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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411394
Report Date: 05/17/2019
Date Signed: 05/17/2019 11:41:05 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:SPEARS FAMILY CHILD CAREFACILITY NUMBER:
197411394
ADMINISTRATOR:SPEARS, TRACY A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 820-1600
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:14CENSUS: 9DATE:
05/17/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:23 AM
MET WITH:licenseeTIME COMPLETED:
11:54 AM
NARRATIVE
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On 5/17/2019 Licensing Program Analyst (LPA) Chandler made an unannounced visit of the Spears family day care for the purpose of conducting an Annual Random inspection. LPA let with licensee that gave analyst a tour of the home, present in the home was licensee, licensee's adult son/assistant, licensee's mother all of who are associated to the home. Upon arrival LPA observed nine children in care. Day care operations are conducted in the rear of the home with a classroom setting.
The following was observed:
  • 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.
  • Detergents, and knives were inaccessible, Toxins were locked and inaccessible.
  • No guns or weapons present as stated by the Licensee, no weapons observed by LPA.
  • Properly working telephone
  • 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 2/2/2021 for all staff.
  • No bodies of water on the premises
  • Children records available and in good order.
  • Toys, equipment and materials available and in good order
  • Licensee did not provide proof of the required Mandated Reporter training for self and assistants
  • Immunization records were provided for licensee and assistants
  • Incidental Medical Services (IMS) were discussed. LPA reiterated IMS requirements. LPA observed expired medications.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
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: SPEARS FAMILY CHILD CARE
FACILITY NUMBER: 197411394
VISIT DATE: 05/17/2019
NARRATIVE
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Licensee was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. Licensee was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation.
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Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and to never shake a baby to prevent the Shaken Baby Syndrome. Applicant was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

The "Notification of Parent's Rights" (PUB394) was discussed with the licensee and the licensee was advised that it must be posted in an area of the home accessible to parents.

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 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

Also, discussed was; Commencing September 1, 2016, SB 792, 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. Exemption were also discussed

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
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 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
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
LIC809 (FAS) - (06/04)
Page: 3 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: SPEARS FAMILY CHILD CARE
FACILITY NUMBER: 197411394
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2019
Section Cited
HSC
1596.8662(2)
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H&S1596.8662(2) On and after January 1, 2018, a person who applies for a license to be a provider of a child day care facility shall complete the mandated reporter training provided pursuant to.... (a) as a precondition to years following the date on which he or she completed the initial mandated reporter training.licensure and shall complete
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Licensee and assistants shall provide certification of the required training by 5/20/19
Proof shall be delivered to LPA by mail or fax
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renewal mandated reporter training every two
This standard was not met as evidence by self admittance statement from licensee. This is a potential hazard to children in care. A type B citation was issued
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Type B
05/20/2019
Section Cited
HSC
1507(d)
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(d) Facilities providing incidental medical services shall remain in substantial compliance with all other applicable regulations of the department. This standard was not met as evidence by a review of medications at the home. LPA observed expired medication for C3 and C6.This is a potential hazard to children in care. A type B citation was issued
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Licensee shall give parents written noticed of expired medications. Licensee shall provide copies of signed notifications to LPA via mail or fax by 5/20/19. And proof of updated medications or proof of clearance from the childs physcian shall be provided to LPA as it becomes available.
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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: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3