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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700057
Report Date: 09/25/2024
Date Signed: 09/25/2024 02:43:52 PM

Document Has Been Signed on 09/25/2024 02:43 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
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:
09/25/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Winnie NamayigaTIME VISIT/
INSPECTION COMPLETED:
02:56 PM
NARRATIVE
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Licensing Program Analyst (LPA) Tatiana Bickham conducted an unannounced Case Management Visit to this facility. At time of arrival 11:40 AM Licensee was not present. An adult (A1) Darcya residing in the home were taken care of the 3 day-care children. Licensee arrived at 1:00 PM

LPA Bickham conducted a previous visit on 9/23/24 from 9:05 AM to 11:45 PM, Licensee was not present.

LPA Bickham spoke to the Licensee on 9/24/24 and Licensee stated she is taking a course and part of the course requirement is that she works a center. Licensee stated she can be called anytime from 7:30 AM-3:30 PM. LPA Bickham spoke with Licensee and went over the Title 22 Regulation 102417 (a) Operation Of A Family ChildCare Home, which states "The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day." Licensee stated she understands.

LPA Bickham arrived at the Licensee's day-care at 11:40 AM and the Licensee did not arrive until 1:00PM. Licensee stated she was left this morning at 8:30 AM, and Licensee did not return until 1:00PM.

LPA Bickham spoke with the Licensee regarding the course she is taking and informed her being absent more than 20% of her operating hours is a violation of her license. LPA discussed options with the Licensee regarding temporary closure for a part of her operating hours or becoming inactive while she is completing this course.

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SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CARE
FACILITY NUMBER: 195700057
VISIT DATE: 09/25/2024
NARRATIVE
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Based on the LPA’s observations and interview with the Licensee, 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 copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return.  A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).  The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.  Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit

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

Exit interview was conducted and report was reviewed with the Licensee.

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SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/25/2024 02:43 PM - It Cannot Be Edited


Created By: Tatiana Bickham On 09/25/2024 at 02:09 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
, 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: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/25/2024
Section Cited
CCR
102417(a)

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A- The licensee shall be present in the home.. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

This requirement was not met as evidenced by:
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Licensee will let LPA if she wants to close for part of the day or go inactive until her course is finished. Licensee will let LPA by 9/26/24.
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LPA observation and Interview with Licensee confirms she has been absent more than 20% of her operating issues. This poses a immediate health and safety risk to children in care.
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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: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2024


LIC809 (FAS) - (06/04)
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