LPA) Alicia Mooberry conducted a Required Annual Inspection on this date. LPA met with Lafreda Woods, who provided tour of facility. LPA explained the purpose of inspection and provided the inspection Entrance Checklist, LIC 126. LPA inspected rooms and areas on the facility sketch in which child-care services are provided and to which children have access. Per licensee the hours of operation are Monday-Friday 6:00am-3:00pm. There were no children present on this date. Per licensee the daycare is temporarily closed due to construction. Also present was licensee's spouse. All adults present have received the required background clearance and are associated to the facility. Individuals residing in the home were discussed and noted.

This is a one story home which consists of 3 bedrooms (1 bedroom used as office), 2 bathroom, kitchen (with dining area and laundry area), living room, and backyard (fenced). The property has two (2) additional separate units in the back yard. One of the units is used as main daycare room and the other for storage. LPA observed that the storage room is locked from the outside.

Areas accessible to children included: living room, kitchen/dining room, bathroom in the office, separate unit in back yard used as daycare activity room (includes a bathroom)

Per licensee, areas off limits to children and parents include: 2 bedrooms including Master bedroom and bathroom, storage shed in the backyard, dog run (in back yard). The master bedroom is maintained closed and locked, the storage unit is observed to be closed and locked. The home has no garage.

The following was observed and reviewed during this inspection: LPA observed construction materials in the front yard, paint cans in the home which can pose a potential risk to the children in care. Licensee did not report the construction to the department. Licensee was reminded to report any unusual incident to the department within 24 hour.

----Page 1 - Report Continues

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022

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 4

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: WOODS FAMILY DAY CARE	FACILITY NUMBER: 197403631
	VISIT DATE: 01/12/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA observed the required postings at the entrance of the childcare room where parents drop off children. LPA Provided the PUB 394 Parents Rights Poster with updated Regional Office information.

LPA observed cleaning products in locked kitchen cabinet under sink and in locked cabinet. Licensee was reminded to ensure cleaning products, detergents and items that are harmful to children in care are always maintained inaccessible to children in care.

The bathrooms that children use are located by the living room and in childcare activity room and observed to be clean and free of hazards.

Smoke and carbon monoxide detector was tested and is operable. Fire extinguisher indicated fully charged, purchase receipt was not available to review. Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via land line cell phone.

Currently, children are using the front and back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has age appropriate toys covered with a tarp.

Facility does not have a pool or similar bodies of water. There is a decorative fountain in the front yard that is maintained empty. Per licensee there is rainwater that has collected. Licensee was advised to ensure it is drained from rain water.

Licensee understands that poisons must be locked, not only inaccessible to children. Per Licensee there are no firearms or weapons stored in the home. There is a large dog that is kept in a fenced dog run in the back yard. Per licensee, the dog does not have contact with the children.

Staff and Children’s records were reviewed according to LIC 126 Inspection Entrance Checklist.

Infant Care: LPA informed licensee of the new Safe sleep regulations. LPA discussed PIN 20-24-CCP and provided a copy including LIC 9227 Infant Sleep Plan for infants under 12 months. Licensee states infants sleep in the living room. Staff and licensee supervise infant for the duration of the nap and will document 15 minute checks.

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.

-------------------Page 2 – Report Continues

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: WOODS FAMILY DAY CARE	FACILITY NUMBER: 197403631
	VISIT DATE: 01/12/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

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.

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

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

The following deficiencies are being cited in accordance to Title 22 regulations

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 01/12/2023 10:05 PM - It Cannot Be Edited

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: WOODS FAMILY DAY CARE	FACILITY NUMBER: 197403631
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above due to construction material were on the yard, kitchen and backyard of the home, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/26/2023
	Plan of Correction
1 2 3 4	Per licensee, the facility is closed due to construction in the home. The licensee will provide photos to the department to show that the construction materials have been removed and by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4