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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400481
Report Date: 11/02/2021
Date Signed: 11/02/2021 11:45:29 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:FRIERSON FAMILY CHILD CAREFACILITY NUMBER:
198400481
ADMINISTRATOR:TAMILA FRIERSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 462-2439
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:14CENSUS: 0DATE:
11/02/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Tamila FriersonTIME COMPLETED:
11:55 AM
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At 10:15 AM on 11/02/2021, Licensing Program Analyst (LPA) Elka Chavez conducted a pre-licensing inspection. LPA met with applicant, Tamila Frierson, who guided analyst on a tour of the facility. This is a change of location inspection with the Applicant previously licensed at #198019647. During this inspection individuals who reside in the home were discussed and noted. The applicant is requesting a large family child care home license. Per applicant, operating hours will be Monday through Friday from 6:00am to 6:00 pm. Applicant states that she will care for children from 6 weeks to 12 years of age.

At 10:20 am all areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a single-story home which consists of two bedrooms, 1 bathroom, kitchen, living room, detached garage, front yard and backyard (fenced). The home was inspected for safety, comfort, cleanliness, telephone service (cellular), heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. LPA observed cleaning supplies are kept under the kitchen cabinet with a child safety latch. LPA observed a child safety gate making the kitchen inaccessible to children in care. LPA observed a wall heater with a barrier making it inaccessible to children in care. LPA observed the backyard is adequately fenced. LPA did not observe any bodies of water. The applicant understands that licensing staff may have access to off-limit areas during inspection visit if necessary. **Rooms that are off-limits need to be made inaccessible during operating hours**



Areas off limits include: Bedroom (next to the front door) and front yard.

Areas used by children include: Living room, kitchen, bathroom, bedroom next to the bathroom and backyard (fenced).

The applicant states that she will provide food for children in care. If food is not provided and food is brought from the children’s homes; containers shall be labeled with child’s name and properly stored or refrigerated.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021
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: FRIERSON FAMILY CHILD CARE
FACILITY NUMBER: 198400481
VISIT DATE: 11/02/2021
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There are age appropriate toys and napping equipment on the premises. LPA observed knives are stored in a top kitchen cabinet. LPA observed a child safety gate making the kitchen inaccessible to children. The required (2A100BC) fire extinguisher was purchased on October 04, 2021. LPA observed the extinguisher located in the kitchen. Smoke detectors and carbon monoxide detectors throughout the home are in operable condition. LPA observed the smoke detectors and carbon monoxide detectors in the living room. Per Applicant there are no weapons, firearms in the facility. First Aid and emergency kits are available in the hall closet. The Applicant has current Pediatric First Aid and CPR and expires on 6/2023. Applicant has proof of immunization against influenza, pertussis, and measles. Applicant has taken the Mandated Reporter Training.

COVID-19 Technical Assistance was provided during today’s inspection. LPA observed Covid-19 postings located in the living room and bathroom used by the children in care. LPA Chavez discussed protocols 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 front entrance. 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 and from using the restroom. Infants and children under 2 years of age should not wear a mask. Children ages 2 to 8 can safely wear a mask with adult supervision. For napping Applicant will place cots, cribs, and mats 6 feet apart, with heads in opposite directions. Applicant is aware of cleaning, disinfecting, sanitizing and the importance of constant hand-washing.

The following was discussed with the applicant:


Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.
In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification, TB clearance, immunizations, and a valid criminal record clearance associated to the facility license.
A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021
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: FRIERSON FAMILY CHILD CARE
FACILITY NUMBER: 198400481
VISIT DATE: 11/02/2021
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The fire extinguisher type 2A10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.
Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. Mandated reporter requirements was reviewed and explained.
Fire and safety drills must be performed every six months and documented for review by the Department.
Smoking is prohibited in a family child care home, 24/7.
Children and Staff records must be maintained and updated as needed and must be available for review by the Department.

No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.


All adults living and working in the home shall be made of aware of the Departments right to inspection authority.
During this visit, the LPA reviewed Forms/Records to Keep in Your Family Child Care Home (LIC 311D) with the applicant. LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov

Safe Sleep: LPA discussed the safe sleep regulations with Applicant 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 [facility representative] 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.
Forms to be posted: LIC6101A Emergency Disaster Plan, PUB394 Notification of Parents Rights Poster, Facility License.
Facility Records: LIC 624B Unusual Incident/Injury Report, LIC 9040 Child Care Facility Roster, LIC 9052 Employee Rights, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: FRIERSON FAMILY CHILD CARE
FACILITY NUMBER: 198400481
VISIT DATE: 11/02/2021
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Staff Forms/Records - any assistant present must have the following on file: Proof of TB clearance (within one year), Notice of Employee Rights (LIC 9052), Criminal Record Statement (LIC 508), Statement Acknowledging Requirements to Report Suspected Child Abuse (LIC 9180).

Children’s records requirements: LIC 700 Identification and Emergency Information, LIC 627 Consent For Emergency Medical Treatment, LIC 282 Affidavit Regarding Liability Insurance, LIC 9150 Parent Notification Additional Children In Care, Immunization record, PUB 72- Family Child Care Consumer Guide, LIC 995A Notification of Parent’s Rights.

Incidental Medical Services (IMS) policy was discussed. 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

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




Exit interview conducted and report was reviewed with the Applicant, Tamila Frierson.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4