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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197405743
Report Date: 03/05/2025
Date Signed: 03/05/2025 01:33:36 PM

Document Has Been Signed on 03/05/2025 01:33 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:PERGES AND LEAVELL FAMILY CHILD CAREFACILITY NUMBER:
197405743
ADMINISTRATOR/
DIRECTOR:		PERGES, S. AND C. LEAVELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 469-8239
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
03/05/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Shenae Perges, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 03/5/25 Licensing Program Analyst (LPA) Portia Bowden conducted an unannounced Annual Inspection at the above facility. At 12:15PM LPA met with Licensee Shenae Perges, provided her with an entrance check list and conducted a tour of the home. LPA observed 2 children in care during inspection. Per Licensee there are 5 children currently enrolled. Per Licensee hours of operation are 7am-9pm Monday- Friday. Per licensee she is apart of the food program and provides Breakfast, AM Snack, lunch, PM Snack and Dinner. Per Licensee outside food is permitted in the facility. LPA reminded Licensee to ensure all outside food is labeled and dated. Per licensee, overnight care and transportation are not provided. LPA observed all appropriate documents on licensing board (Facility License (LIC 203), Emergency Disaster Plan (LIC610a), ER drill log last dated 11/24, Notification of Parents' Rights Poster (PUB 394), Child Care Facility Roster (LIC9040). LPA observed Licensee’s Expired Pediatric CPR/First Aid Certification with an expiration date of 1/25. Per Licensee she will obtain a current certificate and submit to LPA, a technical violation will be issued. LPA observed Licensee’s current Mandated Reporter Certificate with expiration dates of 12/25. Per Licensee there are no children in care with food allergies or who require IMS.

Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection:

This is a one-story home consisting of four bedrooms, 3 bathrooms, 2 living rooms, 2 kitchens, Den, enclosed front and backyard and attached garage. Per Licensee areas used by the children include rear living room, rear bedroom, one bathroom located in hallway next to rear bedroom and both the enclosed front and backyard. Per Licensee areas off limits to children and parents include 3 bedrooms, 2 bathrooms, front kitchen, den and detached garage. LPA observed a door preventing access to offlimit areas.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: PERGES AND LEAVELL FAMILY CHILD CARE
FACILITY NUMBER: 197405743
VISIT DATE: 03/05/2025
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Per Licensee there are no poisons on the premises. Per licensee detergents, are kept in the front offlimit kitchen, inaccessible to children in care.. Per licensee medication is stored in an off limit bedroom inaccessible to children in care. At 12:30PM LPA observed a fully charged 2A10BC fire extinguisher on the daycare living room wall with a service tag dated 3/24. At 12:35PM LPA observed a functioning combination smoke detector/ carbon monoxide unit on the ceiling of the hallway. The home was observed to have proper ventilation and heating for safety and comfort. LPA observed a wall heater in the daycare bedroom properly barricaded. The home maintains telephone service via cell phone. Per licensee there are no firearms on the premises.

Kitchen area was observed to be clean and free of clutter and have no sharp objects or chemical compounds accessible to children in care. At 12:40PM LPA observed kitchen knives stored in a high kitchen cabinet, inaccessible to children in care. Bathroom children was observed to be clean and free of hazards. LPA observed the cabinet below the bathroom sink to be empty. Per Licensee she provides potty training.

LPA observed adequate toys and age appropriate learning materials in the rear daycare bedroom as well as cots for sleeping and 1 crib. Per Licensee all linens are washed weekly and as needed by facility.

Outdoor Play for children in care is located in the enclosed front and backyard. At 12:50PM LPA observed the area to be fully enclosed with age appropriate outdoor toys, and proper shading. No bodies of water were observed on the premises.

No children’s files were reviewed as Licensee did not have them. At 1:00PM Licensee called parents of both children in care who both stated they have received enrollment packets and will be returning them to Licensee. Per Licensee both children began attending facility 1 ½ weeks ago and she will ensure all documents are obtained. Per Licensee she has emergency contact information for all children enrolled.

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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: PERGES AND LEAVELL FAMILY CHILD CARE
FACILITY NUMBER: 197405743
VISIT DATE: 03/05/2025
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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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage 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) 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/.



Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, Licensee Shenae Perges, confirmed there are no Registered Sex Offenders living in the home. LPA completed the RSO profile in FAS.

No deficiencies were observed during today’s inspection, 1 technical violation for expired CPR certificate was issued.

Exit interview conducted with Licensee Shenae Perges, copy of this report, and a notice of site visit were provided.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025
LIC809 (FAS) - (06/04)
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