<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494068
Report Date: 04/14/2022
Date Signed: 04/14/2022 02:20:05 PM


Document Has Been Signed on 04/14/2022 02:20 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:EDWARDS FAMILY CHILD CAREFACILITY NUMBER:
197494068
ADMINISTRATOR:EDWARDS, KENISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 879-3630
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:14CENSUS: 3DATE:
04/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kenisha Edwards - LicenseeTIME COMPLETED:
02:30 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) Alicia Bailey conducted an unannounced random annual (or Required) inspection on 04/14/2022. LPA met with Licensee Edwards at 9:30 am who guided this LPA on a tour of the facility. At 9:34am during the inspection LPA Bailey discussed, assessed and noted individuals residing in the home. The facility Entrance Checklist for Family Child Care Homes was given to Licensee Edwards . This is a one-story home consists of 4 bedrooms and 2 bathroom. Areas used by the children include the day-care room, one (1) restroom, one (1 )bedroom and front yard. Per Licensee and facility sketch , areas off limits to children include: three (3) bedrooms one (1) bathroom and the backyard .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 at the entrance of the facility. The Licensee stated there are no other license held at this facility. There were three children during time inspection. Licensee states that there are currently seven children enrolled. Facility hours of operation Monday thru Friday 8:00am to 5:00pm.

There are NO weapons, firearms in the facility. LPA Bailey observed there no swimming pool or body of water. At 9:50 am LPA Bailey observed first aid kit, fire extinguisher 2A10BC ( service 07/21/2021) in the day care room. The smoke detectors, carbon monoxide was tested by LPA Bailey are in operable condition.

At 10:10am LPA Bailey tour the children bathroom. LPA Bailey observed children safety latches on the bathroom cabinet. LPA Bailey did not observe any hazardous items in the bathroom. At 10:30 am LPA Bailey toured the kitchen the counter tops were clean and free of clutter or standing food. Kitchen cabinets has safety lock and knives and medicine was in secure cabinet with safety lock. Licensee provides breakfast, lunch and snack. At 10:45 am LPA Bailey observed age appropriate toys and napping equipment on the premises.

At 11:00 am LPA Bailey toured the front yard inspected for hazards. LPA Bailey advise licensee Edwards to have 100% supervision at all time while in the front yard for outdoor play.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2022
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 3


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: 04/14/2022
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
26
27
28
29
30
31
32
At 11:20 AM LPA Bailey reviewed the Disaster Plan; Emergency Disaster Drill were reviewed. LPA Bailey observed Licensee have not conducted a Fire & earthquake drill. LPA Bailey advised Licensee Edwards to conducted a fire drill this month and send proof to LPA Bailey. Licensee Edwards stated she understood and will compile with the request. A current Children roster was viewed and maintained for a period of 3 years, even after children no longer are attending the facility.

Licensee has mandated reporter training expired 04/14/203. Licensee PED F/A & CPR EXP. 05/01/2023



At 11:40 am reviewed seven children file, LPA Bailey observed all children's files was in compliance.

At 12:01 pm Licensee Edwards was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation only.

At 12:20pm LPA Bailey also consulted with Licensee Edwards regarding COVID-19 health and safety guidelines. LPA Bailey observed COVID- 19 postings posted in different areas of the day care for parents, as well as for children.

At 12:36 pm LPA Bailey conducted Staff interview with Licensee Edwards

Licensee Edwards was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPA Bailey reviewed with Licensee Edwards 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.



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. *

Infant Needs and Services Plan: The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. Infant Care: LPA advised the applicant to sleep infants where they can be directly supervised at all time. LPA advised against sleeping infants in a separate room. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts were provided. LPA discussed and provided a copy of PIN 20-24-CCP.

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

DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 04/14/2022
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
26
27
28
29
30
31
32
The licensee Edwards is not providing Incidental Medial Services currently.

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 was discussed with Licensee Edwards Individuals who are 18 years of age or older living in the home must be fingerprint cleared prior to licensure. Individuals within one month of their 18th birthday must be fingerprinted immediately. The existing, immediate $100 per individual Civil Penalty has been increased to an immediate $100 per day Civil Penalty, for a maximum of five days for the first violation and a maximum of 30 days for subsequent violations. If an individual has a clearance with the Department a criminal record clearance may be transferred. LIC 9182 Criminal Background Clearance Transfer Request may be used.



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

Exit interview conducted and report was reviewed with licensee Edwards but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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

DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3