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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418206
Report Date: 11/07/2024
Date Signed: 11/07/2024 12:31:05 PM

Document Has Been Signed on 11/07/2024 12:31 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:DAVIS FAMILY CHILD CAREFACILITY NUMBER:
197418206
ADMINISTRATOR/
DIRECTOR:		DAVIS, HANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 349-7164
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
11/07/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Handra Davis, LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 11/7/24 Licensing Program Analyst (LPA) Portia Bowden conducted an unannounced Annual Inspection at the above facility. At 11:15 AM LPA met with Handra Davis, provided LIC 126 Entrance checklist, and were guided on a tour of the home. LPA observed 0 children in care. Per licensee there are 2 children currently enrolled. Per licensee hours of operation are Monday – Friday 6AM-6PM. Per licensee there are no children in care requiring incidental medical services in care. Licensee provides breakfast, dinner, AM and PM Snack. Per licensee, transportation service to and from school is provided. Per licensee overnight care is not provided at this time. LPA observed all appropriate documents on licensing board (Facility License (LIC 203), Emergency Disaster Plan (LIC610a), last fire drill conducted 9/17/24, Notification of Parents' Rights Poster (PUB 394), Child Care Facility Roster (LIC9040). LPA also observed Licensee's current Pediatric CPR (Adult/Infant /Child) and Pediatric First Aid certifications (expiration date of 5/2025 and licensee’s Mandated Reporter Certificate expiration date of 11/26. LPA observed Assistant Carter’s Pediatric CPR/First Aid with an expiration date of 8/26.

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:

This is a one-story home consisting of 3 bedrooms, 1 bathroom, Kitchen, living room, attached garage and enclosed front yard. Per licensee, areas used by the children include the living room, restroom, and the enclosed front yard. Per Licensee, areas off limits to children include: 3 bedrooms, kitchen and attached garage.



________________Page 1 of 3__________________
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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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: DAVIS FAMILY CHILD CARE
FACILITY NUMBER: 197418206
VISIT DATE: 11/07/2024
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All poisons are kept in the locked offlimit garage area. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible to children in care. LPA observed a fully charged 210ABC fire extinguisher with a service tag/receipt purchase date of 11/24 under the kitchen sink. At 11:35 AM LPA observed a functioning smoke detector in the hallway. At 11:40AM LPA observed carbon monoxide detector, located in the hallway. The home was observed to have adequate heating and ventilation for safety and comfort. Two Wall heaters were observed to be properly barricaded and. LPA observed no fire places. The home maintains working telephone service via cell phone. Per licensee there are no firearms on the premises.

Per licensee the living room is used as the main daycare area. LPA observed adequate toys and age appropriate learning materials. Per licensee she only cares for her school aged grandchildren and they do not sleep here. LPA advised licensee to purchase cots for incoming daycare children.

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 in a kitchen drawer with a child safety lock. LPA reminded licensee that all outside food brought in by children should be dated and labeled with child’s name. LPA observed bathroom to be clean, fully stocked and have no hazards or chemicals in the cabinets.

Outdoor play area in the front yard is fully enclosed with no hazards present to children. LPA observed no bodies of water

Staff records were reviewed and observed to be complete. LPA reviewed 2 children’s file and observed 2 out of 2 to be missing immunizations. Per licensee she will obtain records from parent and submit to LPA via email. A technical violation will be issued.

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

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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: DAVIS FAMILY CHILD CARE
FACILITY NUMBER: 197418206
VISIT DATE: 11/07/2024
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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.

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

No deficiencies were observed during today’s inspection. 1 Technical Violation is being issued for children’s immunization.


Exit interview conducted with Licensee Handra Davis, and notice of site visit were provided.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC809 (FAS) - (06/04)
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