198008186-3-12-2025-54-CC-DCHS-DEPTSM-20250312145922

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198008186
Report Date: 03/12/2025
Date Signed: 03/12/2025 09:21:01 PM

Document Has Been Signed on 03/12/2025 09:21 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	WILLIS FAMILY CHILD CARE		FACILITY NUMBER:	198008186
ADMINISTRATOR/ DIRECTOR:	WILLIS, LOLITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 208-5054
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90804
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	03/12/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:25 PM
MET WITH:	Lolita Willis, LIcensee		TIME VISIT/ INSPECTION COMPLETED:	03:30 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	Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced annual inspection to the above facility on 03/12/2025. LPA arrived at the facility at 1:25PM, identified self, and met with Lolita Willis, Licensee, who guided analyst on a tour of the facility. LPA provided Licensee with a copy of the LIC 126 Entrance Checklist to help facilitate the inspection. LPA observed that also present during this inspection, was Ashley Ruiz, Jessenia Ruiz-Chavez, and Melissa Perez Ruiz, Licensee’s Assistants. Per Licensee, they currently have 8 assistants (not all full time). LPA observed 8 children upon arrival. There are 22 children that are currently enrolled. Children attend different hours. A current LIC9040 children’s roster was available for review. Per Licensee, operation hours are 6:00am to 6:00pm Monday through Friday. Individuals who reside in the home were noted and discussed. This is a one-story home which consists of: This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, laundry room, living room, front yard, and backyard (fenced) and attached garage which is converted into an activity room. In the backyard, LPA observed an apartment unit that has the 1722 Gladys Ave, LB. Tenant has a background clearance. The children use the bathroom in the hallway near the bedrooms. Per Licensee, areas off limits to children and parents include: 3 bedrooms, 1 bathroom, and backyard apartment unit. The licensee provides food for children in care. Individuals who reside in the home were noted and discussed. Per Licensee, they currently have 8 assistants. Children use the following: The Livingroom, kitchen/dining room, converted garage room, The restroom that children use was observed to be safe and sanitary. Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor yard. LPA did not observe any infant walkers, baby bouncers, inclined chairs, baby saucers, or any similar items at the facility. Safe toys play equipment and materials were observed. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. Off Limit Areas: Per Licensee, areas off limits to children and parents include: 3 bedrooms, 1 bathroom, and

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WILLIS FAMILY CHILD CARE	FACILITY NUMBER: 198008186
	VISIT DATE: 03/12/2025

NARRATIVE

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laundry room. Licensee states that there are no firearms stored in the home. Per licensee there are no pets on the premises. LPA did not observe any pools, spas, hot tubs, fishponds, or similar bodies of water during the inspection. There is telephone service via cellphone and the cellphone stays at the facility during operation hours. There is ventilation and heating via standalone air conditioner and heater. Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. Poisons are locked in a cabinet in the laundry room. The valve on the required 2A 10BC fire extinguisher indicates fully charged and the receipt is dated 10/31/2024, Dual Smoke and carbon monoxide detectors were tested and are operable. Licensee states that she is currently caring for infants. The infant is less than part time and usually doesn’t nap at the home. If the infant will nap, there is a play yard. The infant will sleep in the activity room/dining room where they are constantly supervised. Infants shall be checked on every 15 minutes and the time of each 15-minute check shall be documented with child’s name and date. The licensee is observed to be operating within the license capacity limitations. Licensee does not provide transportation. The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 09/10/2025. There are first aid supplies available. LPA advised that if a child shows signs of illness, he/she/they shall be separated from other children. Children’s records were reviewed, including emergency information and were observed to be complete. The licensee and assistants do have proof of MMR, TDAP, TB Clearances, and influenza declinations or current influenza. LPA observed that the Licensee and assistants do have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. LPA issued a Confidential Names List (LIC 811) to the licensee which documents staff and children’s files reviewed during this inspection. 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 documented was conducted on 02/27/2025. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.
Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.
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/inspection-process.
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

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WILLIS FAMILY CHILD CARE	FACILITY NUMBER: 198008186
	VISIT DATE: 03/12/2025

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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.

LPA 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-and- resources/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

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are 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 childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE ****, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Lolita Willis.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025

LIC809 (FAS) - (06/04)

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