197494658-3-15-2023-30-CC-JLAO-CPXM5V-20230315091855

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494658
Report Date: 03/14/2023
Date Signed: 03/15/2023 09:19:12 AM

Document Has Been Signed on 03/15/2023 09:19 AM - 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:	CISSE GUEYE FAMILY CHILD CARE		FACILITY NUMBER:	197494658
ADMINISTRATOR:	CISSE GUEYE, MARIAMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(424) 402-7239
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90025
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	03/14/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:11 PM
MET WITH:	Mariama Cisse Gueye		TIME COMPLETED:	03:35 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 3/14/2023 at approximately 1:20 p.m. Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection at 11356 Missouri Avenue, Los Angeles, CA 90025. LPA was greeted by licensee Mariama Cisse Gueye.

Facility operates Monday through Friday 8:00 a.m. to 6:00 p.m. Currently licensee cares for children ages 6 months to 3 years old. Licensee does not provide overnight care or weekend care.

LPA toured the home inside and outside and a census was taken; 8 children were present during the inspection with licensee and assistant M. Ponsot.

The home is a two bedroom, 2 bathroom single family unit with a living room, dining room and play room. Licensee confirmed the following areas are used for day care: bedroom and bathroom closes to the play room, and play room. Children nap in the bedroom, LPA observed napping cots and cribs in the space. Bedroom and play room were observed to have age appropriate toys and materials. Bathroom that children use is located between the bedroom and play room. All cabinets were observed with safety latches and LPA observed a changing table across the sink area.

LPA observed a carbon monoxide and smoke detector in the day care space. Two working fire extinguishers were observed in the home. Families enter the facility through the back gate, entering directly through the backyard that leads to the day care playroom.

Licensee uses the kitchen to prepare meals and snacks. Water is made accessible to the children in care by water pitcher inside and outside.

The backyard was observed and inspected. LPA observed age appropriate toys and equipment. You care able to access the backyard through the sliding doors in the play room.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents and cleaning compounds are kept in the

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023

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 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: CISSE GUEYE FAMILY CHILD CARE	FACILITY NUMBER: 197494658
	VISIT DATE: 03/14/2023

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

Page 2
locked cabinet in the kitchen, LPA observed a safety latch on the cabinet, making the content inaccessible. Bottom on kitchen cabinet was observed to have a safety latch, making content inaccessible. Sharp object and knives were observed stored in kitchen area made inaccessible to the children in care.

LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Infants up to 12 months of age are placed on their backs for sleeping. Individual Infant Sleeping Plan has been completed. Licensee confirmed that children are always supervised when sleeping.

Adequate heating and ventilation for safety and comfort were observed in the space. Safe toys and play equipment were observed. The home has working telephone service and LPA confirmed the phone number 424- 402-7239

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

Capacity as specified on the license is being maintained during today’s inspection.

LPA reviewed a sample of 6 children’s file and files were complete.

LPA discussed the LIC 311D- Records to be maintain in the facility and provided licensee with a current copy to use as a reference when auditing children’s file. Licensee’s Pediatric CPR and First Aid certification was taken on 8/27/2021. Licensee’s Mandated Reporter training was completed on 12/19/2022.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023

LIC809 (FAS) - (06/04)

Page: 4 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: CISSE GUEYE FAMILY CHILD CARE	FACILITY NUMBER: 197494658
	VISIT DATE: 03/14/2023

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

Page 3
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 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.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Mariama Cisse- Gueye

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4