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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192010022
Report Date: 03/08/2024
Date Signed: 03/08/2024 11:29:38 AM

Document Has Been Signed on 03/08/2024 11:29 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:WEBSTER FAMILY CHILD CAREFACILITY NUMBER:
192010022
ADMINISTRATOR:WEBSTER, PAULETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 283-0544
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/08/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Licensee Paulette WebsterTIME COMPLETED:
11:50 AM
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On March 8, 2024 at 9:30 am, Licensing Program Analysts (LPA) Angelica Wallin, conducted an unannounced Annual Required Inspection and was met by Licensee, Paulette Webster. Hours of operation are from Monday to Friday from 7:30 am - 5:30 pm. LPA toured the home inside and outside and a census was taken.

This one - story home consists of 3 bedrooms and 3 bathrooms. Areas used by the children include: living room as isolation room, one restroom, family room as day care room, and front yard. Per Licensee Webster, areas off limits to children include: three bedrooms, two bathrooms, kitchen, dining room and garage. There are 9 children and 2 staff present during time of inspection. Licensee stated that there are currently 11 children enrolled in the facility.

The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. During inspection, LPA observed two Lysol spray cans and one inhaler accessible to children in care. Staff immediately addressed issue, removed items and made them inaccessible to children in care. A technical violation citation issued. LPA noted space with age-appropriate toys. There is a working smoke detector, carbon monoxide detector. During inspection, LPA observed fire extinguisher with service tag dated 8/2022. Per licensee, fire extinguisher reserviced in 3/2023. Licensee provided no proof of re-service for 3/2023. A type B citation issued. LPA inspected kitchen observed knives located in kitchen cabinet inaccessible to children in care. Per licensee, all cleaning supplies and chemicals stored in off-limits laundry room. LPA observed cleaning supplies and chemicals inaccessible to children in care. LPA observed main childcare bathroom located in hallway. According to licensee, there are no weapons or firearms at the home; LPA did not observe any firearms or weapons at the time of the inspection.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2024
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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WEBSTER FAMILY CHILD CARE
FACILITY NUMBER: 192010022
VISIT DATE: 03/08/2024
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LPA observed the outdoor play area located in the front yard. LPA observed no hazardous items that can pose a danger to children in care. LPA advised licensee that total supervision to be maintained at all times during outdoor play. LPA observed there no swimming pool or bodies of water. Per licensee, food service is provided. Per licensee, overnight care is not provided at this time. Per licensee, transportation service is provided at this time. LPA discussed with licensee supervision and safety when providing transportation services.

LPA reviewed 5 children’s files and observed files are updated and maintained. A review of staff records indicates that licensee and two staff the following updated certificates: updated pediatric CPR/First Aid certificates with expiration date of 3/2025, mandated reporter certificates with expiration date of 6/2024, LIC9052 employees rights, and updated immunization records on file for measles, pertussis, influenza and TB clearance. LPA reviewed the following documentation to be kept in facility: facility license, LIC610A, facility fire drill logs, PUB 394, and LIC9040.



Licensee Webster was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPA reviewed with Licensee Webster items prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs, and any other item that falls into that category are not permitted in the facility.

Licensee 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.

This facility does not provides Incidental Medical Services – IMS. 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/
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024
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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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WEBSTER FAMILY CHILD CARE
FACILITY NUMBER: 192010022
VISIT DATE: 03/08/2024
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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.

During facility visit, LPA cleared 21 type B deficiencies from previous facility visit conducted on 8/24/2022. LPA provided licensee with copy of 12 cleared deficiency letters as evidence of cleared deficiencies.

Exit interview conducted and report was reviewed with licensee, Paulette Webster. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/08/2024 11:29 AM - It Cannot Be Edited


Created By: Angelica Wallin On 03/08/2024 at 10:43 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: WEBSTER FAMILY CHILD CARE

FACILITY NUMBER: 192010022

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in fire extinguisher with service date of 8/2022 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/15/2024
Plan of Correction
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Licensee to obtain updated annual serviced fire extinguisher and provide picture proof as evidence via email.
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:Angelica Wallin
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2024


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