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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416022
Report Date: 11/15/2023
Date Signed: 07/10/2024 02:55:30 PM

Document Has Been Signed on 07/10/2024 02:55 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:TOMLINSON FAMILY CHILD CAREFACILITY NUMBER:
197416022
ADMINISTRATOR:TOMLINSON, ALEXFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 984-0308
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
11/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:ALEX TOMLINSON, LICENSEETIME COMPLETED:
04:15 PM
NARRATIVE
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LPA Clayton and LPA Richmond arrived at the FCCH to conduct a Case Management inspection. Upon arrival, LPA Clayton and LPA Richmond heard crying coming from the licensees bedroom. LPA Clayton observed 2 children sleeping on the living room floor, and asked licensee about the crying sounds coming from the bedroom.

LPA Clayton observed the bedroom door closed. LPA Clayton instructed Licensee to bring the baby out of the room. Licensee came out with 13-month-old infant in her arms, but crying could still be heard coming from the room.

LPA Clayton asked licensee if there was another baby in her bedroom and she replied “yes”. LPA Clayton held baby #1 so that licensee could get baby #2 from her bedroom. Licensee then came out holding a 9-month-old infant.

LPA Clayton reminded licensee that the children are not to sleep in her room (off-limits) and that if children are sleeping in another room, the door is to remain open. Licensee was reminded that per her facility sketch, the on-limit areas for childcare are as follows: living room, kitchen, bathroom and family room.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, deficiencies are being cited: (see LIC 809D).

Exit interview conducted and report along with appeal rights was reviewed with the licensee Alex Tomlinson.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 07/10/2024 02:55 PM - It Cannot Be Edited


Created By: Lisa Clayton On 11/15/2023 at 02:38 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: TOMLINSON FAMILY CHILD CARE
FACILITY NUMBER: 197416022

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2023
Section Cited
CCR
102425(j)(4)

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102425(j)(4) The provider shall supervise infants while they are sleeping and.... following requirements: (4) The provider shall be near enough to the sleeping infant to be able to hear them wake up.
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The Licensee is to watch the Supervising Children in Family Childcare video at ccld.childcarevideos.org, and write a declaration answering the following questions:
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This requirement was not met as evidenced by: LPA Clayton and LPA Richmond's observations of 2 infants sleeping in a room with the door closed, which poses an immediate Health and Safety risk to children in care
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How does Community Care Licensing define “supervision”?
Is visual supervision required 100 percent of the time?
What do I do about supervision if I need to be away during operating hours?
Type A
11/15/2023
Section Cited
CCR102425(j)(5)(A)

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The provider shall supervise infants while they are sleeping..... following requirements: (5) If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times. (A)The provider shall be able to visually observe the infant without moving the door.
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The Licensee is to watch the Supervising Children in Family Childcare video at ccld.childcarevideos.org, and write a declaration of understanding of the information provided in the video.
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This requirement was not met as evidenced by: LPA Clayton and LPA Richmond's observations of 2 infants sleeping in a room with the door closed, which poses an immediate Health and Safety risk to children in care
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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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2023


LIC809 (FAS) - (06/04)
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