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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418811
Report Date: 10/16/2019
Date Signed: 10/17/2019 09:22:27 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:GLOVER FAMILY CHILD CAREFACILITY NUMBER:
197418811
ADMINISTRATOR:GLOVER, CHANELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 210-8279
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:12CENSUS: 9DATE:
10/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Chanell Glover & JonellTIME COMPLETED:
04:45 PM
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Licensing Program Analyst (LPA), V. Wheatley conducted an Annual inspection. LPA arrived at the facility and was greeted by licensee's assistant Jonell Rome at 3PM. LPA observed six children awaking from a nap. The licensee was not present however arrived during the inspection. LPA toured the living room and one bedroom. The licensee's bedroom is off limits. The second bedroom is used as an activity room and napping. The home is very clean, orderly, comfortable and well ventilated.

LPA observed a working smoke detector, carbon monoxide detector, 2A10BC fire extinguisher and working telephone. All electrical outlets throughout the home are plugged. There are several age appropriate toys and equipment. The home has two wall heaters which are not operating. Portable heaters will be used when necessary. All detergents, cleaning supplies, medications and sharp objects are inaccessible to children. There is a first aid kit on the premises. The licensee's assistant has current CPR/first that expires March 2021. Per the licensee, there are no firearms on the premises.

LPA observed a clean and fenced yard. LPA observed age appropriate equipment. There is two dog and a lizard on the premises which are inaccessible to children. They are inaccessible to children at all times. The licensee was reminded that children are to be supervised at all times including when playing outside. There are no bodies of water.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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: GLOVER FAMILY CHILD CARE
FACILITY NUMBER: 197418811
VISIT DATE: 10/16/2019
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LPA informed the licensee about Incidental Medical Services and explained the requirements for the plan. Licensee states there are no children receiving I.M.S. Licensee understands will submit a plan when necessary.

LPA discussed discipline policies, personal rights, civil penalties and appeal rights. LPA reminded licensee of regulations regarding reporting unusual incidents and injuries. In addition, licensee was reminded that all adults 18 and over living in the home and visiting on a frequent basis must be fingerprint cleared prior to being on the premises. A civil penalty will be assessed.

LPA reviewed staff and children's files at 4:00PM which are complete. Immunization records shall be kept on blue cards from the local health department. Licensee has required adult immunizations. Title 22 Regulations, child care quarterly updates and additional information may be obtained at the department's website www.ccld.ca.gov

Licensee was informed that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). Also no smoking is allowed on a day care premises. Never shake a baby to prevent Shaken Baby Syndrome. Children are only allowed in high chairs when eating. Wash hands after every diaper change.

The facility has the required forms posted.

There are no violations according to Title 22 Regulations.

Exit interview.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
LIC809 (FAS) - (06/04)
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