197419667-2-2-2024-30-CC-JLAO-D23NDJ-20240202092226

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419667
Report Date: 02/01/2024
Date Signed: 02/02/2024 09:22:49 AM

Document Has Been Signed on 02/02/2024 09:22 AM - It Cannot Be Edited

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:	THOMAS FAMILY CHILD CARE		FACILITY NUMBER:	197419667
ADMINISTRATOR:	THOMAS, JACKIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 807-7571
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90301
CAPACITY:	14	CENSUS: 3	DATE:	02/01/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Jackie Thomas, Licensee		TIME COMPLETED:	12:20 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	On 2/1/2024 Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection at above mentioned facility. LPA arrived at facility at approximately 9:15 a.m. and toured the home inside and outside. LPA observed 1 child in care. Present during today’s inspection was licensee’s mother who was visiting today, B. Thomas. The hours of operation are 7 days a week open 24 hours days. Currently facility is available to take children ages 4 months to 12 years old. Licensee is open to take in infants. Facility is licensed for a Large Family Child Care license with a max capacity of 14 children. Home is a 3 bedroom 2 bathroom home with a living room, dinning kitchen and den area. Unit is in a multi-unit apartment with home located on the bottom floor. Licensee confirmed the following areas are used for the day care: den area designated on the facility sketch as classroom and nap room located next to the bathroom. Licensee was informed that any changes to ages, hours and days of operation shall be submitted to the department, LIC 279, for approval prior to initiation of changes. LPA confirmed via Guardian facility roster and observed B. Thomas does not have current fingerprint clearance and is not associated to the facility. Licensee confirmed that B. Thomas was only present for the day. Pleas see LIC 809D for reference. LPA observed the area designated for day care use and observed age-appropriate toys. LPA observed the nap room with children’s cots and pack and plays. Nap room was observed with a changing table and other materials.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024

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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Document Has Been Signed on 02/02/2024 09:22 AM - It Cannot Be Edited

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: THOMAS FAMILY CHILD CARE	FACILITY NUMBER: 197419667
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/01/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

HSC

1596.871(c)(1)(A)

Administration of Child Day Care Licensing

Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in not having finger print clearance for J. Thomas, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 02/02/2024
	Plan of Correction
1 2 3 4	Licensee agrees to have J. Thomas- mother complete the livescan process and submit proof via email.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024

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: THOMAS FAMILY CHILD CARE	FACILITY NUMBER: 197419667
	VISIT DATE: 02/01/2024

NARRATIVE

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Licensee confirmed the following areas are OFF LIMITS to the children in care: Master Bedroom and bathroom and middle bedroom. Kitchen, living room and dining room area are used as a walk way to access the den/classroom area. LPA observed safety gates outside the kitchen and den/ classroom.

Bathroom that children use is located next to the nap room. LPA inspected the bathroom, sink, toilet and bathroom cabinets.
Licensee confirmed that before and after school care is provided and transportation services are provided. LPA observed a permission slip and/or authorization form.

There no firearms or ammunition on the premises. LPA did not observed any bodies of water. Detergents and cleaning compounds are kept in the top cabinet in the kitchen- content inaccessible to the children in care.

Licensee confirmed that home does not take any child that need medication.

LPA observed licensee test the carbon monoxide and smoke detector in the home. A working fire extinguisher was observed in the kitchen area. Licensee confirmed that fire drills and earthquake drills are completed. LPA reviewed log and recommended Licensee to add the number of children present during the drills. Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.

Home provide meals and snacks and menu was observed posted. LPA discussed the importance of maintaining a system where allergies and food restrictions are noted. Home participates with their local Food program. LPA encourage licensee to contact their local resource and referral agency, Crystal Stairs, to inquiry about the different resources and professional development opportunities.

Adequate heating and ventilation for safety and comfort were observed in the space. Safe toys and play equipment were observed. The home has working telephone service and LPA confirmed the phone number and email address.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024

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: THOMAS FAMILY CHILD CARE	FACILITY NUMBER: 197419667
	VISIT DATE: 02/01/2024

NARRATIVE

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Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

Capacity as specified on the license is being maintained during today’s inspection; 1 child was present during today’s inspection. 2 children came in at the end of the inspection today.

Safe Sleep regulations were discussed due to program being available for infant care. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Infants up to 12 months of age are placed on their backs for sleeping. LPA discussed the importance of maintain a current sleep log for all children under the age of 24 months. Individual Infant Sleeping Plan was provided and discussed with licensee. Facility currently does not have any infant enrolled.

Licensee’s Mandated Reporter was taken on 7/14/2022. Licensee’s Pediatric CPR and Pediatric First expires 5/2024. LPA reminded licensee the importance of making sure all vendors providing Pediatric CPR and Pediatric First Aid need to be EMSA approved. LPA reminded licensee to ensure all training are renewed, renewals of training are due 2024. LPA reviewed 3 children’s file and files were complete.

LPA discussed all necessary forms needed in each staff file and children’s file. LPAsprovided licensees with a current copy of the LIC 311D and LIC 126 to use as a reference when auditing files. LPA provided licensee with a sample packet of all the necessary forms.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024

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: THOMAS FAMILY CHILD CARE	FACILITY NUMBER: 197419667
	VISIT DATE: 02/01/2024

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Jackie Thomas.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024

LIC809 (FAS) - (06/04)

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