197408924-12-13-2024-54-CC-PBON-DBWV6E-20241213150924

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408924
Report Date: 12/04/2024
Date Signed: 12/13/2024 03:09:43 PM

Document Has Been Signed on 12/13/2024 03:09 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:	BROOME FAMILY CHILD CARE		FACILITY NUMBER:	197408924
ADMINISTRATOR/ DIRECTOR:	BRENDA BROOME		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 706-1443
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	12/04/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:15 PM
MET WITH:			TIME VISIT/ INSPECTION COMPLETED:	03:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 12/13/24 Licensing Program Analyst (LPA) Portia Bowden conducted an unannounced Annual Inspection at the above facility. At 1:15PM LPA met with Brenda Broome Licensee. LPA provided LIC 126 Entrance checklist, and was guided on a tour of the home. LPA observed 1 child napping in care during inspection. Per Licensee, hours of operation are 630AM-6PM Monday- Friday. Per Licensee there are 4 children currently enrolled. Per licensee there are no children in care requiring incidental medical services in care. Licensee provides breakfast, AM Snack, Lunch and a PM Snack. Per Licensee outside food is not permitted. Per licensee, overnight care is not provided at this time while transportation to and from school is provided. LPA observed all appropriate documents on licensing board (Facility License (LIC 203), Emergency Disaster Plan (LIC610a), Notification of Parents' Rights Poster (PUB 394), Child Care Facility Roster (LIC9040). LPA did not observe an emergency drill log, per licensee she is conducted emergency drills every 6 months with the last one in 8/2024. LPA observed Licensee current Pediatric CPR (Adult/Child/infant) and Pediatric Adult/child First Aid certifications with an expiration date of 8/26 LPA did not observe licensee’s current Mandated Reporter Certificate. Per Licensee she is unable to locate document for herself. A type B Deficiency will be issued. LPA observed Assistant Asia's Current Pediatric First/AID CPR Certificate with an expiration date of 8/25 and a current Mandated Reporter Certificate with an expiration date of 7/26 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:

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

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 12/13/2024 03:09 PM - It Cannot Be Edited

Created By: Portia Bowden On 12/13/2024 at 02:46 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BROOME FAMILY CHILD CARE	FACILITY NUMBER: 197408924
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/04/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with ensuring fire extinguisher was purchased or serviced yearly which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/03/2025
	Plan of Correction
1 2 3 4

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with ensuring Mandated Certificate was current and available for review which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/03/2025
	Plan of Correction
1 2 3 4

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:

Karen Chambers

LICENSING EVALUATOR NAME:

Portia Bowden

LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BROOME FAMILY CHILD CARE	FACILITY NUMBER: 197408924
	VISIT DATE: 12/04/2024

NARRATIVE

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This is a single-story home consisting of three bedrooms, two bathrooms, living room, kitchen, Den (Main Daycare room) enclosed backyard and detached garage. Per Licensee areas used by the children include the living room, Den (Main daycare room) one bathroom located in hallway right outside Den, one bedroom, enclosed backyard. Per Licensee, areas off limits to children and parents include: two bedrooms (locked), One bathroom, and detached garage (Locked).

At 1:30PM LPA observed a sealed package of laundry detergent pods located in a box on top of the laundry machine located off the kitchen inaccessible to children in care. Per Licensee there are no other poisons in the home. LPA explained to licensee that poisons must be stored in a locked cabinet not just inaccessible to children in care. Licensee moved the detergent pods to the highest shelf in the cabinet and will place a safety latch there. A technical violation will be issued. Detergents, cleaning compounds are kept in the same cabinet, inaccessible to children in care. Per licensee medication is stored in an off limit bedroom. At 1:35PM LPA observed a fully charged 2A10BC fire extinguisher on the kitchen wall with a service tag date of 12/23. Per Licensee she will have it serviced. A type B Deficiency will be issued. At 1:30PM LPA observed a functioning combination smoke/carbon monoxide detector on the ceiling in the hallway outside the daycare bedroom. The home was observed to have ventilation and heating for safety and comfort. LPA observed a fireplace in the living room properly barricaded and inaccessible to children in care. LPA observed a wall heater in the Den (Main daycare Area) properly barricaded and inaccessible to children in the home. The home maintains telephone service via cell phone. Per licensee there are no firearms on the premises.

LPA observed adequate toys and age appropriate learning materials in the Den, as well as thick mats and cots for sleeping. Per Licensee all sheets and blankets are washed by Licensee weekly and as needed.

Kitchen area was observed to be clean and free of clutter and have no sharp objects or chemical compounds accessible to children in care. LPA observed kitchen knives to be stored on the kitchen counter pushed all the way to the rear, inaccessible to children in care. Per Licensee no children in care have food allergies. Bathroom children use located in the hallway next to the Den, was observed to be clean and free of hazards. Per licensee potty training is provided. LPA observed a child’s potty for children’s use

Enclosed backyard is used for outdoor play. LPA observed age appropriate toys, scooters and proper cushioning.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BROOME FAMILY CHILD CARE	FACILITY NUMBER: 197408924
	VISIT DATE: 12/04/2024

NARRATIVE

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Staff records were reviewed and observed to be incomplete missing mandated reporter certificate. LPA reviewed 2 children’s file and observed them to be complete.

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.

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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BROOME FAMILY CHILD CARE	FACILITY NUMBER: 197408924
	VISIT DATE: 12/04/2024

NARRATIVE

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

2 Type B deficiencies and 1 Technical Violation were issued today

Exit interview conducted with Licensee Brenda Broome, A copy of this report, Appeal rights and notice of site visit were provided.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

LIC809 (FAS) - (06/04)

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