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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416620
Report Date: 04/30/2019
Date Signed: 04/30/2019 05:29:49 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:PHILLIPS FAMILY CHILD CAREFACILITY NUMBER:
197416620
ADMINISTRATOR:PHILLIPS, BRENDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 595-8040
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY:14CENSUS: 5DATE:
04/30/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Brenda PhillipsTIME COMPLETED:
05:45 PM
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On 04/30/19 Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual inspection. LPA met with and toured the facility with licensee Brenda Phillips. The home is a duplex. The licensee utilizes the living room, the rear bedroom and dining room area for child care. There is a floor furnace in the living room that is properly screened. The laundry room is adjacent to the kitchen and there is a door that separates the two rooms. The laundry room along with 1 bedroom is off-limits, the laundry room is only accessed when the children are going outside for play. Per licensee there are no firearms or weapons in the home. There are no pets.

There is a fire extinguisher located in the kitchen and operable smoke/carbon monoxide detectors. All unused electrical outlets are covered with safety covers. First Aid/CPR requirements are met by licensee.

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

Licensee has age appropriate outdoor play equipment. Licensee has a gate that blocks off a portion of the backyard. LPA observed the area for hazards and bodies of water. At time of visit there were no bodies of water. There is a trampoline with a security net, LPA reminded licensee that there must be proper supervision when there are children using the trampoline. The swing set is properly anchored.

Licensee informed to review updates/regulations for 2016 on the department website. 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;
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PHILLIPS FAMILY CHILD CARE
FACILITY NUMBER: 197416620
VISIT DATE: 04/30/2019
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AB 1387 - and AB 2236 process to request a formal review of deficiency and establishes an appeal process for civil penalties; 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; Summer 2015 - Incidental Medical Services information; Summer 2016.

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



Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation 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
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

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: 04/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019
LIC809 (FAS) - (06/04)
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