197494068-7-16-2021-54-CC-ABAY-C4YS98-20210716134020

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494068
Report Date: 07/16/2021
Date Signed: 07/16/2021 01:41:49 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:	EDWARDS FAMILY CHILD CARE		FACILITY NUMBER:	197494068
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 2	DATE:	07/16/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:39 AM
MET WITH:	Kenisha Edwards-Licensee		TIME COMPLETED:	02:00 PM

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This is an unannounced case management Inspection conducted today by Licensing Program Analyst (LPA) Alicia Bailey for the purpose of inspecting the facility for capacity increase from small family to a large family child care home. LPA Bailey met with Licensee Edwards at 10:30 am on 07/16/2021. During the inspection LPA Bailey discussed, assessed and noted individuals residing in the home. Per Licensee there are no other license held at this location. This is a single-story home. The operating hours would be Monday thru Friday from 6:00 AM to 6:00pm. 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.

Licensee Edwards owns the property. Licensee’s provided a copy of the property tax statement was given showing as proof of ownership.

Areas used by the children were inspected as follows: Day-care room, one (1) bathroom, two bedroom, living room and kitchen. Licensee Edward states main care is provided in Day-care room (Child proof gate to the entrance from the kitchen. Licensee Edwards stated that children will enter the facility (day-care room) through the main door that leads to outside in the day-care room.

Areas off limits: Master Bedroom, Office, one bathroom, dining room, and backyard.

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

Per the applicant there no firearms or weapons in the facility. There are no swimming pool, spa or other bodies of water observed on the premises. LPA Bailey ask Licensee Edwards to do you have any pets. Licensee Edwards stated yes Chihuahua/Jack Russell mix terrier. LPA Bailey observed the dog is kept off-limit area office.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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

FACILITY NAME: EDWARDS FAMILY CHILD CARE	FACILITY NUMBER: 197494068
	VISIT DATE: 07/16/2021

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Licensee Edwards has completed the Pediatric CPR/First Aid on 05/01/2021 and expires 05/01/2023 on as indicated on the certificates and Preventative Health practices taken on: 10/07/2018. The mandated reporter training was completed on 04/14/2021. Licensee Edwards completed COVID-19 Self- Assessment on 04/11/2021. Licensee Edwards is enrolled in upcoming lead component class.

At 10:10 AM LPA Bailey ask Licensee Edwards show how the children will enter the facility. Licensee Edwards stated that children will enter the facility (daycare room) through the door that leads outside. Licensee Edwards stated she meets the children at the door, due to COVID-19 protocol. At 10:20 am LPA Bailey observed posting for COVID-19 protocol, wearing mask and required temperature check wellness station.

Once inside the facility at 10:20 AM LPA Bailey also observed a parent board with the require posting.

At 10:25 AM LPA Bailey viewed the facility sketch to verify which room is mainly used for childcare, Licensee Edwards stated the daycare room. At 10:28 AM LPA Bailey observed children size table and chairs located in the Daycare room. LPA Bailey observed large Television mounted to the wall. LPA Bailey ask Licensee Edwards to guided to all the electrical wall socket in the Daycare room Licensee Edwards complied. LPA Bailey inspected all electrical wall sockets was child proof and advised Licensee Edwards to check often to ensure that they are covered. Licensee Edwards stated she understood.

Licensee Edwards stated she understood. LPA Bailey also notice individual cubbies for children to store their personal items.

The daycare room will be used for all activities (observed age appropriate toys),eating snack and lunch the children in care will use the kitchen.LPA Bailey asked licensee Edwards what room will the children sleep in? Licensee Edwards stated the children bedroom. LPA Bailey observed napping equipment.

At 10:34 AM LPA Bailey observed 1 smoke/ carbon monoxide detectors located in the daycare room. LPA Bailey instructed Licensee Edwards to tested carbon monoxide and smoke detectors. Licensee Edwards complied LPA Bailey able to see and hear the smoke detector and carbon monoxide detectors are in operable condition.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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

FACILITY NAME: EDWARDS FAMILY CHILD CARE	FACILITY NUMBER: 197494068
	VISIT DATE: 07/16/2021

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LPA Bailey observed fire extinguisher (2A 10BC) on closet shelves daycare room. Licensee Edwards At 11:40 AM LPA Bailey request to see first Aid kits, Licensee Edwards complied.

At 10:44 AM LPA Bailey request Licensee Edwards to guide on tour of the children’s restroom. The children restroom was inspected, LPA Bailey instructed Licensee Edwards to open cabinet doors. LPA Bailey observed children safety latch. LPA Bailey did not observe any accessible hazards.

After leaving the children bathroom heading back down the hallway at 10:49 AM LPA Bailey reviewed the map of the facility ask Licensee Edwards to guide on tour off limit rooms one (1) bedrooms one (1) office (1) bathroom down the hallway.

At 10:52 AM LPA Bailey inspected the off-limit rooms and bathrooms and inform Licensee Edwards that the bedroom, office and bathrooms need to be lock during childcare hours.

At 10:59 AM LPA Bailey viewed the facility sketch requested to see the living room, dinning room. At 11:03 AM LPA Bailey was guided down the hallway thru the living room / dining room area. LPA Bailey observed large brown table and chairs in the dining room area. At 11:08 AM LPA Bailey observed couch.

At 11:15 AM LPA Bailey inspected the kitchen. LPA Bailey observed child proof latches on kitchen cabinet. LPA Bailey request were the knives are located. Licensee Edwards complied the knives are in an upper cabinet. LPA Bailey ask Licensee Edwards to do your facility provided meals for the children in care, Licensee Edwards stated yes.

At 11:38 AM LPA Bailey reviewed Covid-19 self-Assessment emailed. LPA Bailey reviewed protocols with Licensee Edwards regarding the COVID-19 for family Child Care Home.

During the inspection, the LPA reviewed Forms/Records to Keep in Your Family Child Care Home. LPA reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with applicant. *Infants should always sleep on their backs, mouths facing up, light bedding.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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

FACILITY NAME: EDWARDS FAMILY CHILD CARE	FACILITY NUMBER: 197494068
	VISIT DATE: 07/16/2021

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

The following items must be corrected before capacity increase to license:

1. Lead Component Certificate

LPA Bailey advised Licensee Edwards once licensed, for the large family child care home the applicant is required to adhere to the terms and limitations as stated on the license.

No deficiencies were observed or cited in accordance to Title 22 of the California Code of Regulations and Health & Safety Codes. At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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.

****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 Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia Bailey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

LIC809 (FAS) - (06/04)

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