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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417799
Report Date: 09/23/2021
Date Signed: 09/23/2021 01:47:02 PM

Document Has Been Signed on 09/23/2021 01:47 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LEWIS FAMILY CHILD CAREFACILITY NUMBER:
197417799
ADMINISTRATOR:LEWIS, LA SHONDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 638-7151
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
09/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:19 AM
MET WITH:Lashonda LewisTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced annual random inspection at the facility listed above. LPA met with LICENSEE Lashonda Lewis who guided analyst on a tour of the facility. Upon arrival were the LICENSEE and two adult residents and one infant. A current children’s facility roster was available for review. All were masked. All adults criminally-cleared.

This is a one-story home which consists of two bedrooms, one bathroom, kitchen, living room, two sheds, front yard and backyard (fenced). The children use the bathroom located in the hallway. The restroom the children use was observed safe and sanitary but with COVID postings. Children’s areas include kitchen, living room and backyard. Per LICENSEE, areas off limits to children and parents include: two bedrooms and front yard.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a landline and cellphone which remains at the facility during operating hours. LPA observed all bedrooms inaccessible to children in care. LPA observed soaps, knives and detergents inaccessible to children in care with child safety locks. LPA observed wall heater inaccessible with barricade.

Toys, children’s materials and equipment are age-appropriate and available; free of sharp edges and unbroken. No bodies of water observed.

The valve on the required 2A 10BC fire extinguisher indicated charged with service tag dated Aug 2021. Smoke and carbon monoxide detectors tested and operable.

LPA observed COVID postings at front entrance as well as PPE including masks, and sanitizer. LICENSEE

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Reiko Jones
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2021
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LEWIS FAMILY CHILD CARE
FACILITY NUMBER: 197417799
VISIT DATE: 09/23/2021
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stated she continues to use COVID screening protocol. LPA advised LICENSEE to continue to screen parents and children as advised by the California Dept of Public Health. Licensee states that there are no firearms stored in the home. The Licensee provides food for children in care. Currently, children use the back yard for outdoor play time. The outdoor play area was observed fenced. LPA observed appropriate toys and equipment used for children. LPA observed three storage sheds inaccessible to children in care. The Licensee states that supervision is always provided. Napping equipment including cots and a standard crib were observed.

The LICENSEE has completed training on preventive health practices including Pediatric First Aid and CPR. The Licensee's Pediatric First Aid and CPR expires January 2023. Proof of immunization against influenza, pertussis, and measles observed. LPA observed proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file for Licensee. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA observed Disaster Drill log available. Children’s files and records observed complete excluding the Infant Sleep plan(LIC 9227).

There are no pets on the premises. LPA observed Facility License, Emergency Disaster Plan and Parent’s Rights Poster posted. LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that fall into these categories are not permitted in a family childcare facility. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

Licensee states that she is currently caring for infants. Licensee was advised infants are to sleep in a play yard or standard crib only, where they are constantly supervised. LPA discussed with Licensee the Child Care Provider’s Guide to Safe Sleep to reduce the risk of SUID by the American Academy of Pediatrics. LPA also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, and Safe Sleeping practices. Infant Sleeping Plan(LIC 9227) was available. LPA advised LICENSEE this document in extremely important and supports the health and safety of infants in care.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Reiko Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LEWIS FAMILY CHILD CARE
FACILITY NUMBER: 197417799
VISIT DATE: 09/23/2021
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Incidental Medical Services (IMS):
This facility does not provide Incidental Medical Services – IMS. Incidental Medical Services(IMS) policy 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, available at: http://www.ada.gov/childqanda.htm.

LPA advised the Licensee to access forms, regulations and quarterly updates on-line at: www.ccld.ca.gov

At this time, the Licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

LPA provided email address in order to be placed on quarterly update subscription: ChildCareAdvocatesProgram@dss.ca.gov

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with the Licensee. Site Visit and Initial Appeal Rights discussed and provided.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Reiko Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
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