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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008514
Report Date: 11/06/2024
Date Signed: 11/06/2024 04:39:33 PM

Document Has Been Signed on 11/06/2024 04:39 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:RANDALL-WALKER FAMILY CHILD CAREFACILITY NUMBER:
198008514
ADMINISTRATOR/
DIRECTOR:		RANDALL-WALKER VALENCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 920-6308
CITY:LAKEWOODSTATE: CAZIP CODE:
90713
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
11/06/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Licensee, Valencia Randall-WalkerTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst (LPAs) Jonnisha Culbert and Alicia Moorberry attempted to perform an unannounced continuation annual/random Inspection at the facility noted above. LPAs met with licensee; Valencia Randal-Walker stated the purpose of today’s visit. Licensee guided LPAs on a tour of the facility of both indoor and outdoor. Individuals residing in the home were discussed and noted. Present at the time of inspection were licensee, assistant, 3 teenagers, and 4 children. Per licensee, hours of operation are Monday through Friday 7am to 5:30 pm.

Upon entering the facility LPAs observed a yellow construction paper on the front door. After entering the facility, LPAs observed that the kitchen was under construction. There were holes in the wall and electric wires were exposed. During interview, licensee expressed that workers started work on the electrical connections today. LPAs observed children walking freely in the accessible dining room area adjacent to the kitchen. This poses an immediate safety risk to persons in care. LPAs advised licensee to make construction area inaccessible to children in care. During tour, LPAs observed that the home did not match the facility sketch. Per licensee, two bedrooms were combined into one. Licensee was reminded that alterations to the home are to be reported to the department prior to the start of construction. This is a potential health and safety risk to persons in care.

At 1:48pm, LPAs smelled smoke. On previous inspection dated 09/13/2024, LPA J. Culbert asked licensee about the smell. Today, during inspection, LPAs smelled smoke before entering the facility. During the tour, the smell was strong in the main bedroom. Per licensee, no one smokes in the home. LPAs reminded licensee that smoking is prohibited on the premises of a family childcare home. This a potential health and safety risk to persons in care.

Due to time restraints the Annual/Random visit will be completed on a future date.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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: RANDALL-WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198008514
VISIT DATE: 11/06/2024
NARRATIVE
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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.

One A citation and one B citation were cited during today's visit in accordance with Title 22, California Code of Regulations. Appeal rights were provided to Licensee. Please see attached LIC 809D. The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

Exit interview conducted and report was reviewed with the licensee, Valencia Randall-Walker.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 11/06/2024 04:39 PM - It Cannot Be Edited


Created By: Jonnisha Culbert On 11/06/2024 at 03:31 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RANDALL-WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198008514

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above and children are freely walking in dining room adjacent to kitchen that is under construction. LPAs observed exposed electrical wires in the kitchen. Per licensee, construction workers were working on electric connection today. This poses an immediate health and safety risk to persons in care.
POC Due Date: 11/06/2024
Plan of Correction
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During visit, licensee contacted construction workers to see if they can create a barrier to make area inaccessible to children. Per licensee, they are returing today to build a wall to block the children from accessing kitchen.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:
DATE: 11/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 11/06/2024 04:39 PM - It Cannot Be Edited


Created By: Jonnisha Culbert On 11/06/2024 at 03:31 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RANDALL-WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198008514

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102424(a)
Smoking Prohibition
(a) Smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a)

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above and LPA J. Culbert smelled smoke on two different visits. LPA A. Mooberry confirmed the smoke smell on the second visit. The smoke was strong in the main bedroom (off limits) on both occasions. This poses a potential health, safety, and personal rights risk to persons in care.
POC Due Date: 11/06/2024
Plan of Correction
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Per licensee, she uses incense and other oils. LPAs reminded licensee of the regualtions and advised licensee to keep home ventilated. Licensee agreed to provide statement confirming that no one smoke in the home while children are in care. Licensee will provide statement to LPA J. Culbert via email by plan of correction date.
Type B
Section Cited
CCR
102416.3(a)
Alterations to Existing Building or Grounds
(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above and alteration were made to the home and licensee did not notify the Department. This poses a potential health, safety and personal rights risk to persons in care.
POC Due Date: 11/13/2024
Plan of Correction
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Per licensee, she will complete an unusual incident report form for both alteration made on the home and include dates of when construction will be completed. She will provide a statement expressing that she has knowledge of the regulation and will report future alteration to the department prior to the start of construction. Licensee will provide proof of correction by plan of correction date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:
DATE: 11/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2024


LIC809 (FAS) - (06/04)
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