197405743-2-18-2022-54-CC-ABAY-CBRT2M-20220218132058

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197405743
Report Date: 02/18/2022
Date Signed: 02/18/2022 01:21:08 PM

Document Has Been Signed on 02/18/2022 01:21 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	PERGES AND LEAVELL FAMILY CHILD CARE		FACILITY NUMBER:	197405743
ADMINISTRATOR:	PERGES, S. AND C. LEAVELL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 918-3725
CITY:	COMPTON	STATE: CA	ZIP CODE:	90220
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	02/18/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Shenae Perges- Licensee		TIME COMPLETED:	01:09 PM

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Licensing Program Analyst (LPA) Alicia Bailey conducted an unannounced random annual (or Required) inspection. LPA met with Licensee Perges at 10:15 am who guided this LPA on a tour of the facility. At 10:17am during the inspection LPA Bailey discussed, assessed and noted individuals residing in the home. The facility Entrance Checklist for Family Child Care Homes was given to Licensee Perges. This is a one-story home consists of 4 bedrooms and 3 bathroom. Areas used by the children include the day-care room, one (1) restroom, 1 bedroom and back yard. Per Licensee and facility sketch , areas off limits to children include: 3 ( three) bedrooms .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. A parent board with required postings was observed at the entrance of the facility. The Licensee stated there are no other license held at this facility. There were no children during time inspection. Licensee states that there are currently two children enrolled. Facility hours of operation Monday thru Friday 7:00am to 7:00pm

There are NO weapons, firearms in the facility. LPA Bailey observed there no swimming pool or body of water. At 10:50 am LPA Bailey observed first aid kit, fire extinguisher 2A10BC ( service 06/22/2021) in the day care room. The smoke detectors, carbon monoxide was tested by LPA are in operable condition.

At 10:55am LPA Bailey tour the children bathroom. LPA Bailey observed children safety latches on the bathroom cabinet. LPA Bailey did not observe any hazardous items in the bathroom. At 11:00 am LPA Bailey toured the kitchen the counter tops were clean and free of clutter or standing food. Kitchen cabinets has safety lock and knives and medicine was in secure cabinet with safety lock. Licensee provides breakfast, lunch and snack. At 11:06 am LPA Bailey observed age appropriate toys and napping equipment on the premises.

At 10:55am LPA Bailey tour the children bathroom. LPA Bailey observed children safety latches on the bathroom cabinet. LPA Bailey did not observe any hazardous items in the bathroom.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PERGES AND LEAVELL FAMILY CHILD CARE	FACILITY NUMBER: 197405743
	VISIT DATE: 02/18/2022

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At 11:00 am LPA Bailey toured the kitchen the counter tops were clean and free of clutter or standing food. Kitchen cabinets has safety lock and knives and medicine was in secure cabinet with safety lock. Licensee provides breakfast, lunch and snack. At 11:06 am LPA Bailey observed age appropriate toys and napping equipment on the premises.

At 11:10 am LPA Bailey toured the back yard observed that all areas are adequately fenced and was inspected for hazards.

At 11:18 AM LPA Bailey reviewed the Disaster Plan; Emergency Disaster Drill were reviewed. LPA Bailey observed Licensee conducted Fire & earthquake drill on 02/04/2022. A current Children roster was viewed and maintained for a period of 3 years, even after children no longer are attending the facility.

Licensee has mandated reporter training expired 01/19/2021. Licensee PED F/A & CPR EXP. 06/1/2022

At 11:23 AM reviewed two children file was in compliance.

Licensee 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 Bailey reviewed with Licensee different item prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs, no trampolines and any other item that falls into that category are not permitted in the facility.

At 11:30 AM Licensee Perges was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.

LPA Bailey reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. *Infants should always sleep on their backs, mouths facing up. *

Infant Needs and Services Plan: The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. Infant Care: LPA advised the applicant to sleep infants where they can be directly supervised at all time. LPA advised against sleeping infants in a separate room. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts were provided. LPA discussed and provided a copy of PIN 20-24-CCP.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PERGES AND LEAVELL FAMILY CHILD CARE	FACILITY NUMBER: 197405743
	VISIT DATE: 02/18/2022

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The licensee Perges is not providing Incidental Medial Services currently.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

The following was discussed with Licensee Perges Individuals who are 18 years of age or older living in the home must be fingerprint cleared prior to licensure. Individuals within one month of their 18th birthday must be fingerprinted immediately. The existing, immediate $100 per individual Civil Penalty has been increased to an immediate $100 per day Civil Penalty, for a maximum of five days for the first violation and a maximum of 30 days for subsequent violations. If an individual has a clearance with the Department a criminal record clearance may be transferred. LIC 9182 Criminal Background Clearance Transfer Request may be used.

At 12:30 PM LPA Bailey also consulted with Licensee Perges regarding COVID-19 health and safety guidelines on this date. LPA Bailey observed COVID- 19 postings posted in different areas of the day care for parents, as well as for children at eye level in their classrooms. During this inspection LPA also discussed PIN 20-06 CCP, Social and Physical Distancing Guidance and Healthy Practices for Child Care Facilities in Response to The Global Corona virus (COVID-19) Pandemic Written in Collaboration with The California Department of Education.

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

Exit interview conducted and report was reviewed with licensee Perges but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022

LIC809 (FAS) - (06/04)

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