198009837-5-1-2024-54-CC-ACAN-D4UQL7-20240501121529

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198009837
Report Date: 05/01/2024
Date Signed: 05/01/2024 12:15:38 PM

Document Has Been Signed on 05/01/2024 12:15 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:	WILLIAMSON FAMILY CHILD CARE		FACILITY NUMBER:	198009837
ADMINISTRATOR:	WILLIAMSON, TERESA RAMONA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 715-2947
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY:	14	CENSUS: 8	DATE:	05/01/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	WILLIAMSON, TERESA RAMONA / Licensee		TIME COMPLETED:	12:35 PM

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	Licensing Program Analysts (LPA) Ashley Calderon and Susann Sanchez conducted an unannounced annual inspection at the above facility and LPAs met with Licensee Teresa Williamson and LPA's explained the reason for the visit. During time of visit there were 6 children, 2 infants and 3 adults present including the licensee. Facility capacity is in compliance for a Large Family Child Care Home. Hours of operation are Mon-Fri 6:30 AM - 6:00PM. Licensee informed LPA's food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. This home is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, living room, day care room #1, day care room #2, front yard, backyard (fenced), and garage. The children use the bathroom in the hallway, day care room #1, day care room #2 and backyard . Per licensee, areas off limits to children and parents include: three bedrooms, one bathroom, garage, living room, dining room, kitchen and front yard. Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPAs reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log, last drill conducted on 03/24/2024.Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher was observed to be fully charged and last serviced on 1/08/2024. (Page 1, Continuation 809-C...)

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley Calderon	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WILLIAMSON FAMILY CHILD CARE	FACILITY NUMBER: 198009837
	VISIT DATE: 05/01/2024

NARRATIVE

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The home maintains telephone service via cell phone and a land line. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. LPA's observed that detergents, cleaning compounds and medication are stored in the locked kitchen cabinet under the sink and some in the garage, inaccessible to children. Licensee states that there are poisons stored in garage and are inaccessible to children. Isolation area for sick children waiting to be picked up is in the day care room #2, away from the other children. Per Licensee there are no firearms or weapons stored in the home and no pets.

Infant Care: Currently licensee cares for 2 infant that are enrolled. LPAs observed cribs for infants in care. Napping equipment does not block entrances or exits. LPAs observed infant mattresses to be firm with tightly fitted sheets. LPA's did not observe: loose object, bumpers, objects hanging, or objects attached to the cribs/play yards. Licensee is using the Safe sleep regulations, LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months was observed. Licensee states the following a sleep supervision plan for infants: infants sleep in the daycare room #1.

The outdoor play area was observed to be fenced. LPA's observed that the outdoor yard has toys and other materials for children to play with. LPA's did not observe any objects that could be hazardous to children in care. LPAs did not observe any bodies of water.

LPA's reviewed 2 staff files and 3 children’s records, all records were in place. At least one staff has an approved Pediatric First Aid and CPR certification and expires on 08/10/2025, Licensee has their Child and Mandated Reporter Training Certificate expires 2/08/2026.

During record review Child #1 has medication stored at the above home, in an area Off Limit to children in care and Licensee has a plan for child. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

(Page 2, Continuation 809-C)

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley Calderon	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WILLIAMSON FAMILY CHILD CARE	FACILITY NUMBER: 198009837
	VISIT DATE: 05/01/2024

NARRATIVE

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Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.
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 Teresa Williamson, 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 Teresa Williamson.

(End of Report)

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley Calderon	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

LIC809 (FAS) - (06/04)

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