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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410321
Report Date: 05/15/2019
Date Signed: 05/15/2019 02:32:43 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:COLEMAN FAMILY CHILD CAREFACILITY NUMBER:
197410321
ADMINISTRATOR:COLEMAN, KNAKHEAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 290-3737
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:12CENSUS: 4DATE:
05/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Knakhea ColemanTIME COMPLETED:
02:55 PM
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On 05/15/19, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual/Random inspection. LPA met with and toured the inside and outside of the home with assistant, Charlene Jenkins due to the licensee being at an appointment. This is a 2 bd, 2 ba single story home with a living room, kitchen, dining room, service porch/laundry room and a family room. At time of visit there were 4 children in care. There is one dog (toy poodle) in the home that interacts with the children. There are no firearms or weapons, LPA did not observe any weapons in the home. The family room is utilized for child care as well at the bathroom that is located just outside the family room. The remainder of the home is off limits to children in care. Licensee arrived during inspection.

There is a fire extinguisher, an operable smoke/carbon monoxide detector, first aid kit and emergency supplies. All unused electrical outlets are covered with safety covers. The home has a floor furnace that has been disconnected by the Gas Co. First Aid/CPR requirements are met by the licensee and asst. (exp. 6/2019). Incidental Medical Services (IMS) were discussed with the licensee and are not being provided at this time. Review of children's records and found to be complete.

Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated and found to meet the requirements. Chemicals, detergents, cleaning compounds, medications and sharp pointed objects are inaccessible to children.

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. The children play on the concrete driveway area behind the driveway gate and the garage. There is a lemon tree, no thorns were observed. There is a gated storage area to the left of the garage.

SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
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: COLEMAN FAMILY CHILD CARE
FACILITY NUMBER: 197410321
VISIT DATE: 05/15/2019
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The licensee is 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. Phone number: (916) 654-1541. Email Address: childcareadvocatesprogram@dss.ca.gov

The licensee is informed of safe sleeping practices for infants to prevent S.I.D.S. (Suddent Infant Death Syndrome). The applicant is informed that infants are always to be placed on their backs for sleeping; to use tight-fitting sheets on the crib or play yard mattress; do not hang any items on or above the crib; to keep all items out of the crib/play yard; infants are not to be swaddled or have items covering them while sleeping; and the temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold. The Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Applicant is also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

Licensee informed to review updates/regulations for 2016 on the department website: www.ccld.ca.gov . Licensee can also review the Fall/Winter Quarterly Updates 2015 and Spring 2016 Quarterly Update which includes information on: Assembly Bill (AB) 290 - for each new license issued, at least one director or teacher at a child care center or family child care home to have at least one hour of childhood nutrition training; AB 1207 - all child care employees must complete mandated reporter training beginning January 1, 2018,; AB 1387; Senate Bill (SB) 277 - require all children attending day care or school based programs to be immunized and: will eliminate personal/religious belief exemptions; SB 792 - requires all staff and volunteers to show proof of immunization against influenza, pertussis and measles, and TB clearance, beginning September 1, 2016.

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



No deficiencies cited. Copy of report and Notice of Site visit issued.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
LIC809 (FAS) - (06/04)
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