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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408591
Report Date: 05/12/2022
Date Signed: 05/12/2022 01:10:25 PM


Document Has Been Signed on 05/12/2022 01:10 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:VERNON AND THOMAS FAMILY CHILD CAREFACILITY NUMBER:
197408591
ADMINISTRATOR:VERNON, CARMELITA L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 965-0086
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:14CENSUS: 4DATE:
05/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Carmelita Vernon - LicenseeTIME COMPLETED:
01:18 PM
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Licensing Program Analyst (LPA) Alicia Bailey conducted an unannounced random annual (or Required) inspection. LPA met with Licensee Carmelita Vernon at 9:20 am, on 05/12/2022 who guided LPA on a tour of the facility. At 9:47 am during the inspection, LPA Bailey discussed, assessed, and noted individuals residing in the home. The facility Entrance Checklist for Family Child Care Homes was given to Licensee Vernon. This is a Two-story home consisting of 4 bedrooms and 2 bathrooms. Areas used by the children include the living room, one (1) restroom, kitchen, garage and the backyard. Per Licensee Vernon and facility sketch, areas off-limits to children include 4 ( four) bedrooms, one bathroom, and the frontyard. 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 entrance of the facility. The Licensee Vernon stated there is no other license held at this facility. There were four children and a Licensee assistant during the time of inspection. Licensee Vernon states that there are currently eight children enrolled. Facility hours of operation are Monday thru Friday from 6:00 am to 6:00 PM.

There are NO weapons or firearms in the facility. LPA Bailey observed there was no swimming pool or body of water. At 10:05 am, LPA Bailey observed a first aid kit and fire extinguisher 2A10BC ( service 05/07/2022) in the garage . The smoke detectors and carbon monoxide were tested by LPA and are in operable condition.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2022
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: VERNON AND THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 197408591
VISIT DATE: 05/12/2022
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At 10:20 am LPA Bailey observed a large television mounted to the wall, age-appropriate toys, and napping equipment in the living & kitchen rooms. At 10:30 am, LPA Bailey toured the children's bathroom. LPA Bailey did not observe any hazardous items in the bathroom.

At 10:36 am LPA Bailey toured the kitchen. The countertops were clean and free of clutter or standing food. The kitchen cabinets have a safety lock and knives and the medicine was in a secure cabinet with a safety lock. Licensee Vernon provides breakfast, lunch, and snacks.

At 10:46 am, LPA Bailey toured the backyard and observed that all areas were adequately fenced and were inspected for hazards.



At 11:00 am, LPA Bailey, reviewed the Disaster Plan; the Emergency Disaster Drill was reviewed. LPA Bailey observed Licensee Vernon conducting fire & earthquake drills on 03/3/2022. A current Children's roster was viewed and maintained for a period of 3 years, even after children are no longer attending the facility.
Licensee has mandated reporter training expired 06/16/2022. Licensee PED F/A & CPR EXP. 05/07/2024.

At 11:30 am, LPA Bailey reviewed eight children's files. LPA Bailey observed eight children file were in compliance. At 11:47 am, LPA Bailey reviewed personal files. LPA Bailey observed missing LIC 9052 , LIC 9108 was missing from the file.

At 11:53 am, Licensee Vernon was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.
Licensee Vernon provides transportation for school-age children.

At 11:56 pm, LPA Bailey also consulted with Licensee Vernon regarding COVID-19 health and safety guidelines.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
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: VERNON AND THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 197408591
VISIT DATE: 05/12/2022
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At 12:08 pm, LPA Bailey conducted a staff interview with Licensee Vernon.

At 12:24 pm, the following was discussed with the Licensee Vernon:,

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/process.

Licensee Vernon was advised that regulations prohibit the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPA Bailey reviewed with Licensee different items prohibited in FCCH no baby bouncers, no infant walkers, no Johnny jumpers, no saucer chairs, no trampolines, and any other items that fall into that category are not permitted in the facility.

LPA Bailey reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. *Infants should always sleep on their backs, mouths facing up.



Infant Needs and Services Plan: The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. Infant Care: LPA advised the applicant to sleep infants where they can be directly supervised at all times. LPA advised against sleeping infants in a separate room. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts were provided. LPA discussed PIN 20-24-CCP.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
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: VERNON AND THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 197408591
VISIT DATE: 05/12/2022
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The licensee Vernon is not providing Incidental Medial Services currently.

The 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

The following was discussed with Licensee Vernon Individuals who are 18 years of age or older living in the home must be fingerprint cleared prior to licensure. Individuals within one month of their 18th birthday must be fingerprinted immediately. The existing, immediate $100 per individual Civil Penalty has been increased to an immediate $100 per day Civil Penalty, for a maximum of five days for the first violation and a maximum of 30 days for subsequent violations. If an individual has a clearance with the Department, a criminal record clearance may be transferred. LIC 9182 Criminal Background Clearance Transfer Request may be used.

The following technical assistance were observed ,The consultation was conducted on this date.

An exit interview was conducted, and a copy of this report was provided to the Licensee Vernon. Notice of site visit was issued.


SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC809 (FAS) - (06/04)
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