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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007483
Report Date: 03/28/2023
Date Signed: 03/28/2023 12:47:30 PM

Document Has Been Signed on 03/28/2023 12:47 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:WALKER FAMILY CHILD CAREFACILITY NUMBER:
198007483
ADMINISTRATOR:WALKER, VERLINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 609-3041
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
03/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Verlinda Walker, LicenseeTIME COMPLETED:
12:49 PM
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On Tuesday, March 28, 2023 at 9:45 a.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with Licensee Verlinda Walker who guided LPA Rivera on a tour of the facility.

During the inspection, 1 child present. Family members residing in the home has been discussed with licensee and have obtained a criminal record clearance. Operating hours are Monday to Sunday from 12:00 a.m., to 11:59 p.m., and care for children ages 0 to 13 years.

This facility is a one-story home that consists of four bedrooms, one bathroom, kitchen, living room, dining room, front yard and backyard (fenced and gated). Areas that are accessible to children and identified on the facility sketch were inspected by LPA Rivera; back room, living room, bathroom, kitchen and backyard Areas off limits to children include- all four bedrooms and front yard.

At approximately 9:57 a.m., LPA Rivera inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell). For ventilation, LPA Rivera observed wall heater in the daycare room with an anchored fire gate. LPA observed the chimney closed off with an installed chimney gate and blocked off with a bookshelf. LPA observed the furniture and children materials to be in good condition and age appropriate.

At approximately 10:05 a.m., LPA Rivera entered the restroom and observed toilet, hand washing sink, hand soap and paper towels. LPA did not observe any hazards and observed the restroom to be in good condition.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2023
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198007483
VISIT DATE: 03/28/2023
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At approximately 10:11 a.m., LPA observed cleaning compounds items stored inside the laundry room. LPA observed the laundry room accordion door closed and with a child proof lock making it inaccessible for children to open the door. LPA observed knives stored inside the top kitchen cabinet with a child proof lock, making it inaccessible for children to reach and open the cabinet door. LPA also observed safety knobs on the stove. For drinking water, licensee provides water bottles. Licensee provides the meals but for infants, parents provide the formula. During this visit licensee stated she does not have children with food allergies or prescribed or non-prescribed medication.

At approximately 10:22 a.m., LPA Rivera inspected the outdoor backyard area used by children for safety, comfort and cleanliness. LPA observed play equipment to be in good condition and age appropriate. Due to rain, LPA observed play equipment to be stored underneath the porch. LPA observed a storage and observed the storage to be closed and reminded Licensee to lock to storage room. LPA observed the gate that leads to the alley closed and with a keypad lock making it inaccessible for children to open the gate. LPA observed two side gates closed and the left side locked with a keypad lock and the right gate double latch. LPA observed a grayish/brownish van stored in the yard with all doors closed and locked. LPA observed the front and back yard gated and fenced. For outdoor water drinking, children bring out their water bottles.

LPA Rivera asked if there’s any pets, firearms, weapons or bodies of water. Licensee stated she has one dog (cocker spaniel), no poisons, no bodies of water and no firearms, nor weapons. LPA did not observe the dog, poisons nor firearms, weapon or bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.



At approximately 10:29 a,m., LPA Rivera observed the correct 2A10BC fire extinguisher located in the kitchen with the valve on the green area indicating fully charged and serviced on 10/5//2022. LPA tested the carbon monoxide detector located in the daycare room and the smoke detector located in the living room. LPA heard the detectors and are in operable condition. LPA observed first aid kit in the daycare room and the kits are fully equipped with bandages, adhesives, gauzes, roller bandages. LPA observed fire/earthquake drill and last fire drill conducted on 3/10/2023.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198007483
VISIT DATE: 03/28/2023
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At approximately 10:53 a.m LPA reviewed the roster, staff #1 and child #1 files. LPA observed child #1 file to me missing LIC 282 Affidavit Regarding Liability Insurance, sleep log and staff # 1 file to be completed.

At approximately 11:04 a.m., LPA observed LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, Care Seat Law, LIC 999 Facility sketch posted on a bulletin board located in the living room and hallway.

At approximately 12:08 p.m., child #1 feel asleep and placed in the play yard. Licensee begin to complete the safe sleep log.

Safe Sleep: LPA discussed the safe sleep regulations with licensee Verlinda Walker 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 licensee Verlinda Walker of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at also explained to licensee that car seat, stroller are only and only for https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA Rivera also reviewed Sudden Infant Death Syndrome (SIDS), Never Shake A Baby, and Lead Exposure information with licensee. Car seats are only for transportation, highchair is only and only for feeding and stated items cannot be misused. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, or any other items that falls into this category are not permitted in a family child care facility.


The following was also discussed with licensee:
1. 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 Pediatric first aid/ CPR-adult-child- infant certification and a valid criminal record clearance associated to the facility license.

2. A current roster of children enrolled must be available and maintained for a period of 3 years, even after children are no longer attending the facility.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198007483
VISIT DATE: 03/28/2023
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4. 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.

5. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked, and batteries replaced as needed.

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

7. Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing (refer to LIC 624B). Mandated reporter requirements were reviewed and explained.

8. Fire and safety drills must be performed every six (6) months and documented for review by the Department.

9. Smoking is prohibited in the family childcare home.

10.Children and staff records must be maintained and updated as needed and be available for review by the Department.

11. Dog(s) and/or pets are recommended to be isolated from children in care.


Medication: Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC809 (FAS) - (06/04)
Page: 6 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198007483
VISIT DATE: 03/28/2023
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Criminal Record Statement: Licensee Verlinda Walker 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.

Licensee has been given technical violation for missing sleep log and technical assistance for missing LIC 282 Affidavit Regarding Liability Insurance.

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

Exit interview conducted and report was reviewed along with appeal rights with the licensee Verlinda Walker.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC809 (FAS) - (06/04)
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