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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414103
Report Date: 11/06/2025
Date Signed: 11/06/2025 04:10:50 PM

Document Has Been Signed on 11/06/2025 04:10 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:THOMPKINS FAMILY CHILD CAREFACILITY NUMBER:
197414103
ADMINISTRATOR/
DIRECTOR:		THOMPKINS, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 298-5284
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
11/06/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Patricia Thompkins, LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 11/06/2025 Licensing Program Analyst (LPA) Dawn Dowling conducted an unannounced Annual Required Inspection and met with Licensee, Patricia Thompkins and Assistant/Daughter Tricia Thompkins. Days and hours of operation are Monday through Sunday, 24 Hour care.

LPA toured the inside of the home and a census was taken. An Entrance checklist (LIC 126) was provided to Licensee at the start of today's inspection. Home consists of 3 Bedrooms, 2 Bathrooms, Living Room, , Dining Room/Office , Back Family Room( Child Care Play Room) Kitchen, Laundry Room- off Kitchen, Back Porch, Back Yard, Front Yard.

Licensee confirmed that the On limits Area as follows:

  • Living Room
  • Bathroom #2
  • Dining room/Office
  • Back Family (Child Care Playroom),
  • Front Yard used for outside play area.

Off limit area are:
  • 3 Bedrooms

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: THOMPKINS FAMILY CHILD CARE
FACILITY NUMBER: 197414103
VISIT DATE: 11/06/2025
NARRATIVE
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  • 1 Bathroom
  • Kitchen
  • Laundry Room
  • Back yard (Currently having work done in back yard )

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There is a fireplace in the living room and is made inaccessible as it is sealed off with a gate, open faced heater is screened off)

LPA Dowling observed 2 children in care during today's inspection. Licensee resides in home with her Daughter who also assists with child care and is fingerprint cleared.

The fire extinguisher has not been serviced or purchased within last 12 months-This will result in a Type B deficiency.

Smoke Detector and Carbon Monoxide were tested and operable. First Aid kit was complete. There is adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment were observed. The outdoor play area in the front yard is open and there are no hazards to children present, License reminded to ensure Supervision when children are outside playing. Capacity as specified on the license.

LPA Reviewed Children's Records as follows:

  • LIC 282- Affidavit Regarding Liability Insurance
  • LIC 700 - Identification and Emergency Information
  • LIC 627 -Consent for Emergency Medical Treatment (3 Children missing forms)
  • LIC 995A- Notification of Parents Rights

LPA discussed with Licensee to ensure LIC 627- Consent for Emergency Medical Treatment is in all enrolled children's files. Technical Violation was issued.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: THOMPKINS FAMILY CHILD CARE
FACILITY NUMBER: 197414103
VISIT DATE: 11/06/2025
NARRATIVE
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LPA reviewed required posted documentation and observed the following on board in entry way of residence:
  • Facility License
  • Publication (PUB) 394- Notification of Parent Rights
  • LIC 610A- Emergency Disaster Plan
LPA provided Licensee with LIC 9148- Earthquake Preparedness form to post on the board.
LPA was given LIC 9040- Facility Roster to review, Fire Drill and Disaster Drill log, last one conducted today 11/06/2025 reminded to have done 1 time every 6 months.

The home was observed to be a little cluttered, Licensee reminded to ensure home is not cluttered in areas that are on limits to children as this can be hazardous to children in care.

LPA reviewed the following for Records for Licensee and Assistant/Daughter:
  • Mandated Reporter Training Certificates Issued 10/08/2025
  • American Red Cross Adult/Child First Aid/CPR/AED issued 10/21/2025 expires 10/27
  • Declination of Flu Shot was given to LPA

Licensee and Assistant did not have proof of Immunization of Measles, Mumps, Rubella (MMR), Pertussis or TB Clearance- Type B deficiency issued.

Licensee provides meals and snacks for children in care. Licensee reminded if children bring food from home to ensure it is properly labeled and stored separately.

Children have cots to sleep on, Licensee provides the bedding for children in care. Licensee has shelf in dining room area for children to store their personal belongings, as well as cubbies in front entry area of home. If a child has an accident bedding is immediately removed and changed. Bedding is washed every week.

Isolation area is the area of living room if a child is sick to have them lay on a cot to wait for parent to pick them up back bedroom if a child is sick in order to keep away from other children in care.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: THOMPKINS FAMILY CHILD CARE
FACILITY NUMBER: 197414103
VISIT DATE: 11/06/2025
NARRATIVE
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Smoking Prohibited: Smoking is prohibited per CCR-102424(a)- Smoking is prohibited on the premises of a Family Child Care Home as specified in Health and Safety Code Section 1596.795(a)
  • Per Licensee, Licensee and Assistant do not smoke.

State law prohibits baby walkers, bouncy seats, exer-saucers and any other items that fall into that category. LPA did not observe any prohibit items in home.

Criminal Record Statement Family Child Care Homes

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 currently does not care for children 24 months and under. LPA advised licensee is she is to have children 24 months and under that infants must be monitored every 15 minutes when sleeping, their breathing, temperature and color of skin should also be monitored. Safe Sleep regulation was discussed with licensee as well as the Child Care Licensing Safe Sleep web page listed below that licensee can utilize as an additional resource.https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep

The licensee is advised to never shake a baby to prevent Shaken Baby Syndrome.

Licensee reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

Medication :

LPA Dowling discussed medication with Licensee, currently Licensee will only give medication that has been prescribed by child's Doctor and it is kept separate with child's name and instructions for giving medication on the label. Medication is inaccessible to children in care. Medication was discussed.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: THOMPKINS FAMILY CHILD CARE
FACILITY NUMBER: 197414103
VISIT DATE: 11/06/2025
NARRATIVE
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Incidental Medical Services (IMS) policy

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, available at: http://www.ada.gov/childqanda.htm

LPA and Licensee discussed 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.

LPA Dowling observed children in care were in caring and nurturing environment and treated with dignity and respect.

Type B deficiencies were cited during today's inspection (see LIC 809Ds). The Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days.

Exit interview conducted with Licensee. A copy of this report, notice of site inspection, Appeal Rights (LIC 9058), were given and explained during this inspection.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/06/2025 04:10 PM - It Cannot Be Edited


Created By: Dawn Dowling On 11/06/2025 at 03:02 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: THOMPKINS FAMILY CHILD CARE
FACILITY NUMBER: 197414103

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622
c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview and record review, the licensee did not comply with the section cited above in 22 out of 2 people( Licensee and Assistant) do not have proof of Immunization for Pertussis, Measles, Mumps, Rubella (MMR) or TB Clearance which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/20/2025
Plan of Correction
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Licensee will provide LPA with proof of Immunization for Pertussis, Measles, Mumps, Rubella (MMR) and TB Clearance for Licensee and Assistant on or before the Plan of Correction Date of 11/20/2025.
Type B
Section Cited
CCR
102417(g)(1)
(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
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Based on observation and interview, the licensee did not comply with the section cited above in 1 fire extinguisher was not serviced or purchased within last 12 months which poses/posed a potential health, safety or a potential health, risk to persons in care.
POC Due Date: 11/20/2025
Plan of Correction
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Licensee will purchase a new fire extinguier or have the current one serviced and submit proof of purchase or servicing by the POC date of 11/20/2025.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Raul Navarro
NAME OF LICENSING PROGRAM MANAGER:
Dawn Dowling
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2025


LIC809 (FAS) - (06/04)
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