198012311-2-8-2023-54-CC-MRIA-CNUTS5-20230208135835

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198012311
Report Date: 02/08/2023
Date Signed: 02/08/2023 01:58:50 PM

Document Has Been Signed on 02/08/2023 01:58 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	DUCKETT FAMILY CHILD CARE		FACILITY NUMBER:	198012311
ADMINISTRATOR:	DUCKETT, YOLANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	3232320727
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	14	CENSUS: 6	DATE:	02/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:49 AM
MET WITH:	Yoland Duckett, Licensee		TIME COMPLETED:	02:03 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	On Wednesday, February 8, 2023, at 10:49 a.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with licensee Yolanda Duckett who guided LPA Rivera on a tour of the facility. During this visit, LPA observed 6 children getting ready for outdoor play with staff #2 and #3. Family members residing in the home has been discussed with licensee and are cleared. This is a large license, operating Monday to Sunday from 6:00 a.m. to 10:30 p.m. and care for children ages 0 to 13 years. This facility is a one-story home that consists of 3 bedrooms, 1 bathroom, half bathroom, kitchen, dining area (daycare area), living room, front yard and backyard. All areas identified on the facility sketch were inspected. Areas that are accessible to children and identified on the facility sketch include; living room, dining area, daycare bedroom half bathroom, front and backyard. Areas off limits to children include- two bedrooms, kitchen, full bathroom, and shed. LPA observed a safety gate anchored between the dining area and kitchen and hallway and kitchen, to prevent children access to the off-limit area. LPA observed the shed closed and locked with a key lock. At approximately 10:58 a.m LPA Rivera inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone and land line). For ventilation, LPA Rivera observed central AC/heater and the vents located on the ceiling walls. The thermostat reading 70 degrees and located in the hallway. LPA observed the furniture, children materials, to be in good condition and age appropriate. At approximately 11:06 a.m., LPA Rivera entered the bathroom and observed the toilet, hand washing sink, and soap. LPA observed the bottom sink cabinet occupied with face mask boxes. LPA did not observe hazard materials and observed the bathroom to be in good condition. For ill/isolation, the children use the half restroom and it's cleaned and disinfected after each use and the front living room.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DUCKETT FAMILY CHILD CARE	FACILITY NUMBER: 198012311
	VISIT DATE: 02/08/2023

NARRATIVE

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At approximately 11:13 a.m. LPA Rivera observed cleaning compounds items stored inside the laundry room located in the kitchen. LPA observed the laundry door closed and locked with a key lock making it inaccessible for children to open the door. LPA observed knives and sharp objects stored inside the kitchen top cabinet making it inaccessible for children to reach. For water drinking, licensee utilizes her filtered water and utilizes disposable cups. Licensee provides the meals. The facility currently does not have children with food allergies nor on medication.

LPA Rivera asked licensee if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has two dogs and no body of waters, firearms, weapons or poisons. LPA observed one dog and did not observe firearms, weapons, poisons nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.

At approximately 11:18 a.m. LPA Rivera observed the required 2A10BC fire extinguisher located in the kitchen with the valve on the green area indicating fully charged and serviced on 8/27/21. LPA informed the service expired on 8/27/22. LPA observed carbon monoxide detector and the smoke detector located in the hallway. Licensee tested the carbon monoxide and the smoke detector. Carbon and smoke detectors are operable. LPA observed the first aid kit complete with band aids, gauzes, adhesive bandages and antiseptic wipes and located in the kitchen and daycare room. LPA observed the earthquake and fire drill log and last drill dated 2/1/23.

At approximately 11:29 a.m., LPA Rivera inspected the outdoor backyard area that is utilized by the children for safety, comfort and cleanliness. LPA observed the backyard to be fenced all around and the equipment to be age appropriate, and good condition and free of sharp, no loose or pointed parts. LPA observed two side gates closed with a self-latch. LPA observed an AC compressor and advised licensee to place screen over the fan to prevent children placing their fingers. LPA observed a gate barrier in front of the compressor prevent children getting near the compressor.

At approximately 11:45 a.m., LPA reviewed children’s roster, children’s, staff and licensee files. No infants enrolled during this visit.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DUCKETT FAMILY CHILD CARE	FACILITY NUMBER: 198012311
	VISIT DATE: 02/08/2023

NARRATIVE

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LPA observed licensee Yoland Duckett Pediatric First Aid/ CPR certification dated 10/22/22, Health and Safety (nutrition and lead component) certification dated 10/24/21. Licensee has proof of immunization against Pertussis, MMR and Influenza declination. Licensee has completed the mandated reporter (AB 1207) training dated 3/14/21. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

LPA observed the required postings LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, LIC 999 Facility sketch, and child car seat law poster.

The following was also discussed with licensee:
1. In the absence of the licensee a qualified adult must be present, supervising the children; a qualified adult is an individual who has a valid and current Pediatric first aid/ CPR-adult-child- infant certification and a valid criminal record clearance associated to the facility license.

2. A current roster of children enrolled must be available and maintained for a period of 3 years, even after children are no longer attending the facility.

4. Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the license shall be terminated.

5. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.

6. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.

7. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing (refer to LIC 624B). Mandated reporter requirements were reviewed and explained.

8. Fire and safety drills must be performed every six (6) months and documented for review by the Department.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DUCKETT FAMILY CHILD CARE	FACILITY NUMBER: 198012311
	VISIT DATE: 02/08/2023

NARRATIVE

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9. Smoking is prohibited in the family childcare home.

10. Children and staff records must be maintained and updated as needed and be available for review by the Department.

11. Dog(s) and/or pets are recommended to be isolated from children in care.

LPA Rivera also reviewed Sudden Infant Death Syndrome (SIDS), Never Shake A Baby, and Lead Exposure information with licensee. LPA also explained to licensee that car seat, stroller are only and only for transportation, highchair is only for feeding and stated items cannot be misused No infant walkers, No Johnny jumpers, No saucer chairs, and any other item that falls into this category are not permitted in a family child care facility.

Medication: 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

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/inspection-process

Licensee Yolanda Duckett was reminded that all adults 18 and over, 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 Family Child Care Center. 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.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: DUCKETT FAMILY CHILD CARE	FACILITY NUMBER: 198012311
	VISIT DATE: 02/08/2023

NARRATIVE

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LPA discussed the safe sleep regulations with licensee Yolanda Duckett 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 Yolanda Duckett 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

Technical assistance given during this inspection for expired service tag on the fire extinguisher. No citations given during this visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with licensee Yolanda Duckett.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

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