198400269-12-16-2020-54-CC-DGIS-BWCVAU-20201216151630

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400269
Report Date: 12/16/2020
Date Signed: 12/16/2020 03:16:37 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:	GABB FAMILY CHILD CARE		FACILITY NUMBER:	198400269
ADMINISTRATOR:	KIMBERLIN GABB		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 909-1904
CITY:	CARSON	STATE: CA	ZIP CODE:	90745
CAPACITY:	14	CENSUS: 0	DATE:	12/16/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Kimberlin Gabb, Applicant		TIME COMPLETED:	03:00 PM

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This was a pre-licensing inspection conducted on 12/16/2020 at 1:00 PM by Denise Gibbs, Licensing Program Analyst (LPA). Due to COVID-19 and precautionary measures, this pre-licensing inspection was conducted with Kimberlin Gabb, applicant via a tele-inspection by use of Facetime.

Individuals residing in the home have been discussed and noted. The applicant is requesting a large family childcare home license. Per applicant, operation hours will be Monday - Friday, 6AM-6PM. Applicant states that they will care for children Zero to school-age.

During this tele-inspection the applicant took LPA on a tour of the home. During this tour the following was noted:

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a one-story home that consists of three bedrooms, two bathrooms, living room, kitchen, attached garage, front yard and backyard (fenced).

Main care areas include the living room, kitchen , one bedroom, front yard and back yard.

Off limit areas include, two bedrooms and one bathroom made inaccessible with a child safety gate and the detached garage (locked). The applicant understands that licensing staff may have access to off-limit areas during inspection visit if necessary.

Children will have assess to both the front and back yard. LPA observed that the yard is fenced and free of hazards. The front and backyard wrap all around the home with walkways on each side. Per applicant children will be supervised at all times. The outdoor play area has toys and age appropriate material for children.

Areas that will be used by children were inspected for safety, comfort, cleanliness. LPA observed operable telephone service, ventilation and heating. Home has fans and open windows. LPA observed a wall heater in the living room that is screened. Detergents, cleaning compounds, medicines and hazardous items that can ------------PAGE 1

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2020

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: GABB FAMILY CHILD CARE	FACILITY NUMBER: 198400269
	VISIT DATE: 12/16/2020

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pose a danger to children are made inaccessible in the garage (locked). Kitchen knives are stored in a high cabinet in the kitchen. The applicant states that there are no poisons stores in the home. Applicant was reminded that storage areas for poisons need to be locked not just out of reach of children. The bathroom that will used by children was observed to be free of hazards.

There are age appropriate toys and material available for children. Children will nap on cots and matts in the living room. LPA observed three infant pack and plays stored in the closet available for infant use. LPA reminded applicant that each infant in care needs their own crib or play pen and it must be free of hazards.

Infant Care: LPA informed applicant of the new Safe sleep regulation and provided PIN 20-24-CCP. The applicant states the following as a supervision plan for infants: infants will sleep in a pack and play in the infant/toddler activity bedroom and they will be supervised at all times. LPA provided the applicant with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics. Online copy can be downloaded at: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

Per applicant no one smokes in the home, there are no pets, weapons/firearms and no bodies of water. LPA did not observe these items.

LPA observed that the Applicant has a 2A10 BC fire extinguisher in the home, purchase tag 12/15/20. Smoke and carbon monoxide detectors were tested and are operable.

The applicant states that they will provide food for children in care. Any food brought from the children’s homes shall be labeled with child’s name and properly stored or refrigerated.

The applicant has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training and Pediatric First Aid and CPR. Required immunization's are current. There are first aid supplies available in the hallway.

LPA Provided COVID-19 Technical Assistance by emailing applicant COVID-19 resources and self-assessment prior to visit. LPA discussed self-assessment and answered question regarding COVID-19 procedures.
Essential Protective Equipment and Supplies- Applicant has a thermometer and a supply of disposable face coverings, gloves, hand sanitizer and disinfectant cleaning supplies in the home.
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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2020

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: GABB FAMILY CHILD CARE	FACILITY NUMBER: 198400269
	VISIT DATE: 12/16/2020

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Cleaning- Per applicant, they will have scheduled activities so not all toys are out at the same time. Applicant will rotate toys while dirty ones are being cleaned. Applicant states that they will use a dirty toy bin for items that are mouthed by children. Toys will be sanitized daily. Applicant stated that high touch areas such as table tops, door knobs, and bathrooms will be cleaned throughout the day as needed.
Hygiene- Per applicant children will be encouraged to sing a song while washing their hands for the recommended 20 seconds. Applicant has the advised children's hand washing and germs posting at the children's level. LPA observed individual cubbies for each child. Per applicant they will label the cubbies after enrollment. Applicant will ask parents to minimize the personal items the children bring into the facility. Bedding will be provided by applicant. Emergency isolation area will be in applicant bedroom with access to alternate bathroom.
Arrival Procedures- Per applicant parents will stop right inside the front door where a table is set up. Parents will be asked screening questions, children's temperature's will be taken and parents will sign in/out. COVID-19 posters and resources are posted in the front entrance visible to parents. Parents will be made aware of the COVID-19 policies and exclusion procedures by written information and verbally.
Group Size- Current COVID-19 required cohort size I sone caregiver for every 10 children (1:10). Applicant states that they will break groups up by ages, Infants/Toddlers in the main care bedroom, Preschool in the living room and School age in the kitchen area or outside to work on computers. Per applicant there will be no more than 10 children in a group.
Distancing/Meals/Sleep/Outdoors- Applicant has multiple areas for children's activities. Per applicant they will be using the outdoor area as much as possible. LPA observed a large outdoor area where children can social distance. Applicant has multiple tables that can be used for meals and activities. Children with eat by age group in their assigned areas. Applicant will use painters tape to label individual areas and distance from other children. LPA observed adequate space to social distance cots during nap time.

Incidental Medical Services (IMS):
This facility may provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.
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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2020

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: GABB FAMILY CHILD CARE	FACILITY NUMBER: 198400269
	VISIT DATE: 12/16/2020

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

A Large family childcare license will be granted upon Licensing Program Manager (LPM) Approval. Fire clearance was approved on 12/15/2020. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview was conducted with Kimberlin Gabb, applicant via tele-inspection by use of Facetime. 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 email, which will act as the Applicants signature.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2020

LIC809 (FAS) - (06/04)

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