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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197405393
Report Date: 08/08/2024
Date Signed: 08/09/2024 12:50:50 PM

Document Has Been Signed on 08/09/2024 12:50 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LEWIS FAMILY CHILD CAREFACILITY NUMBER:
197405393
ADMINISTRATOR/
DIRECTOR:		LEWIS, LA SONIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 777-0782
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
08/08/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:La Sonia LewisTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On 8/08/2024, Licensing Program Analysts (LPA) Ranita Richmond and Devon Carus arrived to the above-named Home to conduct the Required 3 year Inspection. LPAs were greeted by La Sonia Lewis. LPA Richmond observed 10 children, being supervised and cared for by licensee and 3 finger print cleared staff. Hours of operation are Monday through Friday, 6:00am – 5:30pm. Licensee offers weekend and overnight care as needed. Licensee provides meals, snacks and appropriate beverages.

LPA Richmond and Carus toured the home inside and outside for a Health and Safety inspection.

LPA Richmond confirmed that the home consists of living room, laundry room, den, family room, kitchen, 3 bedrooms, 2 bathrooms, detached garage, and fenced backyard.

The ON LIMIT AREAS are as follows: family room (main daycare area/ dining area), den (napping area), bathroom #1, laundry room (walk thru area only), and fenced back yard.

The OFF-LIMIT AREAS are as follows: kitchen, bedroom #1, bedroom #2 , bedroom #3, bathroom #2, living room, and detached garage all of which are inaccessible to children in care by closed and/or locked doors, gates, and visual supervision.

Parents enter the home through the side door (laundry room-walk thru area only), to the right is bathroom #1(on limits), continue walking thru laundry room, to the left is the kitchen (off limits), to the right is bedroom #1 (off limits), continue straight is the den (on limits) to the left is the living room and front door (off limits), through the living room to the left are two bedrooms (bed#2 &#3 off limits) and bathroom #2 (off limits), to the right from the den is the family room (on limits), through the family room you exit the double doors to the gated back yard (on limits).

Licensee is aware that the children must nap and have meals in the home.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LEWIS FAMILY CHILD CARE
FACILITY NUMBER: 197405393
VISIT DATE: 08/08/2024
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LPA Richmond observed a fully charged 2A:10B:C Fire Extinguisher in the laundry room, working smoke detectors throughout the home, and carbon monoxide detector in the den.

There are no firearms or ammunition on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible to children in care by locked cabinets, doors, and off limits areas.

There are no pools, ponds or other bodies of water on the premises.

LPA Richmond observed age-appropriate toys, books and furnishings. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts.

LPA reviewed 4 children’s files and observed them to be in compliance as they contained current contact information for authorized representatives and/or relatives who can assume responsibility for the child, and authorization for medical treatment.


LPAs reviewed 4 staff files and observed them to be in compliance as they contain current 1st aid/ CPR, mandated reporter certificates, immunizations, and LIC 9108.

LPAs reviewed prohibited items for the day care home and forms in LIC 311D.

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.


Incidental Medical Services (IMS) are not currently being provided. L. Lewis is open to taking children that need medication. Prescription medications shall be administered in accordance with the label directions as prescribed by the child’s physician. Medications should be in its original content with all necessary LIC forms completed.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/08/2024
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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LEWIS FAMILY CHILD CARE
FACILITY NUMBER: 197405393
VISIT DATE: 08/08/2024
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L. Lewis is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA Richmond reminded licensee of the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Licensee 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.

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.


No deficiencies were cited today, per Title 22 Regulations and Health and Safety Codes.

An exit interview was conducted, a copy of this report was read and provided to licensee, L. Lewis

Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/08/2024
LIC809 (FAS) - (06/04)
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