198018552-7-12-2021-54-CC-SSAZ-C4UR7J-20210712124625

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018552
Report Date: 07/12/2021
Date Signed: 07/12/2021 12:46:32 PM

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: 10	DATE:	07/12/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Patrice Perkins, Licensee		TIME COMPLETED:	01:05 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	At 10:35p.m., on July 12, 2021, Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced Required - 1 Year site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Patrice Perkins, who provided LPA with a tour of the facility at 10:45am. There were 5 children, 4 school-age children, and 1 infant present. The facility roster was reviewed and is current. Licensee’s operating hours are from 6:30 a.m. to 6:30 p.m. from Monday through Friday. The home consists of 3 bedrooms, 2 and a 1/2 restrooms, living room, dining area, kitchen, day care room, li, back yard, garage, and two additional storage room in the backyard. During the tour of the facility, LPA noticed two detached back rooms in backyard that were not there during the last inspection which was on 03/06/2020. Per Licensee rooms were build during April 2020, when enrollment was low due to COVID19. LPA reminded Licensee that a 30 notice must be given to the Department whenever any changes are made to the facility. Advisory was given. Per Licensee, rooms are not being used for day care. LPA obtained declaration. LPA told Licensee, a fire clearance will be needed along with a notice if she ever decides on using the rooms for day care. LPA did inspect off limit storage rooms during inspection. Areas that are accessible to children include: day care room, bathroom, living room (isolation area only), and back yard (fenced). Areas off limits to children and parents include: Bedrooms, kitchen, dining area, 2 bathrooms, front yard, parts of the backyard, and two storage rooms located in the backyard. There was a safety gate installed in the kitchen to make the kitchen inaccessible to the children. All other off-limit areas are kept locked. PAGE 1

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

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: 07/12/2021

NARRATIVE

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There are no firearms, poisons, or bodies of water present on the premises as stated by Licensee. LPA inspected all areas used by children and there are adequate age appropriate toys, books, and games. No hazards or violations were observed. There is proper ventilation through the home provided through an air conditioning unit throughout the home. No hazards of violations were observed. Knives, sharp objects, detergents, and cleaning compounds are stored in the kitchen which is inaccessible. LPA inspected the bathroom used by the children. No hazards or violations observed. There are electrical outlet covers throughout and a First Aid supplies are available.

Licensee has the Parent’s Rights poster and other appropriate forms posted on a board in the day care room. LPA observed the 2A10BC fire extinguisher located in the day care room to be fully charged and was serviced on 12/04/2020. There is an operational smoke detector and an operational carbon monoxide detector in the home. Licensee's disaster drill log notes last drill conducted on 07/08/21. Licensee has a working telephone. Licensee states there are not pets.

The outdoor play area was inspected for safety. LPA observed age appropriate toys and equipment available to children in care.

Children’s files were reviewed for proper documentation and found to be complete. Licensee, Patrice Perkins First Aid/Infant CPR certificates are valid through 02/23/2023. 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.

LPA discussed Department of Public Health, Early Care and Education Guidance COVID-19 recommendations.

PIN 20-24 was given and explained in detail. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed Safe Sleep regulations and practices. LPA reviewed SIDs and Never Shake A Baby information. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

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: 07/12/2021

NARRATIVE

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LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

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

A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

There were no deficiencies at this time.

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.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

LIC809 (FAS) - (06/04)

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