<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495217
Report Date: 05/09/2023
Date Signed: 05/10/2023 07:17:19 AM

Document Has Been Signed on 05/10/2023 07:17 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CARR FAMILY CHILD CAREFACILITY NUMBER:
197495217
ADMINISTRATOR:LATONYA CARRFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 629-6942
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
05/09/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:42 AM
MET WITH:LaTonya CarrTIME COMPLETED:
12:20 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 May 9, 2023, Licensing Program Analyst (LPA) Doris Whitmore conducted an announced inspection with applicant Latonya Carr at 215 E. Plymouth#1 Street Inglewood CA 9032. The purpose of this inspection is to ensure the standards for a Family Child Care Home are being met in accordance with California Title 22 Regulations and California Health and Safety Codes. LPA met with La Tonya Carr who guided a tour of the inside and outside of home. Currently there is no back yard. In the front of the building are designated areas for parking and garages.

The applicant is applying for a large family childcare license with a max capacity of 14. Currently The property-owner/landlord consent (LIC9149) is not signed. LPA informed applicant that she will not be able to care for more than 12 children. Residents of the home are the applicant, and her son. Per the applicant, operation hours are Monday- Friday 5:00a.m. -11:59 p.m. Ages of children are 0 (infant 12 years old. Applicant was informed that any changes to ages, hours, days of operation shall be submitted to the department for approval prior. LPA reviewed at the bottom of the Application Applicant/ Licensee Responsibility.The home is a one-story home with 3 bedrooms, 2 bathrooms, patio door, living room, kitchen, & garage. The off limits will be 1 bedroom,#1 bathroom, garage, and patio. LPA observe the following documents for the board, Facility Sketch, Emergency Disaster Plan, Notification of Parents Rights, Earthquake Preparedness. The Main Day care will be in Bedroom #2 and Bedroom #3. Parents will enter through the front door and ring the bell. The Living room will only be used for dropping off and pick up. In the living room LPA observed one couch, table, television, television stand, play& foldaway farmhouse, 3-piece basketball set, three foldable tables, two benches. LPA observed the listening center with headphones, cd’s, cassette tapes, dry erase markers, and books to write in. In the Computer Center there is a computer, keyboard, little art studio. In the living room is a small sliding door with a lock. Once the sliding door is open there are two steps. In the back of the unit is a gated fence this is off limits to the children in care.LPA spoke to the applicant about the safety of the children. All electrical outlets were covered. LPA and applicant tested the fire alarm and carbon monoxide. The fire extinguisher was a 2-A:10B: C. Page1

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2023
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 6
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: CARR FAMILY CHILD CARE
FACILITY NUMBER: 197495217
VISIT DATE: 05/09/2023
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
A First Aid Kit was fully stocked. Per the applicant there no weapons, pets, or bodies of water in the home. At the time of the inspection LPA did not observe any pets, weapons, or bodies of water.Next to the living room the kitchen was observed. In the kitchen area there is a colorful security gate to block off the area between the kitchen and the area where the children will sit down to have their meals. LPA observed two booster seats and highchairs. There is one wooden breakfast nook. kitchen cabinets were observed. The stove, refrigerator, sink and counter space was inspected. Knifes and sharp objects were observed to be inaccessible to the children in care. The home was inspected for safety, comfort, cleanliness, telephone services, heating ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children in care. Applicant confirmed that the facility will be providing breakfast, two snacks lunch, and dinner. LPA discuss food preparation, storage and ensuring a log and information regarding dietary restrictions and allergies are kept up to date.

From the living room is a hallway as you enter the hallway is a closet. LPA checked the closet and observed toys and learning materials for the children. To the left of the closet is Bedroom #1 which will be off limits to the children in care.Bathroom #2 is next to the bedroom#1 and is off limits to the children in care. LPA checked the bathroom. LPA observed in the hallway on the door safety doorknobs. Next to the Bathroom#2 is the Infant room bedroom #2.LPA observed 1 changing table, two cribs, 1 Graco Day 2 Dream Travel Bassinet & Sleep & Play, 1 diaper genie, 1 small blue table with 2 small blue chairs cubbies for the infant’s belongings. For the Graco Day 2 Dream Travel Basinet LPA read the booklet. Travel Basinet & Sleep Play playyard will stop being used when child reaches 35 in. (89cm) in height, weighs more than 30lb(14kg), or is able to climb out whichever comes. In the closet observed on the right side of the door, books, toys, bibs, cloth diapers, t-shirts. On the right side of the closet door LPA observed soft fabric books, wipes, soft toys. In the middle of the closet LPA observed puzzle, blocks, and other educational materials for the children in care. Directly across from Bedroom#2 is Bedroom #3 which is the toddler room. In the toddler room LPA observed a blue table in the middle with 7 chairs, dolls, play kitchen, grocery cart, play iron board, dramatic play toys, puzzles, books, paint, and other craft materials. In the closet LPA observed on the right side of the door educational materials. On the left side of the closet door are all craft materials. In the middle of the closet there are at the top red and blue mats for the children for mapping and more books.

Next to Bedroom #2 (toddler room) is the bathroom that has one toilet, one sink, one step stool, and four toilets Pg2

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

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: CARR FAMILY CHILD CARE
FACILITY NUMBER: 197495217
VISIT DATE: 05/09/2023
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
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 in order 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
Immunizations: Commencing September 1, 2016, SB 792, prohibits a person from being employed or volunteering at a childcare facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the inspection. Mandated Reporter Training: 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. Licensee was reminded of their responsibility to report suspected child abuse. Mandatory Forms for the children’s files and provider’s files were discussed. Applicant was referred to LIC 311D: Records To Keep in Your Family Child Care.

FORMS TO BE POSTED

LIC203 Facility License

LIC 610A Emergency Disaster Plan


LIC 9148 Earthquake Preparedness Checklist
PUB394 Notification of Parents Rights Poster
Children’s Records Requirements:
LIC 700 Identification and Emergency Information
LIC 627 Consent for Emergency Medical Treatment
LIC 282 Affidavit Regarding Liability Insurance
LIC 9150 Parent Notification Additional Children in Care
LIC 9166 Consent/Verification for Nebulizer Care
CDPH 286 (Immunization Blue Card) with Immunization record
PUB 72- Family Child Care Consumer Guide
LIC 995A Notification of Parent’s Rights Pg3
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: CARR FAMILY CHILD CARE
FACILITY NUMBER: 197495217
VISIT DATE: 05/09/2023
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
LIC 995E Caregiver Background Check Process
LIC 9212 Family Child Care Consumer Awareness Information
PM 286 California School Immunization Record (blue card)-http://www.dhs.ca.gov/publications/forms/immunization.htm
LIC 9224 Acknowledgement of Receipt of Licensing Report, if applicable.
Facility Records:
LIC 624B Unusual Incident/Injury Report
LIC 9040 Child Care Facility Roster
LIC 9052 Employee Rights,
LIC 9108 Statement Acknowledging Requirement to Report Child Abuse
LIC 9149 Landlord Consent Form, if you plan to care for more than 6 for Small or 12 for Large
LIC 9151 Property Owner/Landlord Notification Form
Personnel Records as required in Tittle 22, Division 12, Chapter 3, Section 102416.1, including but not limited to proof of current pediatric CPR and First Aid Certificates, Preventative Health certificate and criminal record information. Proof of immunizations against pertussis (TDAP), measles (MMR), and influenza
Mandated Reporter certificate – www.mandated reporterca.com – renewed every two years.

Licensee was made reminded that it is the licensees, as well as anyone who assists in providing care responsibility to know the regulations. Licensee was also encouraged to read the Child Care quarterly updates every season as they come out to stay informed of any changes or updates to statutes and regulations .


Proof of immunizations against pertussis (TDAP), measles (MMR), and influenza
Mandated Reporter certificate – www.mandated reporterca.com – renewed every two years.
Licensee was made reminded that it is the licensees, as well as anyone who assists in providing care responsibility to know the regulations. Licensee was also encouraged to read the Child Care quarterly updates every season as they come out to stay informed of any changes or updates to statutes and regulation.

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. Pg4


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

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: CARR FAMILY CHILD CARE
FACILITY NUMBER: 197495217
VISIT DATE: 05/09/2023
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
Applicant was made aware that state law prohibits baby walkers, bouncy seats, exer-saucers and any other items that fall into that category. Applicant was also reminded that only children who are eating may be in highchairs and that car seats are utilized only for transportation.
LPA discussed the safe sleep regulations with applicant [or facility representative] 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

Safe Sleep webpage at LPA also informed applicant [facility representative] 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.

This facility plans not to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

Applicant was also informed that the provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome.
 Applicant 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.https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep

· In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license.

·A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility. Pg5

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

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: CARR FAMILY CHILD CARE
FACILITY NUMBER: 197495217
VISIT DATE: 05/09/2023
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
·Annual fees must be paid promptly and by the due date or a late fee shall be assessed, and/or the License shall be terminated. (If paying by check please make sure to write facility number on check to ensure that payment is applied to your facility number)

· The fire extinguisher must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked, and batteries should be replaced.

· Changes should be reported the to the Department as soon as they occur such as construction and remodeling, telephone number changes and/or if you move from home.

· Reporting requirements: Applicant must report any unusual incident or injuries to the Child Care Regional office by telephone within 24 hours and in writing within 7 days. Applicant was provided with LIC 624 as a reference.

·Fire and safety drills must be performed every six months and documented for review by the Department.

· All adults living and working in the home shall be made of aware of the Departments right to inspection authority, which includes but not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.

· LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

Prior to licensing management will review A copy of this report was given to the Applicant La Tonya Carr Pg6

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

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
Page: 6 of 6