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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400367
Report Date: 04/04/2022
Date Signed: 04/04/2022 12:35:14 PM


Document Has Been Signed on 04/04/2022 12:35 PM - It Cannot Be Edited

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:FLEWELEN FAMILY CHILD CAREFACILITY NUMBER:
198400367
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
04/04/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Emani Flewelen, LicenseeTIME COMPLETED:
11:54 AM
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On Monday, April 4 2022 at 9:35 AM, Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced case management for a capacity increase inspection and met with Licensee Emani Flewelen who guided LPA Rivera on a tour of the facility.

During the inspection, 1 child was present and around 10:40 am child #2 arrived. LPA Rivera observed the child playing in the livin groom. Family members residing in the home has been discussed with licensee and are cleared. Operating hours are Monday to Friday, 7:30 AM to 6:00 PM and care for children ages 0 to 12 years. Currently has no children under the age of one.

This facility is a one story home that consists of 2 bedrooms, 2 bathrooms, kitchen, living room, laundry room, front and backyard (fenced and gated). Areas that are accessible to children and identified on the facility sketch were inspected by LPA Rivera; living room, kitchen, bathroom (located in the daycare bedroom) daycare bedroom (located in the front) and front yard.

Areas off limits to children include masters bedroom, laundry room and backyard.

At approximately 9:35 AM LPA Rivera entered the facility to inspect for safety, comfort, cleanliness, ventilation and working phone (cell phone). For ventilation, LPA Rivera observed central AC/heater and vents located on the ceiling walls. LPA observed a cubby storage with children personal belongings and the furniture and children materials to be in good condition and age appropriate.

At approximately 9:42 AM, LPA Rivera entered the restroom and observed the toilet, hand washing sink, hand washing soap and toilet paper. LPA did not observe bottom cabinets nor hazards in the restroom and observed the restroom to be in good condition.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 04/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/04/2022
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: FLEWELEN FAMILY CHILD CARE
FACILITY NUMBER: 198400367
VISIT DATE: 04/04/2022
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At approximately 9:50 AM LPA observed cleaning compounds items stored inside the bottom kitchen sink cabinet. LPA observed child proof lock in place making it inaccessible to children to open the bottom sink cabinet. Knives and sharp objects, LPA observed the items inside the kitchen drawer with child proof locks making it inaccessible for children to open the drawers. For drinking water, licensee provides sippy cups and water bottles.

LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has a dog and no body of waters, firearms, weapons or poisons. LPA observed one dog and did not observe firearms, weapons, poisons nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately. Licensee understands that any poisons or firearms must be locked with a key or combination lock.



At 9:58 AM LPA Rivera observed the required 2A10BC fire extinguisher located in the living room and the valve on the green area indicating fully charged and purchased receipt dated 3/10/22. LPA observed the smoke detector and carbon monoxide in the living room; tested and heard the sound of the detectors. The smoke and carbon detectors are operable. LPA observed the emergency drill log with last drill conducted on 11/9/21.

At approximately 10:00 AM, LPA Rivera inspected the outdoor area for safety, comfort and cleanliness. Licensee informed LPA Rivera, children are currently not utilizing the backyard due to the backyard is in working process. Licensee is currently using the front yard for play time. Licensee does not have an exact date of when the backyard will be done. The backyard will be off limits and licensee will update the facility sketch. LPA did not observe outdoor play materials. LPA observed the front yard to be fenced and gated. LPA observed the gate door to be closed and self latched. LPA observed dog feces (no children playing outdoors) and reminded licensee before children go outside to play, a health and safety check should be conducted and dog feces need to be picked up. During the visit, licensee removed the dog feces.

LPA observed licensee Pediatric First Aid/ CPR certification with expiration date 3/2024. Licensee has proof of immunization against Pertussis, MMR and Influenza declination. Licensee has completed the mandated reporter (AB 1207) training on 3/17/22. and the 8 hour health and safety on 2/4/2018 and Lead Component on 12/7/2020. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2022
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: FLEWELEN FAMILY CHILD CARE
FACILITY NUMBER: 198400367
VISIT DATE: 04/04/2022
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At approximately 10:21 AM LPA reviewed the children roster, and observed LIC 610A Emergency disaster plan, PUB 394 parents rights and child #1 file.

Safe Sleep: LPA discussed the safe sleep regulations with licensee Emani Flewelen 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 Maria Olid of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at also explained to licensee that car seat, stroller are only and only for https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA Rivera also reviewed Sudden Infant Death Syndrome (SIDS), Never Shake A Baby, and Lead Exposure information with licensee. LPA transportation, highchair is only and only for feeding and stated items cannot be misused. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into this category are not permitted in a family child care facility.



Medication: Incidental Medical Services (IMS) policy was discussed with Licensee Emani Flewelen. 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

Criminal Record Statement: Licensee Emani Flewelen 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.

LPA Rivera will recommend the increase in capacity (14) as the licensee meets requirements for an increase and fire clearance approved on 3/14/22 for 14 children. No citations were given during the visit.


A notice of site visit was given and posted and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Emani Flewelen.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2022
LIC809 (FAS) - (06/04)
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