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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191596896
Report Date: 12/11/2024
Date Signed: 12/11/2024 02:30:17 PM

Document Has Been Signed on 12/11/2024 02:30 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ISAAC FAMILY CHILD CAREFACILITY NUMBER:
191596896
ADMINISTRATOR/
DIRECTOR:		ISAAC, NERRIS H.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 785-6217
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 3DATE:
12/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:16 PM
MET WITH:Licensee Nerris Isaac TIME VISIT/
INSPECTION COMPLETED:
02:40 PM
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Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced annual/random inspection at the facility. LPA met with Licensee, Nerris Isaac and explained the reason for the visit. Licensee provided LPA with a tour of the facility. Upon arrival there were four adults and three children present. All adults present have obtained a criminal record clearance and are associated to the facility.
This is a single story home which consists of living area, five bedrooms, one bathroom, kitchen/dining, laundry room, side yard and enclosed front yard. There is a separate part of the home in the back which is attached but there is a separate entrance. Per Licensee, there is not a separate address.
On limit areas include the living room which is separated from the rest of the home via a door, one bedroom, the hallway bathroom, kitchen and the front yard/driveway area.
Off limit areas are four bedroom, laundry room and side yard (dog area) and back part of the home.

Areas used by children were inspected for safety, cleanliness, comfort and heating. LPA observed required posted documents in the hallway The main day care area is the living room. LPA observed several toys and material for children. LPA observed a barricaded fire place. LPA observed an A/C unit in the day care area. There is a bedroom next to the kitchen that is only used by children who require overnight care. LPA observed three beds. Per Licensee, only two children require overnight care as needed.
LPA inspected the restroom which is located in the hallway. LPA did not observe any accessible hazards in the restroom. LPA inspected the kitchen. Per Licensee, children occasionally use the dining area for meals. Per Licensee, meals are provided by the facility. Licensee was reminded to properly label and store any food brought from children's home. Knives are kept in locked container in a cabinet. Cleaning supplies and detergent are kept in upper cabinets inaccessible to children the laundry area next to the kitchen. There is a fire extinguisher in the kitchen with a service tag dated 3/4/24. Licensee was reminded to have fire extinguisher serviced annually. LPA observed an operable carbon monoxide detector and an operable smoke detector in the facility.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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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Document Has Been Signed on 12/11/2024 02:30 PM - It Cannot Be Edited


Created By: Jeanette Estrada On 12/11/2024 at 01:32 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
, CA

FACILITY NAME: ISAAC FAMILY CHILD CARE
FACILITY NUMBER: 191596896

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and interview, the licensee did not comply with the section cited above in two out of two staff who have not completed the Mandated Reporter for Child Care Providers training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/27/2024
Plan of Correction
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Per Licensee, proof of completion of Mandated Reporter for child care providers training will be submitted for herself and Staff 1 by the due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
LICENSING EVALUATOR NAME:
LICENSING EVALUATOR SIGNATURE:
DATE: 12/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/11/2024


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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ISAAC FAMILY CHILD CARE
FACILITY NUMBER: 191596896
VISIT DATE: 12/11/2024
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Per Licensee, the on limits outdoor area is the enclosed front/side yard/driveway area. Per Licensee, while children are outside, cars are removed from the driveway, the gate is kept locked and children are supervised by an adult. The home has a side yard which is off limits. Per Licensee, this area is where the two dogs are maintained.
Per Licensee the isolation area is the on limits bedroom when it is not being used. Per Licensee, there are no firearms or weapons in the home. Poisons are kept garage. LPA did not observe any pools or other bodies of water. There are two dogs in the home. LPA observed a current roster of children enrolled. The last documented emergency drill was conducted on 11/20/24. Per Licensee there are no children enrolled who require medication and personal medication is stored in off limits bedroom.
LPA conducted a review of children's records. Children's records were complete.
LPA conducted a review of Staff records. Licensee and Staff 1 have not completed the required mandated reporter training. Staff 1 did not have proof of immunization to measles. Licensee's pediatric first aid/ cpr was issued by the American Heart Association and expires on 2/2026.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee Nerris Isaac was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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-andresources/safe sleep as an additional resource.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ISAAC FAMILY CHILD CARE
FACILITY NUMBER: 191596896
VISIT DATE: 12/11/2024
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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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org – Centers and Family Child Care Homes Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, Licensee, Nerris Isaac, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

One type B deficiency was cited during today's visit in accordance with Title 22, California Code of Regulations. Appeal rights were provided to Licensee. Please see attached LIC 809D.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted and report was reviewed with the licensee, Nerris Isaac

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
LIC809 (FAS) - (06/04)
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