197409652-1-3-2020-30-CC-VWHY-BKH226-20200103160014

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197409652
Report Date: 01/03/2020
Date Signed: 01/03/2020 04:00:32 PM

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:	SMITH FAMILY CHILD CARE		FACILITY NUMBER:	197409652
ADMINISTRATOR:	SMITH, ANYETTA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 532-6052
CITY:	GARDENA	STATE: CA	ZIP CODE:	90247
CAPACITY:	14	CENSUS: 7	DATE:	01/03/2020
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:	Anyetta Smith		TIME COMPLETED:	04:00 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, V. Wheatley conducted an annual inspection and met with the licensee at 2:40PM. LPA observed with 7 children on cots for naptime. LPA observed licensee's assistant Staff #1 supervising the children along with the licensee. LPA toured the areas of the child care which is family room/day care room. The bedrooms and other areas of the home are off limits and will remain inaccessible. There is a child proof gate at the entrance of the day care room. LPA observed a working smoke detector, carbon monoxide detector, charged 2A10BC fire extinguisher and working telephone. The home has central heating and air conditioning. There are age appropriate toys and a first aid kit on the premises. All detergents, cleaning supplies, medications and sharp objects are inaccessible. The electrical outlets are inaccessible. LPA observed a screened fireplace which is also blocked by furniture. Per the licensee, there are no firearms on the premises. The licensee has current CPR and first aid that expires December 2021. There are play pens and cots available for napping. There is a child proof gate at the bottom of the stairs. LPA inspected the outdoor play area. The are has not been used since the weather is very cool. LPA observed a fenced swimming pool and jacuzzi. The children play in the patio area and on the side of the home when appropriate. There are no pets on the premises. Licensee was reminded that children are to be supervised inside and outside of the home.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020

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: SMITH FAMILY CHILD CARE	FACILITY NUMBER: 197409652
	VISIT DATE: 01/03/2020

NARRATIVE

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LPA reviewed children's records at 3:15PM. Immunization records are to be obtained from parents prior to a child being left with provider and kept on blue cards. Title 22 Regulations, Child Care Updates and additional information may be obtained at the department's website www.ccld.ca.govLicensee was provided Safe Sleep brochure regarding infants sleeping on their backs.

LPA discussed discipline policies, personal rights, civil penalties and appeal rights. LPA reminded licensee of regulations regarding reporting unusual incidents and injuries within 24 hours. Licensee conducts fire / earthquake drills and logs the drills.

Licensee was reminded that all adults 18 and over living or working in the home and visiting on a frequent basis must be fingerprint cleared prior to being on the premises. A civil penalty will be assessed if this regulation is violated. Licensee has required adult immunization and has completed the Mandated Child Abuse Training.

LPA observed the required documents posted. The items shall be posted for parents to view. The children's roster is kept accessible for emergency purposes.

Exit interview.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020

LIC809 (FAS) - (06/04)

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