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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192004548
Report Date: 01/17/2025
Date Signed: 01/17/2025 10:47:11 AM

Document Has Been Signed on 01/17/2025 10:47 AM - 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:BURTON FAMILY CHILD CAREFACILITY NUMBER:
192004548
ADMINISTRATOR/
DIRECTOR:
RESHAY BURTONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 461-9176
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
01/17/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Reshay BurtonTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Peter Bishop arrived at the above facility for the purpose of an Unannounced Annual Inspection at 09:30 AM. Upon arrival, LPA P Bishop announced the purpose of the visit and was not initially granted entry by Adult 1. Licensee Reshay Burton was not home at the time of LPA Bishops arrival. Adult 1 stated to LPA Bishop that Licensee Burton is on the phone and she stated she was five minutes away. Upon Licensee Burton's arrival at 9:45 she gave provided a tour of the Facilty. LPA Bishop provided the inspection Entrance Checklist, LIC 126. LPA Bishop inspected rooms/areas on the facility sketch in which child-care services are provided and to which children have access. Per licensee, the current hours of care provided are Monday – Friday 6:00 am -- 6:00 pm overnight care is not being provided at this time.   There were six children present during today's inspection. Licensee stated that she is the only one that lives here, and current criminal background clearance. LPA observed the facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness forms. Licensee was advised to post the required documents on the parent board.
At 10:00 AM LPA Bishop was given a tour of the facility.  This is a single - family home that consists of three bedrooms, 2 bathrooms, kitchen, living/dining area and backyard. Per licensee, the areas used by children include: Bedroom 1, Bathroom 1, rear outside play area. 
Areas that are used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation, and heating.
Off limit areas are all bedrooms, bathroom 2 and kitchen. Licensee states that the living room will be used as a Isolation area for sick children waiting to be picked up by a parent.  Rooms that are off-limits are made inaccessible during operating hours.  The licensee does understand that licensing staff may have access to off-limit areas during inspection visit, if necessary.
At 10:45 AM, life-saving devices were inspected throughout the home.  The smoke detector is located above the entrance of the kitchen. The carbon monoxide detector is located in the kitchen above the rear door of the home.  All devices were tested and operable. The 2A 10 BC Fire extinguisher is located in the kitchen was
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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: BURTON FAMILY CHILD CARE
FACILITY NUMBER: 192004548
VISIT DATE: 01/17/2025
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out of compliance. It was last serviced on today and corrected during the visit with a new date of service
01/2025. Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via cell phone/LAN line.

At 11:00 a.m., Bedroom 1 (Main care area) was observed to be clean and orderly. There are toys and other age-appropriate materials for the children.  LPA observed the room to have a desk and chair, television a sit area rug with a truck and numbers on it.  There were colorful storage boxes as well.
At 11:30 a.m., LPA observed the kitchen.  Licensee states that a baby gate will be purchased to make off limits kitchen inaccessible to children in care.  LPA observed  that cleaning compounds in kitchen are made inaccessible to children in care with lock and key on cabinets.

Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children.

At 11:45 a.m., LPA Bishop observed that the bathroom the children use is clean and free of floor hazards.  There was toilet paper, hand-washing soap, and towels for the children.  LPA did not observe any chemicals and there was not an area for storage under the sink.
Per Licensee there are no firearms or weapons stored in the home. LPA Bishop did not observe any firearms or weapons in the home.  Licensee states that there are no bodies of water present.  LPA Bishop did not observe any bodies of water on the premises. 
At 12:00 p.m., LPA Bishop observed the back yard for outdoor play.  The outdoor play area was observed to be completely fenced.  At the time of the inspection there was a Cedar Summit Play Structure, several tables and Bikes, Scooters and Blocks. 
At 12:20 p.m, Staff records were reviewed for approved Pediatric First Aid and CPR certification. Valid CPR/First Aide was available at the time of inspection both Licensee and Assistant are valid with an expiration of 11/2025 LIC-501: Personnel Record, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment was not available at the time of the visit.   LIC 9108- Statement Acknowledging Requirement to Report Child Abuse is not available and current Mandated Reporter Training Certificate is expired for both. The date it was last completed was on 12/01/2021.
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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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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: BURTON FAMILY CHILD CARE
FACILITY NUMBER: 192004548
VISIT DATE: 01/17/2025
NARRATIVE
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Children’s records were reviewed for accuracy and completeness. LIC 700 Identification and Emergency Information, LIC 627 Consent for Emergency Medical Treatment, LIC 995A Notification of Parents Rights and LIC 9224 and Immunization Records were missing documents and Licensee was advised of TSP to assist with correcting files.
The following information was discussed:
LPA discussed the safe sleep regulations with licensee Licensee Burton and discussed the Child Care Licensing Safe Sleep. LPA Bishop provided Licensee Burton with a CDSS resource video made available through YouTube. Also, webpage resources provided at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA P Bishop also informed Licensee Anderson 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.

This facility provides Incidental Medical Services – IMS. LPA P Bishop reviewed storage of medication and equipment/supplies. There were no children assigned at the time. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/


Licensee Burton 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. Upon arrival at the facility today there was an uncleared adult with the children alone. LPA Bishop advised Licensee that she was not clear to be in the home during operating hours.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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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: BURTON FAMILY CHILD CARE
FACILITY NUMBER: 192004548
VISIT DATE: 01/17/2025
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Licensee Burton 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.
Based on the LPA Bishops observations, record review, and interviews, there wiil be two deficiencies cited today in accordance with California Title 22 Regulations. Licensee stated that the following Technical Violations will be corrected by January 31, 2025.
Mandated Reporter

Uncleared Adult

During the exit interview, the licensee, confirmed that there are no Registered Sex Offenders (RSO) living in the facility and LPA completed the RSO search in Megan’s Law Website.


A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a $100 civil penalty.Exit interview conducted and report was reviewed with the licensee Burton.
A copy of the report and appeal rights was given to Licensee Burton.

Due to time restraints the Annual/Random visit will be completed on a future date.

Licensing Program Analyst (LPA) Peter Bishop arrived at the above facility at 9:45 AM for the purpose to continue and complete the Annual Inspection started on 01/15/2025. LPA Bishop conducted a census and a walkthrough of the facility. There were 7 children present



During the exit interview, the licensee, confirmed that there are no Registered Sex Offenders (RSO) living in the facility and LPA completed the RSO search in Megan’s Law Website.
A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a $100 civil penalty.Exit interview conducted and report was reviewed with the licensee Burton.
A copy of the report and appeal rights was given to Licensee Burton.



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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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Document Has Been Signed on 01/17/2025 10:47 AM - It Cannot Be Edited


Created By: Peter Bishop On 01/17/2025 at 10:02 AM
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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BURTON FAMILY CHILD CARE

FACILITY NUMBER: 192004548

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102370(k)
Criminal Record Clearance
(k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in one out of one persons which poses an immediate health, safety or personal rights risk to persons in care the Licensee did not ensure that Jania Deleon had obtained a criminal record clearance prior to being able to work with children alone which posed an immediate safety and personal rights risk to persons in care.
POC Due Date: 01/31/2025
Plan of Correction
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Licensee stated that the person mentioned above will not be working at the facilty any longer. Noone will be allowed to work without proper fingerprint clearance.
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:Karen Chambers
LICENSING EVALUATOR NAME:Peter Bishop
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2025


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Document Has Been Signed on 01/17/2025 10:47 AM - It Cannot Be Edited


Created By: Peter Bishop On 01/17/2025 at 10:02 AM
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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BURTON FAMILY CHILD CARE

FACILITY NUMBER: 192004548

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/17/2025

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, the licensee did not comply with the section cited above in 2 of 2 staff had expired Mandated Reporter Training certificates which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/31/2025
Plan of Correction
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Licensee stated that she and her assistant will complete the Mandated Reporter Training certificates and send copies to LPA by 01/31/2025 and put reminder in her phone.
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:Karen Chambers
LICENSING EVALUATOR NAME:Peter Bishop
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2025


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