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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494233
Report Date: 07/23/2019
Date Signed: 07/23/2019 11:41:50 AM

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:SEOK FAMILY CHILD CAREFACILITY NUMBER:
197494233
ADMINISTRATOR:SEOK, KUIHWAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 977-2778
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY:14CENSUS: 0DATE:
07/23/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:KuiHwa SeokTIME COMPLETED:
12:00 PM
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On 07/23/19, Licensing Program Analyst (LPA) Karren Starks made an announced visit for the purpose of conducting a pre-licensing inspection. LPA met with and toured the facility, inside and out with applicant KuiHwa Seok. The home appeared to be clean, safe and well ventilated with telephone service. The home is a 3bd 2ba single story home with living room, dining room, kitchen and laundry area. Residents of the home are the applicant, applicant's spouse and their 2 y/o child. Bedrooms 2 & 3 and the second bathroom are off limits and made in accessible by a child safety gate. Entrance into the home will be via the driveway that leads to the door at the rear of the home, parents will be given the code to the gate to access the entrance. The child care room at the rear of the home was inspected, LPA observed age appropriate furniture and toys. The bathroom is adjacent to the child care room, LPA did not observe any medications, toxins or cleaning compounds that would pose a risk to children in care. The dining room which will be used for napping this area was inspected and LPA observed napping equipment and electrical outlets covered. The kitchen which is between the dining room and the child care room was inspected, LPA observed safety latches on the cabinets making their contents inaccessible with the knives and sharp objects placed in the cabinet over the refrigerator making them inaccessible to children in care. Children will bring their own lunch, applicant will provide AM/PM snacks. The laundry area just to the side of the kitchen, LPA did not observe any detergents or cleaning compounds that would pose a risk to children in care. The applicant has an area for isolation of ill children.
Appropriate fire extinguisher is present in the kitchen, smoke detector and carbon monoxide detectors are present and tested during inspection.
All hazardous items inaccessible & toxins are locked. The home has central heating and air conditioning. There is a faux fireplace in the living room. Per the applicant there are no weapons in the home, LPA did not observe any weapons. There is a fish in a fish tank in the home that is only fed by the applicant or her spouse.
Control of property, 1st Aid/CPR and Mandated reporter training are on file. Granted Fire clearance on file.
The applicant has a board in the child care room for required postings and given the items to post.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
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 4
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: SEOK FAMILY CHILD CARE
FACILITY NUMBER: 197494233
VISIT DATE: 07/23/2019
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LPA inspected the outdoor area, the outdoor area is gated with a long driveway for active play. There is a grassy area to the side with a seating bench. There are garden areas with growing food items. There is a detached garage that is locked and only used for storage. A climbing apparatus with cushioning is behind the garage. LPA reminded the applicant that the children are to be visually supervised during outdoor play.
No bodies of water present. Outdoor area is free of debris and hazards.

The following was discussed with the applicant under Title 22:
• All adults living or working in the home must have valid criminal record clearances associated to the license, failure to associate criminal record clearances shall result in an immediate civil penalty of $100.00 per day for each adult found in the home not having a valid clearance associated to the license.
• In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license.
•A roster with the names of children who have attended the family child care home must be maintained for a period of three years, even after the child is no longer attending the child care home.
• Adult and infant CPR & Pediatric First Aid must be maintained current and valid regardless whether children are being cared for or not.
• Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License shall be terminated.
• The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke detectors should have battery replacements at least twice a year.
• Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
• Activities such as fulltime employment and/or fulltime attendance to a school are not allowed when children are present and you are actively operating the license.
• Unusual incident & injury report shall be reported by the licensee to the Department within 24 hours via telephone and within seven (7) days in writing.
• Fire and safety drills must be performed at least two (2) times a year and documented for review by the Department and the local fire authority.
• Smoking tobacco in a family child care home during the hours of operation is prohibited
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
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: SEOK FAMILY CHILD CARE
FACILITY NUMBER: 197494233
VISIT DATE: 07/23/2019
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Assembly Bill (AB) 633: Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility.

Senate Bill (SB) 277 New Immunization Requirement: Beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541


Email Address: childcareadvocatesprogram@dss.ca.gov


Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation 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
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag. Applicant not providing IMS at this time.
Copy of report issued.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: SEOK FAMILY CHILD CARE
FACILITY NUMBER: 197494233
VISIT DATE: 07/23/2019
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• Children and Staff records must be maintained and updated as needed and must be available for review by Licensing Analyst
• Baby walker, exersaucers, bouncers and similar items are prohibited
• The licensee is responsible for keeping up with changes in the regulations and forms. Information can be access 24hrs/7days at www.ccld.ca.gov
• All adults living and working in the home shall be made aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.

Based on the inspection the home is ready for licensure of a Large Family Child Care home effective 07/23/19.

The documents as listed on the LIC311D were reviewed and issued to the applicant.

SIDS & SHAKEN BABY SYNDROME INFORMATION (issued & discussed)
Applicant was informed of responsibility to report suspected Child Abuse 1-800-540-4000
Applicant was informed all adults 18 years of age and older living in the home or visiting for extended periods of time SHALL have criminal background clearances with the Department of Justice, FBI and Child Abuse Index Check. Applicant was informed if any adults 18 years of age and older do not meet these requirements a Civil Penalty of $500.00 will be cited for each adult.

Senate Bill (SB) 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4