198400144-2-19-2021-54-CC-ECHZ-BYDPZX-20210219104615

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400144
Report Date: 02/19/2021
Date Signed: 02/19/2021 10:47:21 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:	CHASE FAMILY CHILD CARE		FACILITY NUMBER:	198400144
ADMINISTRATOR:	DESEREE CHASE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 634-5664
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	14	CENSUS:	DATE:	02/19/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Deseree Chase		TIME COMPLETED:	10:30 AM

NARRATIVE

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Licensing Program Analyst (LPA) Elka Chavez conducted an announced pre-license inspection at the facility listed above. Due to COVID-19 and precautionary measures the inspection was conducted virtually by use of FaceTime. LPA met with Applicant, Deseree Chase to verify the following deficiencies from the initial Prelicensing inspection dated January 19, 2021:

· Lock on the door to the off-limit gym

· Safety gate for stairs in the backyard leading to the balcony in the second floor

· Napping equipment

· Fire Extinguisher (2A10BC)

· Posting of Covid-19 Signs

At 9:00 am, LPA observed a gate was installed on the north side of the home. Per applicant this area will also be used for the dog during hours of operation. LPA observed a safety gate was installed at the bottom of the stairs in the backyard making the balcony and second floor inaccessible to children in care. Applicant provided proof of purchase for two 2A10BC fire extinguishers via email on February 01, 2021. LPA observed a fire extinguisher located in the laundry room. LPA was informed by applicant that she would like the gym to be accessible to children in care. LPA observed napping equipment stored inside the gym. LPA also observed a refrigerator, peloton exercise bicycle, LPA observed a code is needed to operate the peloton bicycle and a Inspire Fitness M2 Home gym, a safety key is needed to operate. LPA observed the key to be stored out of children’s reach. Applicant has a child safety lock for the gym door.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka Chavez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2021

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: CHASE FAMILY CHILD CARE	FACILITY NUMBER: 198400144
	VISIT DATE: 02/19/2021

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LPA also toured the attached garage located next to the child care room. LPA observed a lock on the door preventing access to children in care. LPA advised Applicant to make sure that the garage is locked during hours of operation to ensure that children in care do not have access. LPA did not observe any bodies of water.

LPA discussed protocol in place regarding COVID-19. Applicant stated protocol in place is not having parents fully enter the facility and sign-in/out will take place at the side entrance located near the front door. Health screenings will be conducted by the side entrance. The child care room is big enough to meet the six feet distance. Applicant will evaluate children for any symptoms such as fever, running nose, cough or child's behavior and will inform authorized representative child cannot stay if any symptoms related to COVID-19; or if symptoms appear during the day, applicant will isolate the child and call authorized representative for immediate pick-up. Children will wash their hands during arrival, entering from outdoor play, meal times, covering their cough, and from using the restroom. LPA observed COVID-19 posters in the child care room and the entrance to the child care room. It was stated that the staff is aware of cleaning, disinfecting, sanitizing and the importance of constant hand-washing.

At this time, the Applicant is in compliance with California Title 22 Regulations. After further review by the department, Licensee will be notified if/when large license is granted. Once licensed, the Licensee is required to adhere to the terms and limitation as stated on the license.

Exit interview was conducted with Deseree Chase, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Applicant via email with a read receipt or confirmation of receipt of email, which will act as the Applicants signature

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka Chavez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2021

LIC809 (FAS) - (06/04)

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