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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494919
Report Date: 09/19/2024
Date Signed: 09/19/2024 02:41:55 PM

Document Has Been Signed on 09/19/2024 02:41 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LI FAMILY CHILD CAREFACILITY NUMBER:
197494919
ADMINISTRATOR/
DIRECTOR:		LI LIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 207-0721
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
09/19/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH: LILI- LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
NARRATIVE
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On 09/19/2024 at 9:45 a.m. Licensing Program Analyst Doris Whitmore (LPA) conducted an unannounced 3 Year Inspection at the above-mentioned facility. LPA was greeted by LILI. LPA Whitmore was guided on a tour of the home both inside and outside. Present during today’s inspection was the licensee and assistant. There was a total of 12 children present at the time of the inspection. LPA checked to make sure during today’s inspection all adults were fingerprint cleared and associated to the facility. The capacity as specified on the licensee is being maintained during today’s inspection. The purpose of this inspection is to ensure that health, and safety standards are being met as required by Title 22 Regulations governing California Childcare Homes will be met by licensee. The facility is licensed for a Family Childcare with a max of 14. The facility hours of operation Monday- Friday from 8:00a.m. to 5:00p.m.

The home is single-family home which consists of 3 bedrooms, 1 bathroom, living room and a permitted detached garage. ADU-Permit was received and file. The front yard is OFF LIMITS to the children in care and families will enter the facility through the side door. The driveway is enclosed with a self-latching wooden gate. Pass the gate, you are led to the area of the childcare. LPA inspected the home to ensure safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items do not pose a danger to children in care. No poisons were observed during the inspection. All detergents and cleaning compounds are kept in a locked cabinet under the sink. First Aid Kit was fully stocked with adequate number of supplies. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. There are no swimming pool or other bodies of water on the premises or next door. Per the Licensee there are no pets in the home.

The parent board had all of the required postings Fire extinguisher was observed near the Entrance. Age-appropriate toys such a puzzle, blocks, books and a dramatic play area were observed in the space. Children’s storage bins were observed around the space. Each storage bin had different age-appropriate materials and toys. Licensee checked the smoke detector and carbon monoxide that were properly working at the time of the inspection. The bathroom that children will use was inspected. A toilet, a sink and shower

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 09/19/2024 02:41 PM - It Cannot Be Edited


Created By: Doris Whitmore On 09/19/2024 at 12:26 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: LI FAMILY CHILD CARE
FACILITY NUMBER: 197494919

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 1 out of 1 ][identifiers which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/26/2024
Plan of Correction
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 Licensee will create a Fire Drill and Disaster Plan and conduct a fire drill and disaster drill. Licensee will have the children to do a firedrilll and submit documentation to LPA.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Karren Starks
LICENSING EVALUATOR NAME:Doris Whitmore
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/19/2024 02:41 PM - It Cannot Be Edited


Created By: Doris Whitmore On 09/19/2024 at 12:26 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: LI FAMILY CHILD CARE
FACILITY NUMBER: 197494919

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)1
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 1 out of 1 [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/26/2024
Plan of Correction
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 Licensee will document drills and submit a copy.

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:Karren Starks
LICENSING EVALUATOR NAME:Doris Whitmore
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024


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Document Has Been Signed on 09/19/2024 02:41 PM - It Cannot Be Edited


Created By: Doris Whitmore On 09/19/2024 at 12:26 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: LI FAMILY CHILD CARE
FACILITY NUMBER: 197494919

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in1 out of 2 (persons) will take the Mnadated Reporter Training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/26/2024
Plan of Correction
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Licensee will take the Mandated Reporter Training and send a copy.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Karren Starks
LICENSING EVALUATOR NAME:Doris Whitmore
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024


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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LI FAMILY CHILD CARE
FACILITY NUMBER: 197494919
VISIT DATE: 09/19/2024
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were observed. The cabinet under the sink was observed to have safety latch.LPA observed napping cots stored in the bathroom. A sink and cabinet space were observed right outside the bathroom. A microwave was observed that will be used to warm up the children’s lunch and/or snacks. Children will bring their own lunch and snacks. There is a Declaration of file. According to the Declaration the ADU- detached garage will be utilize as an activity space. Children will nap and have their meals in the home. During the Inspection LPA Whitmore observed the children eating their meals outside and there were two blue circle tables. LPA Whitmore explained to the Licensee about the Signed Declaration. LPA Whitmore also, observed children sleeping in the ADU. LPA Whitmore explained to the Licensee according to the Declaration that children should be sleeping in the home and the not ADU. Licensee stated that the children do not sleep in the front house 6434 West 87th Street because the windows are to bright and the children are crying. Licensee stated that the neighbor to the right would complain about the music and the children crying.

The side of the detached garage/ day care space, is the designated outdoor space. The space was observed to have artificial turf. LPA observed a sand box, a wooden play structure and other age-appropriate toys. Plants were observed to be fenced, ensuring the safety of the children in care. LPA Whitmore reviewed a total of 12 children files. All of the files had the required documentation except the Immunization Blue Card. LPA Whitmore shared a picture of the California Pre- Kindergarten and school Immunization Record for the licensee. LPA Whitmore explained to the licensee that she will need to document the immunizations. Also, that each child will need to have the Blue Immunization record in their file. LPA Whitmore shared with the Licensee that she can contact the Health Departments. LPA Whitmore checked the Licensee file and the Assistant. The Assistant CPR/ First Aid was current and up to date. The Licensee First Aid/ CPR was up to date. The Mandated Reporter Certificate date of completion was 3/25/2020 and was expired. There were no documentation of Fire Drills and per the licensee Fire Drills were not conducted. LPA Whitmore explained to the licensee that fire drills must be conducted every six months.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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, except as specified in Health and Safety Code section 1596.871

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LI FAMILY CHILD CARE
FACILITY NUMBER: 197494919
VISIT DATE: 09/19/2024
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must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Childcare Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee LILI and discussed the Childcare 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 LILI 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.



Incidental Medical Services( IMS) was discussed. For IMS information see PIN 22-02 CCP. 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.


Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.
Please see the D- Page for Deficiencies
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee LILI
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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