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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197412997
Report Date: 08/23/2019
Date Signed: 08/23/2019 04:03:23 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:WILLIAMS & VAUGHN-BROWN FAMILY CHILD CARE HOMEFACILITY NUMBER:
197412997
ADMINISTRATOR:WILLIAMS,E/VAUGHN-BROWN,BFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 296-9299
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:14CENSUS: 6DATE:
08/23/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Barbara Vaughn-BrownTIME COMPLETED:
04:10 PM
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On 08/23/19, 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 facility with co-licensee, Barbara Vaughn-Brown and assistant, Micaha Davis. This is a single story 4 bedroom, 3 bathroom home with kitchen, family room, living room, dining room, laundry room, and child care room (converted garage with permits). There is no pool, spa or other bodies of water on the premises. Family members residing in the home include 3 adults (co-licensee's and son/grandson who is currently away at college). There is one small dog (caged in the family room area).
Main care is provided in the child care room. Steps leading to child care area (adjacent to the kitchen) has a gate. Children use the bathroom located in the child care room, which was inspected and LPA did not observe any medications, cleaning compounds or detergents that would pose a risk to children in care.. The backyard was observed there was no debris or hazards, LPA viewed the area that has a climbing apparatus and other outdoor equipment. Off limit areas include the entire home: 4 bedrooms, 2 bathroom, living, dining and family rooms, laundry area and kitchen, the areas are made inaccessible by a door. The home was inspected inside and out 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. Incidental Medical Services (IMS) were discussed with the co-licensee, they will not be provided at this time.

Entrance into the facility is via side door on the north side of the home. Per co-licensee, there are no weapons or firearms of any kind in the facility at this time. LPA did not observe any weapons. There are age appropriate toys and napping equipment on the premises. Children nap in playpens and cots in the main care room. The required fire extinguisher (2A10BC) and smoke detectors and carbon monoxide detector are in operable condition. Fireplace is properly screened (in living room). Home has central AC and heat. Pediatric CPR/First Aid expires 10/2020. First Aid kit was observed and is complete. The facility has the required postings. LPA observed Mandated Reporter Certificates for licensee's.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2019
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: WILLIAMS & VAUGHN-BROWN FAMILY CHILD CARE HOME
FACILITY NUMBER: 197412997
VISIT DATE: 08/23/2019
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The following was discussed:

Senate Bill (SB) 792: This bill, commencing September 1, 2016, 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.

Senate Bill (SB) 277 New Immunization Requirement: Beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Licensee was provided information on how to access current information on the www.ccld.ca.gov website on how to access: Reducing the Risk of SIDs in Early Education and Child Care



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 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. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

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.

An exit interview was conducted and a copy of this report was provided to the licensee.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2019
LIC809 (FAS) - (06/04)
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