191803054-10-17-2025-30-CC-SPOL-DMJQMM-20251017121747

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191803054
Report Date: 10/17/2025
Date Signed: 10/17/2025 12:18:12 PM

Document Has Been Signed on 10/17/2025 12:18 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	GREER, CAROLYN FAMILY DAY CARE		FACILITY NUMBER:	191803054
ADMINISTRATOR/ DIRECTOR:	CAROLYN GREER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 757-0552
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90044
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 22	CENSUS: 3	DATE:	10/17/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:43 AM
MET WITH:	Carolyn Greer, Licensee		TIME VISIT/ INSPECTION COMPLETED:	12:22 PM

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) Shandra Powell conducted an unannounced annual inspection on 10/17/2025. LPA was greeted by licensee. LPA introduced self and explained the nature of the Random Inspection visit. A copy of the Entrance Checklist for Child Care homes form (LIC126) was provided to the licensee upon entry. Licensee stated the facility is operating 7 days a week and 24 hours a day. The licensee stated that she has 22 children enrolled however there is never 14 children in care at the same time of which one is a infant. LPA observed assistant caring for children in care in the adjoining dens main child care areas. This is a two story home 7 bedrooms and 5 bathrooms. Per Licensee one other adult reside in the Family Child Care Home. All Adults present, residing and working in the home are fingerprint cleared and associated to the facility. Licensee, guided analyst on a tour of the facility inside and outside of the home. LPA observed Facility License, Notification of Parents Rights (PUB 394) and Earthquake Preparedness (LIC9148) posted on parent board in childcare room. LPA reviewed the Emergency Disaster Plan (LIC610A), Facility Roster (LIC 9040) and Fire Drill Log (last Fire Drill conducted in August 2025) during inspection. Licensee stated the isolation area for ill children is located in the Bedroom #1.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Shandra Powell
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GREER, CAROLYN FAMILY DAY CARE	FACILITY NUMBER: 191803054
	VISIT DATE: 10/17/2025

NARRATIVE

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The home was inspected for safety, comfort, cleanliness, telephone service (Land line), heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children.

The home is a two story home with 7 bedrooms (off limits) 2 bedrooms downstairs are made inaccessible by locked bedroom doors. 3 bathrooms off limits made inaccessible by closed doors. Living and Dining Room and Kitchen (off limits) Front yard (off limits) Back yard (on limits.) Day care is provided in the family room and den of the home. Children in care use the bathroom located in day care room.

The children eat, nap(cots) and one play yard were observed in the day care room areas. LPA observed a child gate to entrance of the kitchen to make the kitchen inaccessible during child care hours. LPA reminded licensee when children bring food or drink items into the home during childcare hours they must be labeled and properly stored.
All cleaning detergents and poisons are inaccessible to children and locked. The kitchen and bathroom were inspected for proper storage of detergents, cleaning compounds, medication, and sharp pointed objects. LPA did not observe any unsafe items in bathroom all were safe for children..

Home utilizes central heat and ceiling fans for a cooling and heating source.

According to the Licensee, there are no weapons or firearms at the home; None were observed by LPA. LPA observed a small 5 gallon fishtank in childcare area with one gold fish.

LPA observed a fire extinguisher which is at least a 2A:10BC, Licensee will email a copy of the receipt to LPA showing receipt purchase within a year. LPA reminded licensee that the fire extinguisher must be serviced yearly and or a new fire extinguisher must be bought. Smoke/Carbon Monoxide detector was inspected and tested. During inspection LPA observed a full complete First Aid Kit in the home. Current CPR/First Aid certification was available for review for licensee and assistant(Calderon). Licensee CPR expires 07/15/2026. LPA observed a updated Mandated Reporter Training Certificate for licensee dated 03/14/2026..

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Shandra Powell
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GREER, CAROLYN FAMILY DAY CARE	FACILITY NUMBER: 191803054
	VISIT DATE: 10/17/2025

NARRATIVE

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LPA observed many toys and playthings which appeared to be safe for children in care and age-appropriate for the children.

Licensee agrees that no baby-walkers, bouncers, jumpers, exersaucers and similar items will be used for children in care and are kept inaccessible; None were observed by LPA.

Per licensee the outside play for the children is conducted in the back yard of the home. The backyard is completely fenced. Per Licensee, supervision of the children is always provided by Licensee and Assistant(s) during outside play time. LPA observed back yard being rearrange for a annual Halloween Party during inspection. Licensee stated the backyard is off limits until November 10th 2025. No pools, spas, hot tubs, fish ponds, or similar bodies of waters observed during the inspection.

LPA reviewed 3 children's files during today's inspection and observed the following Children's Records: Immunization Records, LIC 700 (Identification and Emergency Information), LIC 627 (Consent for Emergency Medical Treatment), LIC 995A (Notification of Parents' Rights).

The following was thoroughly discussed with Licensee:
License 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.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Shandra Powell
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GREER, CAROLYN FAMILY DAY CARE	FACILITY NUMBER: 191803054
	VISIT DATE: 10/17/2025

NARRATIVE

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Incidental Medical Services (IMS):
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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm. Incidental Medical Services (IMS) are not currently being provided.

LPA thoroughly discussed Safe Sleep Practices: always place infants on their backs for sleeping; use only a tight-fitting sheet on the crib or play yard mattress; do not hang any items from the crib or above the crib; keep all items, including blankets, out of the crib or play yard; pacifiers may be used as long as they do not have items attached to them; infants should not be swaddled or have any items covering them while sleeping; the temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold.

During this inspection, LPA observe an updated/current 15min sleep log for infant in care. LPA observed assistant documenting and observing the infant during inspection.
The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office within 24 hours of all Unusual Incidents and follow up with a written Unusual Incident/Injury Report (LIC 624B) within 7 business days.

Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (sudden infant death syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Shandra Powell
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GREER, CAROLYN FAMILY DAY CARE	FACILITY NUMBER: 191803054
	VISIT DATE: 10/17/2025

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LPA advised the licensee to access forms, regulations and quarterly updates online at: www.ccld.ca.gov. License subscribed to receive Important updates during inspection.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page 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.

No Deficiencies or Citations were issued during inspection on today.

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

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&R) throughout California.

Exit interview conducted and report was reviewed with the Licensee. Report, Appeal Rights and Notice of Site Visit were given to Licensee. The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Shandra Powell
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2025

LIC809 (FAS) - (06/04)

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