197493340-9-21-2021-30-CC-JCHR-C73QUW-20210921122924

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493340
Report Date: 09/21/2021
Date Signed: 09/21/2021 12:29:48 PM

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:	WON FAMILY CHILD CARE		FACILITY NUMBER:	197493340
ADMINISTRATOR:	WON, CLARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 219-0202
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY:	14	CENSUS: 0	DATE:	09/21/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:38 AM
MET WITH:	Clara Won-licensee		TIME COMPLETED:	12:39 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 9/21/2021 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced *Annual Random* visit for Won Family Child Care Home (FCCH). Present in the home were Clara (Myung) Won - licensee and Agnes Won (adult daughter/interpreter), all persons present had a criminal background clearance at the time of the visit.There were no day care children were present during todays inspection. The home is a single story 5 room and 4 bathroom home. Day care is conducted in the front area of the home using two rooms and the living room for day care and one for isolation/office. Children have access to the front restroom and there is a staff restroom in room # 2 also to be used for ill children. The families off limits living quarters are located off the large activity room, located in this area are 2 bedrooms, 2 restrooms and the family kitchen, this area is separated from the day care by a locking door. 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, per licensee she has 6 after- school children enrolled. pg. 1 of 4

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

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 4

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: WON FAMILY CHILD CARE	FACILITY NUMBER: 197493340
	VISIT DATE: 09/21/2021

NARRATIVE

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Appropriate size fire extinguisher carbon and smoke detector present & operable.
Detergents, and knives were inaccessible, LPA did not observe any of the mentioned items during todays inspection
No guns or weapons present as stated by the Licensee, no weapons observed by LPA.
Properly working telephone
License, facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights Poster and California Safety Seat Law were moved to a prominent place for parents and visitors viewing
Pediatric CPR and First Aid Card expires 7/2023
No bodies of water on the premises at the time of the visit
Children records available and in good order.
Licensee shall visit our website at www.ccld.ca.gov to take the Mandated Child Abuse Reporter training by 9/30/2021, or if not provided in the native language, licensee shall inform LPA.
An updated roster was readily available.
Incidental Medical Services were discussed with the provider
Licensee was reminded that all persons 18 years and older are required to have criminal background clearance prior to working, volunteering, and living in the home Toys, equipment and materials available and in good order

pg. 2 of 4

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: WON FAMILY CHILD CARE	FACILITY NUMBER: 197493340
	VISIT DATE: 09/21/2021

NARRATIVE

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The outdoor activity area was inspected for compliance, licensee was advised to have fruit trees pruned back to make inaccessible to children in care. There is a off limits rhombus room in the rear of the home that is used for storage, no signs of habitation were observed in this room.

During todays visit the licensee updated their information into the Parent Information Notification (PIN) and Provide Stabilization Stipend.

No citations were cited during todays inspection, an exit interview was conducted and a copy of this report was provided.

THE FOLLOWING WAS ALSO DISCUSSED DURING TODAYS VISIT AND APPLIES TO HOMES AND CENTERS.

Licensee/Applicant was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
Licensee/Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation.
Licensee/Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and to never shake a baby to prevent the Shaken Baby Syndrome.

pg. 3 of 4

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: WON FAMILY CHILD CARE	FACILITY NUMBER: 197493340
	VISIT DATE: 09/21/2021

NARRATIVE

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Applicant was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.
The "Notification of Parent's Rights" (PUB394) was discussed with the licensee and the licensee was advised that it must be posted in an area of the home accessible to parents.
Licensee/Applicant was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects to disseminate information on the State’s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541; Email Address: childcareadvocatesprogram@dss.ca.gov
Also, discussed was; Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. Exemption were also discussed
Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com
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

PG. 4 OF 4

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

LIC809 (FAS) - (06/04)

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