197492981-2-22-2023-30-CC-JCHR-CPB3DP-20230222170953

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492981
Report Date: 02/22/2023
Date Signed: 02/22/2023 05:10:08 PM

Document Has Been Signed on 02/22/2023 05:10 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	PERKINS FAMILY CHILD CARE		FACILITY NUMBER:	197492981
ADMINISTRATOR:	PERKINS, TAWANNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 455-0198
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90303
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 6	CENSUS: 0	DATE:	02/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:29 PM
MET WITH:	Tawanna Perkins - licensee		TIME COMPLETED:	05:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 2/22/2023 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced one year required visit to the Perkins Family Child Care Home. Present in the home was licensee - Tawanna Perkins and licensee's adult sister. The home is a single family, single story duplex home with three units. The home consists of a living-room, kitchen, one bathroom and two bedrooms, per the licensee and facility sketch the following areas in the home are off limits: the two bedrooms. Day care activities are conducted in the living room and children play on the homes patio, the patio is completely enclosed. The home was inspected inside and out for Health and Safety compliance per Title 22. LPA observed the following: Care and supervision were not observed during todays inspection, there were no children present The homes capacity was within the scope of the license An appropriate size fire extinguisher was observed an in need of servicing Carbon and smoke detectors were present & operable.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

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 6

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: PERKINS FAMILY CHILD CARE	FACILITY NUMBER: 197492981
	VISIT DATE: 02/22/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Cabinets in the rest room were latched and items were inaccessible to children in care.
The homes kitchen was accessible to children in care, cabinets were latched to prevent access to toxin and detergents, to children in care. No guns or weapons were present as stated by the Licensee, no weapons were observed by LPA.
The home has an operable telephone for communication LPA observed the homes parent notification board; the license, facility sketch, Emergency Disaster Plan, Notification of Parent’s Rights were posted
A first aid kit was observed containing the required supplies: scissors, tweezers, bandages, medical ointment and a thermometer. Licensee’s Pediatric CPR and First Aid Card expired in 11/ 2021 No bodies of water were observed on the premises
Children records available and in good order.
Personal records were reviewed, licensee did not have proof of her pertussis immunization and there were no immunization records for licensee's adult sister/assistant
Licensees Mandated Reporter certificate expires 8/2023
A roster was not readily available for review.
Detergents, and knives were inaccessible to children in care

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC809 (FAS) - (06/04)

Page: 3 of 6

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: PERKINS FAMILY CHILD CARE	FACILITY NUMBER: 197492981
	VISIT DATE: 02/22/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Parents and authorized adults sign children in using their original signatures.
Licensee does not provide Incidental Medical Services (IMS) at this time. IMS was discussed with licensee.
All adults in the home cleared a Criminal Background Clearance.
Toys, equipment and materials were available in good repair.
Children nap or sleep on cots, that were found to be in good condition. Infant safe sleeping was discussed with licensee. LPA reminded licensee that children are only to use car seats during transportation, Licensee provides after school transportation

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/process

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: PERKINS FAMILY CHILD CARE	FACILITY NUMBER: 197492981
	VISIT DATE: 02/22/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the assistant - Nekalah Binns

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC809 (FAS) - (06/04)

Page: 5 of 6

Document Has Been Signed on 02/22/2023 05:10 PM - It Cannot Be Edited

Created By: Jillinda Chandler On 02/22/2023 at 04:42 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: PERKINS FAMILY CHILD CARE	FACILITY NUMBER: 197492981
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, licensee's last mandated reporer training was in 11/2021 which poses potential health and safety risk to persons in care.
	POC Due Date: 02/27/2023
	Plan of Correction
1 2 3 4	Licensee and assistant shall complete the Mandated Reporter Training and Provide copies via email, mail or hand delivery to the local licensing department no later than 2/27/2023

Type B

Section Cited

CCR

102417(g)(8)

Operation of A Family Child Care Home

(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, licensee did not have a current roster readily avaailable for review which poses a potential safety risk to persons in care.
	POC Due Date: 02/27/2023
	Plan of Correction
1 2 3 4	licensee shall provide a current roster via email, mail or personal delivery to the local licensing office, no later than 2/27/2023

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:

Claudia Escobedo

LICENSING EVALUATOR NAME:

Jillinda Chandler

LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC809 (FAS) - (06/04)

Page: 4 of 6