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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493477
Report Date: 08/11/2022
Date Signed: 08/11/2022 12:17:30 PM

Document Has Been Signed on 08/11/2022 12:17 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:LONDON FAMILY CHILD CAREFACILITY NUMBER:
197493477
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:MARIA LONDON, LICENSEETIME COMPLETED:
01:00 PM
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On 08/11/2022 at 10am Licensing Program Analyst (LPA) Lisa Clayton met with licensee for an ANNUAL INSPECTION. LPA Clayton was greeted by Licensee Maria London and toured the home for a health and safety inspection. Hours of operation are Monday through Friday, 6:00am to 6:00pm. Licensee will provide lunch, dinner and snacks.

The home is two story townhouse which consist of the following: 2 bedrooms, 1 full bath (all on the second floor) and ½ bath, living room, dining room, kitchen (all on the first floor) and fenced front yard. The home is neat and clean with heating and ventilation for safety and comfort. The Licensee stated the OFF LIMIT AREAS are as follows: the entire second floor which is inaccessible by child safety gates, closed and/or locked doors and visual supervision. The Licensee stated the following rooms are ON LIMITS: living, dining room, kitchen and ½ bath and fenced front yard. The ISOLATION AREA will be in the living room. Per Licensee, there are no firearms in the home. A copy of the lease was reviewed and shows control of property.

Any poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children are inaccessible. Per Licensee, children will nap on mats in the living room.


There are ample age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs or any other bodies of water on the premises.

LPA Clayton observed a Pull-down fire alarm in the living room on the wall near the staircase. The Fire Clearance approved floor plan was observed on the parent board. The home has a fully charged 3A:10: BC Fire Extinguisher and 6 working smoke/ carbon monoxide detectors combos and working telephone. LPA confirmed the phone number is 424-339-7171. Licensees CPR/First Aid certificate is current and expires June 2024. The Licensee completed the Mandated Reporter Training requirement on 12/08/2021. The Licensee is in compliance with the immunization law which pertains to day care providers.

Currently there are no infants enrolled. 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.

SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2022
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 2
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: LONDON FAMILY CHILD CARE
FACILITY NUMBER: 197493477
VISIT DATE: 08/11/2022
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California Law requires Family Child Care Home Licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented. Please report Telephone number changes and/or if you move from home.


Update on Incidental Medical Services (IMS):
Currently, the facility does provide Incidental Medical Services. Licensee will send the IMS plan to the ESRO, Attn: LPA Clayton no later than Monday. Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. IMS Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag. Incidental Medical Services (IMS) policy was discussed. For further IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417.


LPA discussed with Licensee the process of childcare during a pandemic: facial coverings in day care, social distancing, hand washing hygiene, postings, and cleaning and disinfecting of surfaces and high traffic areas. Children should follow social distancing when indoors. LPA Clayton discussed isolation area with Licensee when children are sick. LPA discussed the importance and process of health screenings for children upon arrival to the facility. LPA also provided resources and materials as well as links for COVID-19 to assist the provider. LPA also discussed the proper way to clean and disinfect items used daily throughout the day care, by submerging toys in or spraying with disinfectant and allowing enough contact time prior to wiping down.



Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

An exit interview was conducted, a copy of this report was read and provided to the Licensee Maria London This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
LIC809 (FAS) - (06/04)
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