198019016-6-6-2019-54-CC-SLEE-BCVRBX-20190606125328

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019016
Report Date: 06/06/2019
Date Signed: 06/06/2019 12:53:41 PM

COMPREHENSIVE INSPECTION

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:	MOK FAMILY CHILD CARE		FACILITY NUMBER:	198019016
ADMINISTRATOR:	SOUNG MOK		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 787-1141
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90810
CAPACITY:	14	CENSUS: 5	DATE:	06/06/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Alexis Marsalis		TIME COMPLETED:	12:30 PM

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Licensing Program Analyst, Seung Lee conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with assistant Alexis Marsalis and toured the facility. The licensee was away from the home for vacation per assistant. Assistant stated she comes in the morning to open the home for business. There were 5 children present. Individuals residing in the home are the licensee, and her husband. Licensee’s operating hours are Monday-Friday 6am-6pm.

This is a single story home consisting of 3 bedrooms and 2 bathrooms. The following areas are used for day-care: Living Room area, 3 bedrooms, 1 bathroom, kitchen, and parts of the backyard Off limit areas include: 1 restroom, and parts of the backyard.

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 05/2020 for the assistant. The date on the card notes Licensee stated she has practiced fire/emergency drills with day-care children on 06/03/2018, providing LPA with disaster drill log. Licensee has a working telephone. Detergents and cleaning supplies were inaccessible. Licensee states that all hazardous materials are kept in the off limits high cabinet in the restroom. Fire extinguisher has been purchased in the last year, receipt on extinguisher notes 08/01/2018. 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. There are no pools or spas, or other bodies of water. Currently there are two cats that reside in the home. Licensee understands that cat food cannot be accessible to children.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019

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: MOK FAMILY CHILD CARE	FACILITY NUMBER: 198019016
	VISIT DATE: 06/06/2019

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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 for completeness 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 licensee to refer to Section 101173 and 101226 for further information on regulatory requirements. Regulation Interpretations and Procedures for Child Care Centers Section 102417. 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.

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 assistant Alexis Marsalis. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Adriana Hernandez	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019

LIC809 (FAS) - (06/04)

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