198012188-2-8-2024-33-CC-SLEE-D2A4BS-20240208175759

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198012188
Report Date: 02/08/2024
Date Signed: 02/08/2024 06:01:24 PM

Document Has Been Signed on 02/08/2024 06:01 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	PARK FAMILY CHILD CARE		FACILITY NUMBER:	198012188
ADMINISTRATOR:	PARK, JEUNG SUN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 840-9089
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90005
CAPACITY:	14	CENSUS: 9	DATE:	02/08/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Jeung Sun Park		TIME COMPLETED:	03:00 PM

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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced required random inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Jeung Sun Park and toured the facility. There were 9 children present being supervised by the Licensee and assistant. Individuals residing in the home are the licensee, and licensee's son. Licensee’s operating hours are Monday-Friday 8am-6pm.

This is a two story home which consists of 2 bedrooms, 2 bathrooms, kitchen, dining room, living room (FIREPLACE: inaccessible), back house and backyard (fenced). The children use the living room and bathroom in the house but primarily use back house and backyard as day care.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the living room. First Aid/CPR certificate are valid thru 02/2026 Licensee stated she has practiced fire/emergency drills with day-care children on 01/19/2024, providing LPA with disaster drill log. Licensee has a working telephone.

Detergents and cleaning supplies were inaccessible. Fire extinguisher has been serviced in the last year, card on extinguisher notes 07/10/2023. There is an operational smoke detector and carbon monoxide detector in the home. The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. LPA inspected the backyard. There are no pools or spas, or other bodies of water. Currently there are no pets.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PARK FAMILY CHILD CARE	FACILITY NUMBER: 198012188
	VISIT DATE: 02/08/2024

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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. Children files were reviewed during this inspection.

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.

No Deficiencies were cited on this visit.

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs.

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

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.

Exit interview was conducted with Licensee Jeung Sun Park. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC809 (FAS) - (06/04)

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