197493570-4-4-2025-58-CC-DDOG-DFEUFM-20250404153258

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493570
Report Date: 03/19/2025
Date Signed: 04/04/2025 03:33:40 PM

Document Has Been Signed on 04/04/2025 03:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MORRIS FAMILY CHILD CARE		FACILITY NUMBER:	197493570
ADMINISTRATOR/ DIRECTOR:	A		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 949-0648
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90043
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	03/19/2025
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:05 AM
MET WITH:	Licensee Shaprae Morris		TIME VISIT/ INSPECTION COMPLETED:	02:35 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) Dawn Dowling conducted an unannounced annual required inspection at the above facility on 3/19/2025 at 9:05 am rang the bell 3 times then Teacher Assistant Jade Morris came to the door with Parent that was exiting with infant in an Infant Car Seat. LPA Dowling introduced herself and was informed by Assistant that Licensee was not there at the moment and had LPA wait at the door. At 9:15 am Assistant let LPA into the home and explained that Licensee does not allow for them to let anyone into the home when she is not there. Licensee arrived at 9:22 am due to handling a matter with child's school as the reason she was not at the residence at the time when LPA Dowling arrived. When Licensee Shaprae Morris arrived LPA Dowling gave her the LIC 126 Entrance checklist family Child Care Homes and explained this is what Department looks for when conducting an annual. Licensee gave LPA Dowling a tour of the residence starting from the outside of residence where parents enter. Residing at Residence is Licensee and her minor child. There were 9 children and 3 adults present when LPA arrived. Facility capacity is in compliance for a large Family Child Care Home. Hours of operation is 24 hour care consisting of various shifts due to parents needs and schedule. LPA toured the home inside and outside. This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, living room, technical/media area off of living room, 3rd bedroom used at back recreation room used for day care has bathroom and sink for children’s usage, front yard and backyard (fenced). Page 1.

Raul Navarro	TELEPHONE: (424) -30-3072
Dawn Dowling	TELEPHONE: (424) 301-3202
	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 197493570
	VISIT DATE: 03/19/2025

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Per Licensee, areas off limits to children and parents include: 2 Bedrooms, 1 bathroom, dining room, living room, kitchen, garage and front yard and side of house by barbecue pits not accessible to children as well as side of house by day care center will be gated off so that children do not have access to area (Air Condition unit ).

On limits area are:3rd bedroom in back used for day care has bathroom for children's usage, back yard and side of house area that is fenced and the technical/media area off of living room is used as an isolation area when children are sick to wait for parent to come pick them up. Area is also used when child is brought for overnight care and Licensee or Assistant will be awake in the living room watching child when they are sleeping.

Food is provided by Licensee. Children do not bring food from Refrigerator was inspected for spoiled and outdated food. None observed.
Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection:

LPA reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log, last drill conducted on 2/7/2025.

Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicated fully charged and was serviced within the year on 8/28/2024. The home maintains telephone service via cell phone. The home is observed to be clean and orderly. There are toys and other age-appropriate materials available for children.

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SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn Dowling	TELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 197493570
	VISIT DATE: 03/19/2025

NARRATIVE

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No Fireplace or open face heaters observed. No Stairs in home. LPA observed that detergents, cleaning compounds are stored under sink in kitchen in locked cabinet which is inaccessible to children. Licensee states that there are no poisons stored in the home and understands that all poisons must be locked and not only inaccessible to children. Per Licensee there are no firearms or weapons stored in the home.

Infant Care: Currently licensee cares for 1 child under 24 months of age. Infant 15 minute sleep check is recorded for child. LPA did not observe any play yards/cribs visible in residence.. Napping equipment consists of mats and does not block entrances or exits. There are currently no infants with pacifiers. Per licensee wet or soiled sheets are washed by Licensee. Each infant has their own mats and bedding. Bedding is washed every week by licensee. LPA informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 24 months, 15-minute sleep check documentation for infants 0-24 months. Licensee follows the sleep supervision plan for infants 24 months or younger and provided documentation by showing LPA Dowling the 15 minute sleep log .

Overnight Care: Licensee stated the following for overnight care supervision: Children are in the technical/media area off of living room and sleep there while Licensee or an Assistant will be in the Living room area to watch the child/children while they are asleep. Licensee is aware that they must remain wake while children are sleeping.

Currently, children are using the back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care. There are no pools or spas, or other bodies of water.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months)
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SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn Dowling	TELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC809 (FAS) - (06/04)

Page: 3 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 197493570
	VISIT DATE: 03/19/2025

NARRATIVE

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2 out of 6 Children's Records Reviewed were missing the MMR Immunization. Licensee will have parents to provide documentation of this Immunization within 2 weeks as part of the Plan of Correction.

Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC-501: Personnel Record, LIC 508-Criminal Record Statement, LIC 9052- Employee Rights, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse and current Mandated Reporter Training Certificate.
Licensee and Staff were missing Proof of Immunization against Measles, Mumps, Rubella (MMR), Pertussis,

During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful, and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn Dowling	TELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC809 (FAS) - (06/04)

Page: 4 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 197493570
	VISIT DATE: 03/19/2025

NARRATIVE

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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.

Licensee was reminded of their responsibility to report suspected child abuse. Mandatory Forms for the children’s files and provider’s files were discussed. Licensee was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Licensee was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.

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

The licensee was advised the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. The applicant was made aware that a licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.

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SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn Dowling	TELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC809 (FAS) - (06/04)

Page: 5 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 197493570
	VISIT DATE: 03/19/2025

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During the exit interview, Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.LPA did not observe Immunization records in 2 children's files. Children must be immunized to prevent the spreading of diseases and documentation of these immunization's must be verified.

This is a violation as 1 out of 6 children's records showed that the did not have the mandated Measles, Mumps, Rubella (MMR) Immunization.

Employees or volunteers at day care center; immunization requirements; records; exemptions.

This was not met as indicated on deficiency page as Licensee and Staff Records showed that Staff did not have the required TB Clearance or Risk Assessment on file or Immunization from Measles, Mumps and Rubella (MMR) and Pertussis.

Licensee will also need to take the required Health &Safey 8 Hour Training as it was not in Licensee's file when LPA Dowling did file review on 3/18/2025. Licensee informed she can check CCL Website for the class or with Resource and Referral Agency if they have any.

The Licensee was advised of the requirement to report unusual incidents and/or injures to the parent/guardian and licensing within the time frame specified by the regulation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report reviewed with the Licensee and given to Licensee along with Notice of Appeal Rights. LPA asked Licensee if she had any questions or concerns regarding todays visit
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SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn Dowling	TELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC809 (FAS) - (06/04)

Page: 6 of 7

Document Has Been Signed on 04/04/2025 03:33 PM - 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 197493570
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review 1 out of 6 children did to have the required Measles, Mumps, Rubella (MMR) Immunization , the licensee did not comply with the section cited above in ChildrenChildren must be immunized to prevent the spreading of diseases and documentation of these immunization must be verified. Not having the required immunization which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/16/2025
	Plan of Correction
1 2 3 4	Parents will provide an Updated Immunization Record for their enrolled child. Licensee will provide LPA proof of Correction via emial on or beore the Plan of Correction date.

Type B

Section Cited

HSC

1597.622(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation,interview and record review, the licensee did not comply with the section cited above in4 out of 4 persons (Licensee and Staff) do not have TB Clearance or Risk Assessment on file or Required Immunizations which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/02/2025
	Plan of Correction
1 2 3 4	Licensee will provide LPA via email on or before the Plan of Correction date proof of TB Clearance and Immunization Records for Licensee and Staff.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Raul Navarro	TELEPHONE: (424) -30-3072
Dawn Dowling	TELEPHONE: (424) 301-3202
	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC809 (FAS) - (06/04)

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