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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419464
Report Date: 10/28/2022
Date Signed: 10/28/2022 04:27:28 PM

Document Has Been Signed on 10/28/2022 04:27 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LOATMAN-MASON FAMILY CHILD CAREFACILITY NUMBER:
197419464
ADMINISTRATOR:LOATMAN-MASON, TERESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 920-3243
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 2DATE:
10/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Teresa Mason, LicenseeTIME COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced annual inspection on 10/28/2022. LPA met with Teresa Mason, Licensee and Walter Mason at the initial start of inspection. Licensee stated her Assistant is Yolanda Fair. A copy of the Entrance Checklist for Child Care homes form (LIC 126) was provided to the licensee upon entry. The facility operating hours are from Monday through Friday 6:30 am to 7:30 pm. This is a single story home. All Adults present, residing, working and/or volunteering in the home have a criminal record clearance or exemption and are associated to the facility.

Licensee guided analysts on a tour of the facility. Per Licensee, there are 9 children currently enrolled. At the initial start of the inspection 0 children were in care. LPA observed Two school age children enter facility during inspection provided care A current children’s roster was available for review. LPA observed all documents to be posted in a prominent, publicly accessible are at facility were posted. (Facility License, PUB 394 Notification of Parents Rights and LIC 9148 Earthquake Preparedness).

PHYSICAL PLANT

This a one story home with three bedrooms, two bathrooms, living room, dining room, den, kitchen, laundry room, detached garage and storage room (orange door). Per Licensee, no childcare is conducted in the detached garage the garage and storage room remain locked at all times. Bedroom #1 through the hallway to the left is off-limit and made inaccessible by closed door and a child safety knob during operation hours. Bedroom #2 through hallway is on-limits and bathroom #1 is on-limits located off hallway between Bedroom #1 and
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LOATMAN-MASON FAMILY CHILD CARE
FACILITY NUMBER: 197419464
VISIT DATE: 10/28/2022
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Bedroom #2. Licensee stated the living room or Bedroom #2 is the isolation area for children who become ill during care. Bedroom #2 through the hallway to the right is utilized as a play room and napping room. LPA observed bunk beds for napping. The primary childcare area is located in the dining room located behind the living room, den and bedroom#2 of the home. OFF LIMIT areas: Bedroom #1, Laundry Room, Bedroom #3 Bathroom #2 (in bedroom #3), Detached Garage and Storage Room. LPA observed a screened fireplace in the living room. Children in care utilize the bathroom in hallway,

The outdoor play area is located in the back yard and is fully fenced LPA observed the backyard for dangerous and hazardous conditions.LPA advised Licensee that children in care shall be supervised at all times.

The home was inspected for safety, comfort and cleanliness. The home has working telephone service. The telephone number on file with the Department was confirmed and verified. All poisons, to include, detergents, cleaning compounds, medication and other hazardous materials are inaccessible to children in care.

There is a fully charged fire extinguisher that is at least a 2A:10BC in the home. There is at least one working dual carbon monoxide and smoke detector in the home. There is also a first aid kit in the home. Centralized heat, air ventilation system is used as a heating and cooling source. LPA observed safe and age-appropriate toys and play equipment in the home.

Per Licensee, there are no weapons, firearms or ammunition in the home; none were observed by LPA. Licensee was informed if obtains, firearms and ammunition must be stored and locked separately. Per Licensee, there are no pools, spas, hot tubs, or other similar bodies of water on property; none were observed by LPA. LPA observed Drill Log during inspection, last drill conducted on 09/2022.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LOATMAN-MASON FAMILY CHILD CARE
FACILITY NUMBER: 197419464
VISIT DATE: 10/28/2022
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LPA reviewed personnel files during today's inspection and observed the following Personnel Records for Licensee: Current Pediatric CPR and First Aid Certification issued by American Red Cross or the American Heart Association, or by approved Emergency Medical Services Authority (EMSA) vendor, LIC 508 Criminal Record Statement, LIC 9108 Statement Acknowledging Requirements to Report Child Abuse, Mandated Reporter Training Certificate. LPA also reviewed Assistant file.

LPA observed Licensee's current Pediatric CPR and First Aid card with an expiration date of 07/2023. LPA observed certificate of completion for Mandated Reporter training for Licensee dated 02/2023. LPA reminded Licensee that Licensee and employees are to complete and/or renew Mandated Reporter training every two years online at: www.mandatedreporter.ca . Assistant file current CPR and First Aid has a exporation date of 10/2024 and renew Mandated Reporter training on 10/13/2024.



LPA reviewed children's files during today's inspection and observed the following Children's Records: Immunization Records, LIC 700 (Identification and Emergency Information), LIC 627 (Consent for Emergency Medical Treatment), LIC 995A (Notification of Parents' Rights)

The following was thoroughly discussed with Licensee:


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.

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.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LOATMAN-MASON FAMILY CHILD CARE
FACILITY NUMBER: 197419464
VISIT DATE: 10/28/2022
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 To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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

Licensee is reminded that smoking is prohibited on the premises during hours of operation.



An Exit interview was conducted. The copy of this report was provided to Assistant with Appeal Rights.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022
LIC809 (FAS) - (06/04)
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