198018552-3-6-2020-54-CC-JANO-BMFQUK-20200306112851

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018552
Report Date: 03/06/2020
Date Signed: 03/06/2020 11:29:04 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:	PERKINS FAMILY CHILD CARE		FACILITY NUMBER:	198018552
ADMINISTRATOR:	PATRICE MARIE PERKINS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 221-5191
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY:	14	CENSUS: 9	DATE:	03/06/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Patrice Perkins		TIME COMPLETED:	11:45 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	Licensing Program Analyst (LPAs) Jennifer Anguiano and Susann Sanchez conducted an unannounced annual random inspection to the above facility. LPA met with Patrice Perkins at the time of arrival. Licensee who guided analyst on a tour of the facility at approximately 9:30am. Also present during this inspection, Johnny Perkins (husband) and Taniya Griffin (assistant). People living in the home two adults. Per licensee 5 foster children reside in the home. Per Licensee, there are 14 children currently enrolled and 9 children present during inspection (6 children and 3 infants). Current hours of operation are Monday- Friday 6:30am to 6:30pm. This is a one-story home which consist of 3 bedrooms, 2 ½ bathrooms, dining room, kitchen, living room, attached garage, and backyard. Children are cared for in the den area with attached restroom for children use. LPA’s observed the backyard for play. LPA observed that the outdoor yard has toys and other materials suitable for children. LPA recommended licensee to do a walk through the play area prior to children play. LPA did not observe any objects that can pose a danger to children on the outdoor yard at the time of inspection. Areas off limits to children and parents include: 3 bedrooms and a portion of back yard (gated). These areas are kept locked. Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for safety and comfort. There is a house phone and a cell phone available on the premises during operating hours. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible in all areas of the home. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible in all areas of the home. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock. *REPORT CONTINUES ON THE NEXT PAGE

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer Anguiano	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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: PERKINS FAMILY CHILD CARE	FACILITY NUMBER: 198018552
	VISIT DATE: 03/06/2020

NARRATIVE

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Per licensee, there are no weapons, firearms or bodies of water on the premises. There were safe toys, play equipment and materials observed for children. Emergency Disaster Plan was posted at the time of visit. Last drill was completed on 1/22/2020. The valve on the required 2A 10BC fire extinguisher indicates fully charged. Smoke detector was in operable condition. This is an immediate risk to the health and safety of children in care. The Licensee has a functioning carbon monoxide detector. Pediatric First Aid and CPR was completed on 2/23/2019 and expires on 02/23/2021. A current children’s roster was available for review. Roster was up to date. Staff ratio was met. LPAs reviewed parent board in the facility to determine if all posting requirements were available for view. All postings were observed.

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

The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed.

LPA provided Licensee with PIN 19-02-CCP, Safe Sleep Awareness Campaign.

The following was discussed: Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.

*REPORT CONTINUES ON THE NEXT PAGE

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer Anguiano	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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: PERKINS FAMILY CHILD CARE	FACILITY NUMBER: 198018552
	VISIT DATE: 03/06/2020

NARRATIVE

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No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

Infants sleep in the day care room on play pens. The brand of the play pen is Graco. LPAs advised Licensee to sleep infants where they can be supervised at times.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website 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 Patrice Perkin. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

*END OF REPORT

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer Anguiano	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

LIC809 (FAS) - (06/04)

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