197412220-3-23-2023-30-CC-DWHE-CQ7S9H-20230323134047

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197412220
Report Date: 03/23/2023
Date Signed: 03/23/2023 01:40:59 PM

Document Has Been Signed on 03/23/2023 01:40 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	HARRIS FAMILY CHILD CARE		FACILITY NUMBER:	197412220
ADMINISTRATOR:	HARRIS, JACQUELINE D.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(424) 224-8343
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90302
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	03/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:23 AM
MET WITH:	Jacqueline Harris		TIME COMPLETED:	01:45 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	Licensing Program Analyst (LPA) Doris Whitmore conducted an unannounced Inspection at the facility to ensure that health and safety standards are being met as required by regulations, statutes, and requirements governing California family childcare homes. Upon arrival, LPA met with Licensee, Jacqueline Harris and explained the purpose of the inspection. Present during this inspection was the Licensee who is associated to the facility. LPA was guided on a tour of the home inside and outside by Licensee. Hours of Operation are Monday – Friday 7:00a.m. a.m. to 6:00p.m. Per Licensee the last time she had children in the day care was 2022. LPA did observe three children at the time of the visit. Licensee stated that they are foster care children and they will be leaving today LPA toured the home inside and outside. The home is a one story single-family house that includes: · 4 bedrooms – 3 bedrooms off limits · 1 living-room - off limits · 1 kitchen - offf limits · 1 dining room - offlimits · 1 front-yard - off limits. · 1 backyard area - accessible · 1 detached garage - off limits. · 1 bathroom - accessible to children and other bathroom off limits The main day care is provided in the play room LPA observed several different materials for the children, books, puzzles, toys, books, cubbies, and arts and crafts and many other materials. All other rooms are off-limits and made inaccessible. The open face heater is made inaccessible by a safety gate and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. The home has working telephone service.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HARRIS FAMILY CHILD CARE	FACILITY NUMBER: 197412220
	VISIT DATE: 03/23/2023

NARRATIVE

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LPA inspected the home to ensure safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items do not pose a danger to children in care. No Poisons were observed during the inspection The First Aid kit was observed inside cabinet in family room with adequate number of supplies. Licensee states there are no weapons or firearms of any kind in the home at this time. LPA did not observe any weapons during the visit. LPA observed no bodies of water at the facility. The required fire extinguisher (3-A:40 BC) and smoke detector were inspected and are in operable condition. The play areas (inside and outside) were inspected for safety. LPA observed play area outside to have sufficient cushioning material to absorb fall of a child. At the time of the visit LPA did not review any children files due to no children in care for the day care at the moment. LPA did shared the Entrance Checklist with licensee regarding the forms for the children files and personnel files.

According to the last report Licensee does have the Mandated Reporter Certificate. LPA reviewed the First Aid and CPR card which expires 11/30/2023 Licensee stated that she just had her house painted and took everything down. Personnel Information is in a box. Licensee informed Fire disaster drills are to be conducted at least once every 6 months and log must be kept. Applicant also informed children records and facility roster must be kept for 3 years and advised all public reports must be kept for review. Forms and Regulations available at: www.ccl.cahwnet.gov. Licensee informed of appeal rights, must be in writing within 15 business days from date of receiving penalty assessment.

The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B).
LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which provides access to Provider Information Notices( PINS), Quarterly Updates, Covid 19 Information, and Resources, Mandated Reporter Training, Safe Sleep, Lead Poisoning Facts, Forms and Regulations.

Licensee was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family child care home during the hours of operation. Licensee was made aware that state law prohibits baby walkers, bouncy seats, exer-saucers and any other items that fall into that category.

Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HARRIS FAMILY CHILD CARE	FACILITY NUMBER: 197412220
	VISIT DATE: 03/23/2023

NARRATIVE

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Incidental Medical Services(IMS) was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for 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, The following was discussed with the licensee:

All adults living and working in the home must be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.available at http://www.ada.gov/child1qanda.htm

Entrance Checklist
Pin 23-06
Quarter One 2023 Webinar
Forms and Records to keep in your Family Child Care Home

Licensee informed that all persons employed or volunteering at a child care facility or family day care must be immunized against the following: influenza, pertussis and measles. LPA discussed the influenza waiver during the inspection.The licensee was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HARRIS FAMILY CHILD CARE	FACILITY NUMBER: 197412220
	VISIT DATE: 03/23/2023

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The licensee was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

LPA discussed AB633 and informed licensee that, upon receipt of a Type A deficiency, the licensee shall post and provide copies of this licensing report to parent/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

There were no deficiencies cited during today's visit. An exit interview was conducted, and a copy of this report was given to licensee Jacqueline Harris along with Notice of Site Visit and Appeal Rights.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

LIC809 (FAS) - (06/04)

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