197494054-12-8-2022-54-CC-AESA-CLWQKB-20221208111404

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494054
Report Date: 12/08/2022
Date Signed: 12/08/2022 11:14:14 AM

Document Has Been Signed on 12/08/2022 11:14 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	CRAWFORD FAMILY CHILD CARE		FACILITY NUMBER:	197494054
ADMINISTRATOR:	TAWANNA CRAWFORD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 345-4107
CITY:	COMPTON	STATE: CA	ZIP CODE:	90221
CAPACITY:	14	CENSUS: 0	DATE:	12/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Licensee Tawanna Crawford		TIME COMPLETED:	11:25 AM

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 12/8/22 at 9:10 AM Licensing Program Analysts (LPAs) Austin Estrada and Alicia Mooberry conducted an unannounced required 1-year inspection at the above facility. LPAs met with Freddie Bender and informed her of the purpose for the visit. Licensee Tawanna Crawford arrived at the facility at 9:35 AM. LPA provided the inspection Entrance Checklist (LIC 126). Licensee guided LPAs on a tour of the facility. There were no children present during the inspection. All adults present during the inspection have obtained a criminal record clearance or exemption. Individuals residing in the home have been discussed and noted. Licensee provides care to children ages 5 years to 12 years old and operation days/ hours are Monday- Sunday 5:30 AM to 9:00 PM. This is a one story 2 bedroom, 1 bathroom home which consist of a living room, day care room, dining room area, kitchen, detached garage, and fenced backyard. Off limits areas include two bedrooms and the detached garage. Licensee provides transportation to and from school for children in care. 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: LPAs reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. All documents were observed to be posted in the entrance of the home and the day care room. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log, last drill conducted on 11/1/22. All documents were observed during the inspection. --Pg 1 of 3--

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CRAWFORD FAMILY CHILD CARE	FACILITY NUMBER: 197494054
	VISIT DATE: 12/08/2022

NARRATIVE

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There is an operable carbon monoxide detector and a smoke detector in the home. A fully charged Fire extinguisher (2A10BC) was observed and last serviced on 11/21/22. The home maintains telephone service (mobile). LPAs observed cleaning compounds and sharp objects such as knives located in the kitchen inaccessible to children in care. Per Licensee, no children require medication.

Per licensee there are no poisons stored in the home. LPA advised Licensee that all poisons must be locked away, not only inaccessible. Isolation area for sick children waiting to be picked up is in the living room, away from the other children. Per Licensee there are no firearms stored in the home.

Food is provided by Licensee. LPAs advised Licensee if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated.

The home is observed to be clean and orderly. There are toys and other age-appropriate materials available for children. LPAs observed a wall heater at the entrance of the facility that is inaccessible to children. Children use the restroom in the hallway.

The outdoor play area was observed to be fenced and contained toys and other age- appropriate materials available for children. Per Licensee, children are supervised while playing outside. LPAs did not observe any pools, spas, or other bodies of water.

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, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate. Licensee’s CPR/First Aid expires on 11/30/23 and Mandated Reporter Training Certificate expires on 11/30/23.

Infant Care: Currently Licensee does not care for any infants.
Overnight Care: Currently License does not provide overnight care. LPA discussed the following: Licensee is aware that they must remain wake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CRAWFORD FAMILY CHILD CARE	FACILITY NUMBER: 197494054
	VISIT DATE: 12/08/2022

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Incidental Medical Services (IMS): 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

LPAs advised Licensee that all adults age 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.

LPAs 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Based on the LPAs observation and record review no deficiencies will be cited today, 12/8/22.

An exit interview was conducted and report was reviewed with Licensee, Tawanna Crawford.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Appeal rights were discussed and provided to the Licensee.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

LIC809 (FAS) - (06/04)

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