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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700057
Report Date: 09/23/2024
Date Signed: 09/23/2024 11:33:07 AM

Document Has Been Signed on 09/23/2024 11:33 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NAMAYIGA FAMILY CHILD CAREFACILITY NUMBER:
195700057
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
09/23/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
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Licensing Program Analyst (LPA) Tatiana Bickham conducted an unannounced Case Management Visit to this facility. At time of arrival 9:05 AM Licensee was not present. An adult (A1) residing in the home were taken care of the 2 day-care children, the adult stated they do not work for the day-care. Also present were 3 adults visiting the licensee. While conducting an alternate visit at Namayiga Family Child Care on 9/23/24, the following deficiencies were observed.

At 9:20 AM LPA observed the home to not be orderly. LPA observed blankets all over the floor in the napping room, toys and play equipment scattered all over the floor in the playroom.

At 9:25 AM LPA observed adult residing in the home taking care of 2 day-care children with no Pediatric First Aid/ CPR Certificate.

Based on the LPA observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22.  Deficiencies that are being cited need to be cleared to protect the children’s health & safety. 

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the A1 and Appeals Rights provided.
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
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 09/23/2024 11:33 AM - It Cannot Be Edited


Created By: Tatiana Bickham On 09/23/2024 at 10:25 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NAMAYIGA FAMILY CHILD CARE
FACILITY NUMBER: 195700057

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2024
Section Cited
CCR
102416(c)

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102416(c) Personnel Requirements. The Licensee and other personnel as specified shall complete training on preventive health practices including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
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Licensee will ensure in her absence any adult supervising the child will be Pediatric CPR/First Aid Certified.
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This requirement was not met as evidenced by:
LPA observation and interview with adult residing in the home, stating they do not have a Pediatric CPR/First Aid Certificate.
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Type B
09/23/2024
Section Cited
CCR102417(b)

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102417 Operation of a Family Child Care Home..(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

This requirement was not met as evidenced by:
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Licensee is to ensure all rooms used for the day-care are kept clean and orderly during operating hours.
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LPAs observation of toys, play equipment, and blankets scattered throughout the nap room and the play room.
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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:Raul Navarro
LICENSING EVALUATOR NAME:Tatiana Bickham
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2024


LIC809 (FAS) - (06/04)
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