197415615-9-3-2019-54-CC-RJOS-BFNP3F-20190903105728

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197415615
Report Date: 08/30/2019
Date Signed: 09/03/2019 10:59:17 AM

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:	GRIGGS-SMITH FAMILY CHILD CARE		FACILITY NUMBER:	197415615
ADMINISTRATOR:	GRIGGS-SMITH, VICKIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 763-1355
CITY:	COMPTON	STATE: CA	ZIP CODE:	90221
CAPACITY:	14	CENSUS: 4	DATE:	08/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:18 PM
MET WITH:	Licensee		TIME COMPLETED:	01:54 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 (LPA) Reiko Jones-Modeste conducted an unannounced annual random inspection at the facility listed above. LPA met with Licensee, who guided analyst on a tour of the facility. Upon arrival were, Licensee, Licensee husband/Assistant and four day care children. The licensee states that two adults currently reside in the home. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. A current children’s Facility Roster was available for review. This is a two-story home which consists of five bedrooms, four bathrooms, kitchen, dining room, office, living room and front yard(fenced). LPA observed stairs barricaded and inaccessible. The children use the bathroom located in the hallway, living room and the front yard areas. The restroom that children use was observed safe and sanitary. Per Licensee, areas off limits to children and parents include: all bedrooms, three bathrooms, dining room, kitchen, backyard and office. There is a child safety gate which barricades the entire living room/children's area. Appropriate sleeping arrangements (mats) were observed. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a landline used at the facility during operating hours. There is ventilation and heating (central). LPA observed two fireplaces and one open face heater inaccessible to children and barricaded. Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed inaccessible to children in the kitchen. The licensee states all poisons are kept padlocked in the garage Licensee understands that storage areas for poisons must be locked with a key or combination lock. The valve on the required 2A 10BC fire extinguisher indicates fully charged and serviced on May 2019 as indicated on service tag. Smoke and carbon monoxide detectors were tested and operable.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GRIGGS-SMITH FAMILY CHILD CARE	FACILITY NUMBER: 197415615
	VISIT DATE: 08/30/2019

NARRATIVE

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LPA observed two pets(dogs) at the facility during operating hours.

Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Licensee, including, Notice of Site Visit.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

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: GRIGGS-SMITH FAMILY CHILD CARE	FACILITY NUMBER: 197415615
	VISIT DATE: 08/30/2019

NARRATIVE

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The Licensee provides all food for children in care. Licensee states that there are firearms stored in the home. LPA observed one pistol stored in a locked safe in the rear bedroom with bullets stored separately.

The home was observed clean and orderly with plenty of age-appropriate toys and equipment available and free of sharp edges.

Currently, children are using the front yard for outdoor play time. The outdoor play area was observed fenced. LPA observed appropriate toys and equipment used for children. LPA did not observe any objects that can pose a danger to children in the outdoor yard. The licensee states that supervision is always provided. The enclosed patio located off the living room was observed barricaded.

Children’s records were reviewed, including emergency information and were observed complete.

Licensee and Licensee Assistant completed training on preventive health practices including Pediatric First Aid and CPR. The Licensee and Licensee Assistant Pediatric First Aid and CPR expires on May 2021 There are first aid supplies available.

The Licensee and Licensee Assistant provided proof of immunization against influenza, pertussis, and measles. LPA observed proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file for Licensee and Licensee Assistant.

All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA observed a current Disaster Drill log posted. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed and posted.

LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that fall into these categories are not permitted in a family child care facility. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Licensee states she is not currently caring for infants. Licensee was advised that infants must sleep in a standard crib only, where they are constantly supervised. LPA discussed with licensee the Child Care Provider’s Guide to Safe Sleep by American Academy of Pediatrics. LPA also consulted and explained Child Abuse Reporting,

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko Jones	TELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

LIC809 (FAS) - (06/04)

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