<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197407080
Report Date: 09/01/2021
Date Signed: 12/05/2023 09:26:55 AM


Document Has Been Signed on 12/05/2023 09:26 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:THOMPSON FAMILY CHILD CAREFACILITY NUMBER:
197407080
ADMINISTRATOR:THOMPSON, CHERYLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 294-5875
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:14CENSUS: 3DATE:
09/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:22 PM
MET WITH:Cheryl Thompson-LicenseeTIME COMPLETED:
05:23 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
On 9/1/2021 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced 1 Year Required/Annual Random visit for the Thompson Family Child Care Home. Present in the home were the licensee, licensee's adult granddaughter and 3 child care children. All adults in the home has a criminal background clearance and were currently associated to the home. The home was inspected inside and out according to the facility sketch on file. The home was inspected for Health and Safety compliance per Title 22.
LPA observed the following:
Care and supervision were observed
The homes capacity was within the scope of the license
Appropriate size fire extinguisher carbon and smoke detector present & operable, the last inspection was conducted on 5/6/2021
Detergents, and knives were inaccessible, Toxins were locked and inaccessible to children in care.
No guns or weapons present as stated by the Licensee, no weapons observed by LPA.
Properly working telephone
pg. 1 of 2
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2021
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 3


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: 09/01/2021
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
License, facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights Poster and California Safety Seat Law are posted
Pediatric CPR and First Aid Card expires 11/20/2021
Licensee did not have a current Mandated Child Abuse training certificate
No bodies of water were observed on the premises.
Children records available were reviewed.
A roster was not readily available for review
Toys, equipment and materials available and in good repair
Outdoor activities are conducted in the backyard, no hazardous conditions were observed during today visit.

Discussion:
During todays visit LPA informed the licensee that her probational period ended 8/30/2021, however due to the 2021 pandemic and the
Governors Executive Proclamation and the shut down of all in person visits the facility will remain on required visits for a 12 month period with bi-annual visits. The licensee shall remain in compliance and adhere to Title 22 regulations at all times.

Type "B" citations were issued; a copy of this report and the licensee's appeal rights were provided to the licensee.

pg. 2 of 2
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 12/05/2023 09:26 AM - 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: THOMPSON FAMILY CHILD CARE
FACILITY NUMBER: 197407080

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2021
Section Cited
CCR
102417(8)

1
2
3
4
5
6
7
102417(8)Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This standard was not met by evidence of the licensee was unable to provide a current roster
1
2
3
4
5
6
7
Licensee shall complete a current roster of all enrolled children and email or mail a copy to the department no later than 9/6/2021
Type B
09/10/2021
Section Cited
HSC
1596.8662

1
2
3
4
5
6
7
b) (1)   On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training
1
2
3
4
5
6
7
Licensee shall complete the Mandated reporter training no later than 9/10/2021 a copy shall be mail or emailed to the department and one retained in the licensees file.
the website for the training was provided as follows:
8
9
10
11
12
13
14
provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
8
9
10
11
12
13
14
mandatedreporterca.com

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3