197494233-12-3-2024-58-CC-KSCT-DBLU8P-20241203142151

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494233
Report Date: 12/03/2024
Date Signed: 12/03/2024 02:22:07 PM

Document Has Been Signed on 12/03/2024 02:22 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:	SEOK FAMILY CHILD CARE		FACILITY NUMBER:	197494233
ADMINISTRATOR/ DIRECTOR:	SEOK, KUIHWA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 977-2778
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	12/03/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:55 AM
MET WITH:	Kuihwa Seok- Licensee		TIME VISIT/ INSPECTION COMPLETED:	02:35 PM

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Licensing Program Analyst (LPA) Keyona Scott conducted an unannounced 3- Year Required Annual Inspection to the Family Child Care Home on 12/03/2024. LPA met with Licensee, Kuihwa Seok at 9:18 AM. LPA observed eight (8) children in care with Assistant (S1) at 9:20 AM and 11 children after touring facility, at 9:50 AM. All Adults present, residing and working in the home have a criminal record clearance or exemption and associated to facility. LPA was guided on a tour inside and outside of the home at 9:25 AM.

PHYSICAL PLANT

The home is a one story, three bedroom, two bathroom home with a living room, office, kitchen and detached garage. Per Licensee, no child care is conducted in the detached garage. The off-limit areas of the home are the two bedrooms (made inaccessible by safety gate at kitchen entrance), office and living room at the front of the home. The bedroom at the rear of the home is utilized and referenced as the classroom on the facility sketch. The primary child care areas of the home are the classroom at the rear of the home and the outdoor play area. LPA observed books, kitchen play set, blocks, children's board games, covered fish tank and other age-appropriate toys in the classroom. The children utilize the outdoor play area adjacent to the classroom as an outdoor classroom area. LPA observed the outdoor classroom tented and used as an arts and crafts, meal and snack time area. Lunch is provided by child's authorized representative. LPA advised Licensee to ensure food containers/water bottles are labeled with child's name and properly stored or refrigerated. The children utilize the bathroom in the classroom. Children enter/exit through the side gate.

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 in care. Home utilizes centralized heat and air conditioning ventilation system as a heating and cooling source. Home has a working telephone. Hazardous materials in the kitchen and bathroom are inaccessible to children. LPA observed safety locks and latches on the kitchen and bathroom cabinets and drawers. According to the Licensee, there are no weapons or firearms in the home; None were observed by LPA. Per Licensee, there are no pets in the home; None were observed by LPA. PAGE 1

Claudia Escobedo	TELEPHONE: (424) 301-3044
Keyona Scott	TELEPHONE: (424) 301-3091
	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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

FACILITY NAME: SEOK FAMILY CHILD CARE	FACILITY NUMBER: 197494233
	VISIT DATE: 12/03/2024

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The home is equipped with a fully charged fire extinguisher which is at least a 2A:10BC. The home is also equipped with a working smoke detector and carbon monoxide detector. There is also a first aid kit and earthquake kit equipped in the home.

Toys and playthings are safe, orderly and age-appropriate for the children. Licensee agrees that no baby-walkers, bouncers, jumpers, exersaucers and similar items will be used for children in care and are kept inaccessible; None were observed by LPA.

Outside play is conducted at the side and rear yard of the home. The outdoor play area is fully fenced in and also is free from defects or dangerous conditions. No pools, spas, hot tubs, fish ponds, or similar bodies of waters observed during the inspection.

The facility operation hours are Monday through Friday, 8:00 AM to 5:30 PM.

FACILITY RECORDS

LPA observed current Pediatric First Aid and CPR certificate for Licensee and Assistant with completion dates of 01/28/2024 .Licensee completed Health, Safety and Nutrition training on 05/11/2019. Licensee and Assistant have required immunization record for Measles, Pertussis (Tdap) and TB on file. LPA advised Licensee to obtain and place immunization record for influenza or waiver of influenza declination for self and staff in each individual's file. Licensee also completed Mandated Reporter training on 01/23/2024 and Assistant completed on 01/26/2024. LPA reminded Licensee that Licensee and staff are to renew Mandated Reporter training every two years online at: www.mandatedreporter.ca .

LPA reviewed the following Personnel records for Licensee and Assistant present during inspection: LIC 508 (Criminal Record Statement), LIC 9052 (Employee Rights), LIC 9108 (Statement Acknowledging Requirement to Report Child Abuse).

LPA observed and reviewed the following Children's Records during today's inspection: Immunization Records, LIC 700 (Identification and Emergency Information), LIC 627 (Consent for Emergency Medical Treatment), LIC 995A (Notification of Parents' Rights)

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SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

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: SEOK FAMILY CHILD CARE	FACILITY NUMBER: 197494233
	VISIT DATE: 12/03/2024

NARRATIVE

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LPA observed the following required posting on Parent Board in the indoor classroom:

Facility License
PUB 394- Notification of Parents' Rights
LIC 9148- Earthquake Preparedness Checklist

LPA reviewed the following documents during today's inspection:

LIC 610A- Emergency Disaster Plan

Verification of Disaster and Fire Drills

LPA observed current Fire Disaster Drill notification to parents. Licensee has conducted fire disaster drills at least once every six months as required. LPA advised Licensee to create a log and include the date, time, number of children in attendance and type of disaster (fire/evacuation) drill conducted and keep on file and have readily available at the Department's request.

LIC 9040- Facility Roster

LPA observed current Child Care Facility Roster of the children enrolled. Per Licensee, all children enrolled are not full-time. Licensee also has part-time children enrolled. LPA provided Licensee with blank LIC 9040 Child Care Facility Roster and advised Licensee to update roster with current children enrolled and keep previous roster on file for three years from the date the last child no longer attended.

The facility was operating in substantial compliance during today’s inspection on 12/03/2024. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

The following was thoroughly discussed with Licensee:

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

LIC809 (FAS) - (06/04)

Page: 3 of 6

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: SEOK FAMILY CHILD CARE	FACILITY NUMBER: 197494233
	VISIT DATE: 12/03/2024

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

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

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

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

Exit interview conducted and report was reviewed with the licensee Kuihwa Seok.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

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SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024

LIC809 (FAS) - (06/04)

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