197407080-6-12-2019-30-CC-KSTS-BD3NPG-20190612103819

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197407080
Report Date: 06/12/2019
Date Signed: 06/12/2019 10:38:31 AM

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:	THOMPSON FAMILY CHILD CARE		FACILITY NUMBER:	197407080
ADMINISTRATOR:	THOMPSON, CHERYL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 294-5875
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90008
CAPACITY:	14	CENSUS: 2	DATE:	06/12/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	08:51 AM
MET WITH:	Cheryl Thompson		TIME COMPLETED:	10:45 AM

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	On 06/12/19, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual/Required inspection. LPA met and toured the inside and outside of the home with licensee, Cheryl Thompson who had 2 children in care at the time of inspection. The facility is a 2 bd, 1 ba, single story home with a living room, dining room, kitchen, breakfast nook, service porch/laundry room and a den. The living room and dining room have been designated as the children's area. Residents of the home are the licensee and her adult daughter, Dawna Thompson. The home also has a back room attached to the garage and is off limits to children in care. There is a fully charged fire extinguisher in the dining room area. The smoke and carbon monoxide detectors are in operable condition and tested during inspection. Electrical outlets were covered. The home has a wall heater that is properly screened. Licensee's First Aid/CPR are current (07/2019). A complete First Aid Kit. As well as the required postings. Per the licensee there are no pets or weapons in the home, LPA did not observe a weapon or any pets at the time of visit. Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Chemicals, detergents, cleaning compounds, medications and sharp pointed objects are inaccessible to children. Child's records were reviewed and found to be complete. Drill Log and Roster observed Licensee has age appropriate outdoor play equipment. Play area was inspected for hazards and inaccessibility of bodies of water. At time of visit there were no bodies of water.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019

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: THOMPSON FAMILY CHILD CARE	FACILITY NUMBER: 197407080
	VISIT DATE: 06/12/2019

NARRATIVE

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Per the licensee at this time the backyard area is not being used for outdoor play, the driveway area which is gated is used for outdoor play. LPA inspected the area and did not observe any debris or hazards.

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 regading ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

Senate Bill (SB) 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. All appeals must be sent to:

California Department of Social Services | Community Care Licensing Division

300 N. Continental Blvd. Suite, 290-A

El Segundo, CA 90245

Senate Bill (SB) 277 New Immunization Requirement: Beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019

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: THOMPSON FAMILY CHILD CARE	FACILITY NUMBER: 197407080
	VISIT DATE: 06/12/2019

NARRATIVE

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Licensee was provided the information on how to access current information on the www.ccld.ca.gov website on how to access: Reducing the Risk of SIDs in Early Education and Child Care

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

Assembly Bill (AB) 2084: Health Beverages in Child Care: Commencing in 2010, legislation was established regarding nutrition standards for beverages served in licensed child care centers and home. Only unflavored, unsweetened, nonfat (fat free, skim, 0%) or low-fat (1%) milk can be served to children over two years of age. No beverages with added sweeteners, natural or artificial, can be served, including sodas, sweet teas, juice drinks with added sugars, flavored milks and diet drinks. A maximum of one serving (4 to 6 oz. for 1 to 6 years old) of 100% juice will be allowed per day. Clean and safe drinking water must be available at all times, including meals and snacks.

No deficiencies cited. Copy of report and Notice of Site visit issued.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019

LIC809 (FAS) - (06/04)

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