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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003525
Report Date: 02/12/2020
Date Signed: 02/12/2020 10:44:02 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:MC KINNEY FAMILY CHILD CAREFACILITY NUMBER:
198003525
ADMINISTRATOR:MC KINNEY, RETINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 433-8782
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:14CENSUS: 1DATE:
02/12/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Retina Mc KinneyTIME COMPLETED:
10:50 AM
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
A RANDOM INSPECTION CONDUCTED IN ENGLISH
Licensing Program Analyst Alicia Mooberry conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Retina Mc Kinney and toured the facility. There was 1 infant present at the time of the inspection. Per licensee she is the only person living in the home.

The facility is a one story, 2-Bed, 1-Bath home/duplex with attached separate unit. Per Licensee the areas are used for day-care are the living room, 1 bedroom and restroom. Per Licensee, off limit areas include: Master bedroom, kitchen and detached garage. Operating hours are from 6:30 AM - 10:00 PM, Monday - Friday.

Licensee has all appropriate forms posted. Licensee's Pediatric First Aid and CPR certificate is valid thru 08/29/21. Per licensee, the last disaster drill was conducted with children on 10/19, verification of drills conducted was provided during today's visit. Licensee has a working telephone.

Detergents and cleaning supplies were kept in locked cabinets inaccessible to children in care. Fire extinguisher indicated fully charged. There is an operational smoke detector and carbon monoxide in the kitchen. The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games.

There are half doors on both entrances to the kitchen making it inaccessible to children in care. There is a wall heater in the living room with barrier however the barrier was not anchored to the wall, this can pose a potential risk to health and safety to children in care.

Report continues on 809C

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
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: MC KINNEY FAMILY CHILD CARE
FACILITY NUMBER: 198003525
VISIT DATE: 02/12/2020
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
There are no firearms present on the premises as stated by licensee. LPA inspected the backyard, there are age appropriate play structure and grassy area, clean, free of clutter. There are no pools or spas, or other bodies of water. Currently there are no pets.

Children's Roster was updated and available. Child’s file was reviewed.



The following were discussed:
  • Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting. LPA reviewed LIC 9232 with licensee, reminding her of required forms to maintain in the home.
  • Infant Care: Licensee is currently providing care for infants. LPA advised licensee to sleep infants where they can be directly supervised at all times. Infants sleep in the bedroom/infant 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. During this inspection a copy of the safe sleep pamphlet was provided. Licensee was reminded that car seats should only be used for their intended purpose and never to sleep children.
  • 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
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
LIC809 (FAS) - (06/04)
Page: 2 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: MC KINNEY FAMILY CHILD CARE
FACILITY NUMBER: 198003525
VISIT DATE: 02/12/2020
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
Deficiencies were cited in accordance with California Code of Regulations Title 22. See 809-D.

LPA advised the Licensee to access forms and regulations on line at: www.cdss.ca.gov
Email Address:

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.

Whenever a type A is cited: “Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.”

Exit interview was conducted with Licensee, Retina Mc Kinney. Appeal rights discussed and explained
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
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: MC KINNEY FAMILY CHILD CARE
FACILITY NUMBER: 198003525
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2020
Section Cited

1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home (g) Safety precautions shall include but not be limited to: (1) Fireplaces and open-face heaters shall be screened to prevent access by children.

This requirement is not met as evidenced by:
8
9
10
11
12
13
14
LPA observed fireplace barricade was not secured to the wall.

The poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4