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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495180
Report Date: 10/20/2022
Date Signed: 10/20/2022 11:14:40 AM

Document Has Been Signed on 10/20/2022 11:14 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:RICHARDSON & RICHARDSON FAMILY CHILD CAREFACILITY NUMBER:
197495180
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
10/20/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Shanice & Tyrone RichardsonTIME COMPLETED:
11:00 AM
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On 10/20/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an announced Pre-Licensing Inspection. LPA met with Applicants, Shanice Richardson and Tyrone Richardson, who guided LPA on a tour of the inside and outside of the home. LPA observed 1 child (Applicant's daughter) in care. Hours of operation are scheduled for Monday through Friday, 6:00AM to 6:00PM. .

Applicant is applying for a Small Family Child Care Home with maximum capacity of 8 children, ages 6 months old to 12 years old. Applicants submitted copies of the LIC 9151 Landlord Notification and LIC 9149 Landlord Consent form to the Department. LPA advised to maintain the LIC 9149 readily available.

This is a single-story home with 3 bedrooms, 2 bathrooms, living room, dining room, kitchen, den, detached garage, front yard, and backyard. Childcare areas are: living room, dining room, den, bathroom 1, and backyard. Off-limits areas are: bedroom 1, bedroom 2, bedroom 3, bathroom 2, kitchen, backyard, and detached garage.

Indoor


LPA entered the home through the front entrance door that leads to the living room. In the living room, LPA observed 2 sofas and 1 TV secured to the wall. The dining room is located adjacent to the living room. In the dining room, LPA observed 1 dining table and 2 high chairs. Applicants stated children will eat in the dining and Applicants plan to apply to a food program. Applicants stated the den in the primary childcare area. The den is located at the rear of the house. The den is large and in the den, LPA observed age-appropriate toys, books, learning materials, 3 cots, 1 pack n play, 1 changing table, 1 first-aid kit, and 1 smoke/carbon monoxide detector. LPA also observed the parent board secured to the wall in the den, which includes the Emergency Disaster Plan, Notification of Family Child Care (PUB394), and a space for the License. LPA observed a child safety gate secured around a wall heater. Bathroom 1 is located in the hallway between the den and kitchen. In bathroom 1, LPA observed 1 toilet, 1 sink, and a child safety latch on the cabinet underneath the sink. LPA observed a 2A10BC fire extinguisher secured to the wall in the hallway. [CONT.]
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
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 3
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: RICHARDSON & RICHARDSON FAMILY CHILD CARE
FACILITY NUMBER: 197495180
VISIT DATE: 10/20/2022
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Indoor Off-Limits
The bedrooms can be accessed via the living room. Bathroom 2 can be accessed via bedroom 1 and bedroom 2. Applicants added child safety knobs to all bedroom doors. The kitchen can be accessed via the dining room, living room, and hallway. Applicants made the kitchen inaccessible by means of child safety gates.

Outdoor
Applicants stated parents will drop off/pick up children through the side gate that leads to the backyard. LPA observed a large backyard with age-appropriate play equipment. The backyard is fully enclosed by a fence which is over 5 feet tall. The backyard can be accessed through sliding glass doors in the den and dining room, as well as a door in the hallway.


Outdoor Off-Limits
Applicants stated the detached garage is used for storage and will remain locked. Applicants stated children will not use the front yard.

Applicant states there are no firearms or weapons of any kind in the facility at the time of the visit. All electrical outlets have protective covers.

Family Child Care Homes
LPA reviewed with Applicants the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the Applicant.

Criminal Record Statement


Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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. [CONTINUE ON PAGE 3]
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: RICHARDSON & RICHARDSON FAMILY CHILD CARE
FACILITY NUMBER: 197495180
VISIT DATE: 10/20/2022
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Incidental Medical Services (IMS) policy 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: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Safe Sleep


LPA discussed the safe sleep regulations with Applicant 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 Applicant 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.

Subscribe to CCLD important information
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

LPA advised Applicants to call (424) 301-3077 and speak with the Office On Duty for any questions about regulations until they are assigned a LPA.

Exit Interview


Exit interview conducted and report was reviewed with Applicants, Shanice Ricahrdson and Tyrone Richardson. No corrections needed. Licensure will be granted upon approval by Licensing Program Manager, Maureen Neal.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC809 (FAS) - (06/04)
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