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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003055
Report Date: 10/15/2024
Date Signed: 10/15/2024 12:09:43 PM


Document Has Been Signed on 10/15/2024 12:09 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:ENNIS FAMILY CHILD CAREFACILITY NUMBER:
198003055
ADMINISTRATOR:ANGELA E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 632-9358
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:14CENSUS: 4DATE:
10/15/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:ENNIS, ANGELA/ LICENSEETIME COMPLETED:
12:25 PM
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Licensing Program Analyst (LPA) Ashley Calderon conducted unannounced random /annual inspection visit. LPA met with Angela Ennis / Licensee. LPA discussed the purpose of today's visit. LPA provided Entrance Checklist and Licensee guided analyst on a tour of the facility.

Also present was Licensees' Assistant staff #1 There were 4 children present during inspection, no infants observed. Facility capacity is in compliance for a Large Family Child Care Home. Per Licensee, hours of operation are Monday through Friday, 6:00 am to 6:30 pm. Licensee cares for children 0 to 13 years of age.

This is a one-story home which consists o:f 3 bedrooms, 2 bathrooms, kitchen, den/ day-care room, living room, garage with bathroom, backyard, and front yard. The children use: the bathroom near the den, den area, kitchen/dining room, and backyard. Per Licensee, areas off limits to children and parents include: all bedrooms, one bathroom, living room, front yard, garage with attached bathroom.

All areas identified on the facility sketch that children use, were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating (central). The following was observed and reviewed during this inspection:

Kitchen was inspected: knives were placed in high cabinets, inaccessible to children. Chemicals are stored under kitchen sink cabinet, safety latch is in place. The licensee provides food for children in care. LPA reminded Licensee if children bring food from home to store food properly/ refrigerate and ensure food is properly labeled with child's name.

LPA reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA reviewed Disaster/ Fire Drill log and the last drill conducted was 07/08/24. (page 1 / cont...)
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley CalderonTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ENNIS FAMILY CHILD CARE
FACILITY NUMBER: 198003055
VISIT DATE: 10/15/2024
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Outdoor play area was observed, per licensee stated that supervision is provided at all times. LPA observed back yard area, free of hazardous area. Licensee backyard has locked gates that belong to (2) residents' yards, yards are inaccessible and remain locked at all times.

Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicated fully charged and inspected service date 7/12/24. The home maintains telephone service via landline and cell phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children inside and outdoors.

Per Licensee, uses Affidavit regarding liability insurance form - LIC282 for day care. Per licensee, no poisons are located at the facility. LPA reminded Licensee if poison's are brought into the home to lock chemicals using a key lock or combination lock to ensure inaccessibility. Per Licensee, no pets in home and no firearms/ ammunition on premises. LPA did not observe a fire place and per licensee, no children are on medication. Per Licensee, Ms.Ennis, does transportation for children when needed.

LPA reviewed roster, children enrolled list is current. LPA reviewed (2) staff assistant files and (4) children files. Licensee and staff have up to date Pediatric First Aid/ CPR and Mandated Reporter Training. Licensee mandated reporter training expires 4/18/26 and Pediatric First Aid and CPR expires 6/23/25. All children had appropriate documentation's in children's files.

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.

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. (page 2 / cont...)
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley CalderonTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ENNIS FAMILY CHILD CARE
FACILITY NUMBER: 198003055
VISIT DATE: 10/15/2024
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA 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.

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. Based on today’s visit, Per Regulations Title 22, the facility was found in compliance, and no citations were given today.

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

Exit interview conducted and report was reviewed with the Licensee Angela Ennis. (Page 3 / Cont...)

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley CalderonTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3