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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495271
Report Date: 07/18/2023
Date Signed: 07/18/2023 01:42:46 PM

Document Has Been Signed on 07/18/2023 01:42 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:PEARSON FAMILY CHILDCAREFACILITY NUMBER:
197495271
ADMINISTRATOR:ANISSA PEARSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 804-5379
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/18/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Anissa Pearson TIME COMPLETED:
02:30 PM
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On 7/18/2012, Licensing Program Analyst (LPA) Dalicia Adkins conducted an announced pre-licensing inspection. LPA met with applicant Anissa Pearson who guided LPA on a tour of the inside and outside of the home. There were no other adults or children present during the inspection. The hours of operation will be 6:30 am- 6:00pm. Applicant is applying for a license to operate a large family child care home with a capacity of 14 children ages eighteen months through five years old. Fire clearance approved, dated 6/15/2023.

This is a single story two bedroom home with a kitchen, living room, dining room, two bedrooms, detached garage, front and back yard. The kitchen, bedrooms, garage, are off limits and is identified on facility sketch. Children will utilize the bathroom, main living room, dinning room and backyard for child care.

There are four entrances/exits. One entrance/ exit located is in front of the home, there is one screen door with a lock and wooden door with a lock. The second entrance/exit is the located in the dinning room area. This door leads out to the back yard. Third entrance/exit is located in master bedroom, this door also leads out to the backyard. And the fourth entrance/exit is located in the kitchen near the laundry room, this door leads to parking lot on side of the home. Parents will have the option to park on the residential street or parking driveway.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PEARSON FAMILY CHILDCARE
FACILITY NUMBER: 197495271
VISIT DATE: 07/18/2023
NARRATIVE
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The backyard is fence extends around the backyard with opening for parking. 102417 (g)(a) Operation of a Family Child Care Home (6) outdoor play area will be wither fenced or outdoor play areas shall be supervised by the licensee section section 102417(g)(5). There is grass area in the backyard and shaded patio. Patio will be utilized for play activities. LPA did not observe any hazardous equipment or materials.

Kitchen is off limits and made inaccessible by child security gate. LPA observed knives and sharps inaccessible. Food preparation area adequately equipped, clean and free of hazards. Applicant will provide breakfast, lunch, and two snacks. LPA Adkins observed clean operable refrigerator which will be used for storing children's food. Per applicant children food will be individually stored and labeled. Applicant will provide water and will be easily accessible for children. LPA observed stocked first aid kit and is made inaccessible. Cleaning compounds made inaccessible to children.

All off limits areas rooms are made inaccessible and are identified on facility sketch. There are no pools or bodies of water on premises. Per applicant there are no firearms in the home. Applicant has a small dog in the home, dog plan submitted and approved.

LPA observed children bathroom to be clean and safe. LPA observed one operable toilet and one sink. LPA observed one non-touch trash-cans, observed paper towels, hand soap and toilet paper available to meet children hygiene needs. Per applicant lower cabinets underneath the will be made inaccessible, bottom drawer will be used to store child care items.

Per licensee children will use the room used for primary care for napping and children’s activities. LPA observed cots and age appropriate toys and play equipment. LPA observed individual storage that will be used for children personal belonging.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PEARSON FAMILY CHILDCARE
FACILITY NUMBER: 197495271
VISIT DATE: 07/18/2023
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All required licensing devices observed. Fire extinguisher (2A 10BC) located near the front door entrance. LPA observed two Carbon Monoxide and smoke detectors, one in the dinning room ceiling and one located in the hallway leading to the bedrooms. mounted on the ceiling. There is no landline, applicant stated that a mobile cell will be used, LPA confirmed mobile number (323) 804-5379. LPA observed the home to be well ventilated with adequate lighting.

Smoking is prohibited, no baby walkers shall not be allowed on the premises Designated area was discussed and identified for children showing signs of illness. Per applicant there are no firearms in the home.

LPA reviewed pre-licensing with applicant and a copy was provided. LPA provided technical assistance and discussed corrections. Applicant agreed to obtain high chair and cribs before caring for infants.

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.

LPA discussed the safe sleep regulations with applicant or facility 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.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: PEARSON FAMILY CHILDCARE
FACILITY NUMBER: 197495271
VISIT DATE: 07/18/2023
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LPA also informed [applicant, licensee, or 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.

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

LPA reviewed form LIC 311 D and copy provided. LPA reviewed and discussed new safe sleep regulations, individual sleeping plan (LIC 9227) and PIN approved safe sleep regulation pin PIN 20-24.

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.



An exit interview was conducted, and a copy of this report was provided to the Applicant was informed that licensing determination of this application will be reviewed with the Licensing Program Manager for final approval.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC809 (FAS) - (06/04)
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