198400286-12-23-2021-54-CC-RDEO-C9YQ5M-20211223105211

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400286
Report Date: 12/23/2021
Date Signed: 12/23/2021 10:52:19 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:	MOORE FAMILY CHILD CARE		FACILITY NUMBER:	198400286
ADMINISTRATOR:	CHRYSTAL MOORE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 362-9727
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	14	CENSUS: 3	DATE:	12/23/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Licensee - Chrystal Moore		TIME COMPLETED:	11:10 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 (LPA) R. Derraco conducted a Case Management visit to have licensee put back on active status for her child care licensee. LPA arrived at the above facility on 12/23/21 at 9:00 AM and met with licensee Chrystal Moore, who guided analyst on a tour of the facility. Per Licensee, there are zero children that are currently enrolled. Three of the licensee's children were present during the visit. This is a one story home which consists of 3 bedrooms, 1 bathrooms, kitchen/dining room, living room, a detached garage, front yard and backyard (fenced). The off limit areas include 3 bedrooms, front yard, part of the backyard, and the detached garage. Per licensee, detached garage is off limits but is used as additional living space for residents of the home. The side and back area outside the garage is also off limits and made inaccessible by a wooden fence. LPA observed a pet dog in the off limits part of the backyard. The main care area is located in the living room. LPA observed age appropriate toys and materials, a cubby locker for children's personal belongings, a dry erase board, wall mounted television, child sized table and chairs. LPA observed a wall heater in the main care area. Licensee states that the heater is not lit. LPA advised that a service tag would be required or a barrier would need to enclose the wall mounted heater making it inaccessible. LPA observed the kitchen / dining area to be clean and free of defects. Additional child sized table and chairs were observed in the dining area. Child locks were observed beneath the kitchen sink making contents inaccessible. Sharp objects and knives were also observed to be inaccessible in a locked kitchen cabinet. The bathroom designated for children in care was observed to be safe and sanitary. LPA observed the toilet and faucet to be fully functional. LPA observed the outside play area in the backyard to have perimeter fencing. Additional age appropriate toys and materials, child sized tricycles and a floor standing ball hoop was observed the backyard play area. An off-limits garage area was observed to be inaccessible by a locked iron wrought gate and a door. LPA did not observe the following items during the visit: Infant Walkers, Johnny Jumpers, Saucer Chairs. No bodies of water were observed in the back yard play area. (page 1 of 3)

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: MOORE FAMILY CHILD CARE	FACILITY NUMBER: 198400286
	VISIT DATE: 12/23/2021

NARRATIVE

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The licensee states that she provides food for children in care. Per licensee, isolation area for children showing signs of illness will be located at the end of the hallway. Per licensee, if a child is showing signs of illness, she will separate them from the group and inform their parent to pick up child within 30 minutes.

Individuals who reside in the home were noted and discussed. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed childcare home. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Licensee states that there are no firearms stored in the home

All areas identified on the facility sketch that are accessible for children to use were inspected for safety,

comfort, and cleanliness. There is telephone service via a cellphone that is used and the cellphone stays at the facility during operation hours. Day care area was observed with safe toys, play equipment and materials.
The valve on the required 2A 10BC fire extinguisher indicates fully charged. LPA did not observe a service tag and licensee states that fire extinguisher is the same one from when she had her pre-licensing inspection. LPA advised licensee to either have fire extinguisher serviced or show proof of purchase for a new fire extinguisher. Smoke and carbon monoxide detectors were tested and are operable.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

The licensee has completed training on preventive health practices including Pediatric First Aid and CPR.
(page 2 of 3)

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: MOORE FAMILY CHILD CARE	FACILITY NUMBER: 198400286
	VISIT DATE: 12/23/2021

NARRATIVE

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The licensee's Pediatric First Aid and CPR expires on 02/2022. LPAs observed the Licensee to have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Prior to the license being back on active status, the following items will need to be corrected:
-Fire extinguisher must be serviced with proof of a service tag, or provide a purchase receipt of a new fire extinguisher.
-Wall mounted heater must have service tag indicating it is inoperable or a barrier must enclose the heater making it inaccessible.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Chrystal Moore.

(page 3 of 3)

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2021

LIC809 (FAS) - (06/04)

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