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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418971
Report Date: 01/09/2020
Date Signed: 01/09/2020 12:11:29 PM

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:MCCLURE FAMILY CHILD CAREFACILITY NUMBER:
197418971
ADMINISTRATOR:MCCLURE, MARQUETTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 766-1027
CITY:DOMINQUEZ HILLSSTATE: CAZIP CODE:
90220
CAPACITY:14CENSUS: 3DATE:
01/09/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Marquetta Mc ClureTIME COMPLETED:
12:25 PM
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An Annual Random/Required Inspection was conducted by Licensing Program Analyst (LPA) Alicia Bailey on this date. LPA Bailey met with licensee Mc Clure, at 9:30am and explained the nature of the inspection. The Licensee Mc Clure guided the analyst on a tour at 9:35am thru the facility on this date. This is a single story home, inside security gated mobile home park. Residing in facility are 2 Adults and 0 Children. The home was inspected 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. A parent board with required postings was observed in the toddler room of the facility. Present in the facility on this date are: 2 adult (Licensee and 1 Licensee assistant) 3 children (4 children enrolled License for large FCCH, Licensee is early head start program). Licensee child ratios were observed to be in compliance. Day Care days and hours are: Monday thru Friday 6:00am to 6:00pm.

Areas used by the children were inspected as follows: Baby room, toddler room, 1 bathrooms, children's back yard. Licensee states main care is provided in Baby room and toddler room.

Areas off limits include: 2 bedroom, 1 bathroom, Kitchen, Office, storage area in back yard (with secure locks on the gate)

**Rooms that are off-limits need to be made inaccessible during operating hours** The Licensee does understand that licensing staff may have access to off-limit areas during inspection visit if necessary.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
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 5
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: MCCLURE FAMILY CHILD CARE
FACILITY NUMBER: 197418971
VISIT DATE: 01/09/2020
NARRATIVE
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There are NO weapons, firearms, swimming pool or spa observed on the premises. LPA Bailey toured the backyard, LPA Bailey observed that both areas is adequately fenced and was inspected for hazards .Outdoor equipment was inspected for safety, good repair and appropriateness.

At 10:00am LPA Bailey observed the kitchen counter tops were clean and free of clutter or standing food. Kitchen Cabinets has safety lock and knives and medicine was in upper secure cabinet. Licensee provides breakfast, lunch and snack. At 10:08 am LPA Bailey observed there are age appropriate toys and napping equipment on the premises. LPA Bailey observed first aid kit, expire 01/31/2021, fire extinguisher 2A10BC in the kitchen The smoke detectors, carbon monoxide was tested by LPA are in operable condition.

At 10:15 am LPA Bailey reviewed the Disaster Plan, Emergency Disaster Drill ( current drill perform on 12/20/19) were reviewed.

A current Children roster was viewed and maintained for a period of 3 years, even after children no longer are attending the facility. Children records and required licensing forms were reviewed for completeness.

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.

LPA Bailey reviewed with Licensee different item prohibited in FCCH ,No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.

Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: MCCLURE FAMILY CHILD CARE
FACILITY NUMBER: 197418971
VISIT DATE: 01/09/2020
NARRATIVE
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LPA Bailey reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. *Infants should always sleep on their backs, mouths facing up.*

The licensee is not providing Incidental Medial Services at this time.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - 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

The following deficiency's are cited in accordance with Title 22 of California Code of Regulations and discussed with licensee: AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/ .See 809 D attached.


SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: MCCLURE FAMILY CHILD CARE
FACILITY NUMBER: 197418971
VISIT DATE: 01/09/2020
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

****Licensee advised that signing the report does not imply agreement with the findings but is acknowledging receipt of the licensing report.*

A copy of this report, a notice of site visit and appeal rights exit interview conducted with the licensee .

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: MCCLURE FAMILY CHILD CARE
FACILITY NUMBER: 197418971
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2020
Section Cited

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1596.8662(4)(b)(1)
Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter on or before March 30, every two years following 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training the date on which he or she completed the initial mandated reporter training and submit proof of completion.
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The requirement is not met as evidenced by:
Licensee and Licensee assitant has not completed the mandated reporter training. This is a potential risk to the health and safety of children in care.
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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: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2020
LIC809 (FAS) - (06/04)
Page: 5 of 5