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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003281
Report Date: 10/28/2021
Date Signed: 11/01/2021 09:40:54 AM

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:SCOTT FAMILY CHILD CAREFACILITY NUMBER:
198003281
ADMINISTRATOR:SCOTT, CATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 423-1086
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 10DATE:
10/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee - Catherine ScottTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced required 1 year inspection to the above facility on 10/28/21. LPA arrived at the facility at 9:30 AM and met with licensee, Catherine Scott, who guided analyst on a tour of the facility. Also present during this inspection were two assistants, S2 and S3. Per Licensee, there are 10 children that are currently enrolled. There were 10 children present upon arrival (2 infants and 8 toddlers). At 10:30 AM, LPA observed A1 arriving to the home.

This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen/dining area, living room, office, laundry area, front yard, back yard (fenced). LPA observed an off-limits guest house in the back yard area. Licensee states that guest house is used by A2 as a music studio. Additional off limit areas include 2 bedrooms, 1 bathroom, front yard, and part of the back yard. The main care area is located in the living room. LPA observed age appropriate toys and materials, a couch, wall mounted television, and a children's book shelf. Additional age appropriate toys and materials were observed in a second area of the home across from the main care area. LPA observed a baby changing table and a smoke alarm. LPA observed the smoke alarm to be operable. A bedroom was observed to be converted into an infant room. LPA observed 3 Lakeshore Metal Hotel Crib, item # CRIB, to each have a mattress with a clean fitted sheet. LPA observed the kitchen area to have a child sized table and child sized chairs. Locks were observed on the kitchen cabinet beneath the sink. No sharp objects were observed to be accessible in the kitchen area. Per licensee, cleaning products are stored underneath the locked kitchen sink. A carbon monoxide detector was observed on the wall in the kitchen. A sliding door was observed towards the back of the kitchen leading to the off limits office. A second door was observed next to the laundry appliances leading to an off limits bedroom. The backyard play area is being used for outdoor play. LPA observed hanging plants, a table designated for arts and crafts, and a water fountain. Per licensee, she no longer uses the water fountain. Instead she provides drinking water to children in care by designated cups. Three plastic storage sheds were observed to have locks. Shade is provided by a wooden awning over the arts and craft area. LPA observed an off limits
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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SCOTT FAMILY CHILD CARE
FACILITY NUMBER: 198003281
VISIT DATE: 10/28/2021
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detached garage to be used as a storage area for additional day care supplies. LPA observed a second garage that has been converted to be used to provide day care for infants. LPA observed additional age appropriate toys and materials, child sized chairs, child sized tables, and sponge flooring in the converted garage area. Continuing in the backyard play area, LPA observed a sand box, shade over the sand box and additional toys. Perimeter fencing was observed through out the back yard area. A wooden gate with a latch was observed in the back yard area leading to the off limits back yard area. LPA observed 3 additional storage sheds and another gate leading to an area where the licensee's two dogs are kept. Per licensee, the dogs do not have any interaction with the children in care. A jacuzzi was observed in the off-limits back yard area to be covered. Per licensee, isolation area for children showing signs of illness will be located in the kitchen. .

Individuals who reside in the home were noted and discussed. Per Licensee, she currently has 2 assistant. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed childcare home. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Licensee states that there are no firearms stored in the home

All areas identified on the facility sketch that are accessible for children to use were inspected for safety,


comfort, and cleanliness. There is telephone service via a landline. Per Licensee, the home is equipped with central heating and air conditioning. Day care area was observed with safe toys, play equipment and materials.

Detergents, cleaning compounds, and other items which could pose a danger to children were observed to be locked in the off limits garage.. The licensee understands that storage areas for poisons must be locked, not just inaccessible. The restroom that children use was observed to be safe and sanitary.

The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 03/09/20, as indicated on service tag.

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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SCOTT FAMILY CHILD CARE
FACILITY NUMBER: 198003281
VISIT DATE: 10/28/2021
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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 [facility representative] 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.

LPAs did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs.

The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 02/2022. LPAs observed that the Licensee and assistant do have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. File review was observed to have proper mandated immunization records. Children’s records were reviewed, including emergency information and were observed to be complete. A current children’s roster was available for review.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Incidental Medical Services (IMS):
IMS was discussed with licensee. Per licensee, there are no children enrolled that require IMS at this time. 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.
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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
LIC809 (FAS) - (06/04)
Page: 3 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SCOTT FAMILY CHILD CARE
FACILITY NUMBER: 198003281
VISIT DATE: 10/28/2021
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LPA advised the licensee to access forms, regulations and quarterly updates online at: www.ccld.ca.gov.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

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

Exit interview conducted and report was reviewed with the licensee Catherine Scott.

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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4