198004510-1-2-2025-33-CC-SLII-DCJV5V-20250102150834

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004510
Report Date: 01/02/2025
Date Signed: 01/02/2025 03:08:42 PM

Document Has Been Signed on 01/02/2025 03:08 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	JONES FAMILY CHILD CARE		FACILITY NUMBER:	198004510
ADMINISTRATOR/ DIRECTOR:	JONES, WILLIAM & LISA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 796-1386
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	01/02/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Licensee Lisa Jones		TIME VISIT/ INSPECTION COMPLETED:	03:30 PM

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At 1:30pm, Licensing Program Analyst (LPA’s) Stephanie Li and Joanne Solorio Campos conducted an unannounced annual inspection to the above facility. A risk assessment was conducted upon entry. LPA’s met with Licensee Lisa Jones, who led LPA’s on a tour of the facility. There are currently 8 children enrolled. A current children’s roster was available for review. There was 1 adult present during todays inspection. Facility capacity is in compliance for a Large Family Child Care Home. Hours of operation are Monday-Friday, 2:00pm - 6:00pm.

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, living room, kitchen, garage and backyard. Currently residing in the home are 2 adults.. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home.

All areas on limits and off limits were inspected during today’s visit. Areas accessible to children are as follows: 3 bedrooms, 2 bathrooms, kitchen, garage and backyard.

Per licensee, areas off limits to children and parents is the storage room. Per Licensee, there are no weapons or fire arms on the property. No bodies of water were observed.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. LPA's observed an ac window unit. There is telephone service via a cellphone that stays at the facility during operation hours.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JONES FAMILY CHILD CARE	FACILITY NUMBER: 198004510
	VISIT DATE: 01/02/2025

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The following was observed and reviewed during this inspection:

LPA’s observed the following required posted documentation in the main entry way of the facility: Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA reviewed facility records for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. Last drill was completed on 12/10/24.

There are toys available for children. LPA’s observed a fire extinguisher in the kitchen area and it was observed to be the required 2A 10BC fire extinguisher and was last serviced on 04/26/24. Smoke and carbon monoxide detectors were tested and are operable. LPA’s observed two wall heaters in the hallway. One wall heater near the restroom was observed to be tagged and no longer operable while the other is operable and was not barricaded at the time of visit. Per licensee, heater is barricaded when in use and children are present. LPA’s verified that barricade is available to put on. Per Licensee, there are no poisons in the home and understands that all poisons must be locked, to be made inaccessible to children. Licensing staff reminded licensee smoking is not allowed in a family child care home. The restroom that children use was observed to be safe and sanitary.

LPA’s 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-andresources/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.

Currently, children are using the front yard and back yard for outdoor play time. The outdoor area was observed to be gated. LPA’s observed a large grass area free of hazards and debris with many outdoor activities including a basketball hoop and bicycles and helmets or bike riding.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JONES FAMILY CHILD CARE	FACILITY NUMBER: 198004510
	VISIT DATE: 01/02/2025

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The licensee is observed to be operating within the license capacity limitations.

Children and adult records were reviewed and were observed to be complete. The licensee has completed training on preventive health practices including Pediatric First Aid and CPR. The licensee’s Pediatric First Aid and CPR expires on 4/2026. Licensee has completed Mandated Reporter AB 1207 compliant Child Care Training Certificate on file that exp on 1/2025.

Incidental Medical Services (IMS) is not being provided at this time. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA’s advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

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/process.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JONES FAMILY CHILD CARE	FACILITY NUMBER: 198004510
	VISIT DATE: 01/02/2025

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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, 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 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.

Currently, the licensee is in compliance with California Title 22 Regulations. There are no citations being issued today.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA’s completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, report provided and appeal rights were reviewed with Licensee Lisa Jones.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

LIC809 (FAS) - (06/04)

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