198013051-1-23-2023-54-CC-MAYA-CNCUJJ-20230123143736

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013051
Report Date: 01/23/2023
Date Signed: 01/23/2023 02:37:52 PM

Document Has Been Signed on 01/23/2023 02:37 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:	WATKINS & DENNIS FAMILY CHILD CARE		FACILITY NUMBER:	198013051
ADMINISTRATOR:	TESHIA WATKINS&JOSIE DENNI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 577-7831
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90712
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 13	CENSUS: 8	DATE:	01/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Licensee, Teshia Watkins		TIME COMPLETED:	02:45 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	On January 23, 2023 at 11:30 AM, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Licensee, Teshia Watkins. The purpose of the inspection was to conduct the Required - 1 Year inspection. The operating hours of the facility is Monday through Friday from 6:00 AM to 6:00 PM. Entrance Checklist (LIC 126) was provided to the Licensee upon arrival. Individuals residing in the home were discussed and noted. At the time of the inspection, the Licensees, Licensee's Assistant/Staff (S1), and eight (8) napping children were present. LPA was guided on a tour of the facility accompanied by Licensee's Assistant. This facility is a single family home that consists of three (3) bedrooms, two (2) bathrooms, living room, dining room, kitchen, day care room, detached garage, and fenced backyard. Areas that are accessible to children include: one (1) bathroom, day care room, and the fenced backyard. Per Licensee, the children utilize the fenced backyard for outdoor activity. Areas off-limits to children include: 3 bedrooms, 1 bathroom, living room, dining room, kitchen, and detached garage. Per Licensee, the children are dropped off and picked up from the side of the home through the gate located in the driveway. LPA observed the door leading into the kitchen from the day care room closed, making the rest of the home inaccessible to children in care. Licensee was advised that off-limit areas must be made inaccessible during operating hours or while children in care are present. The following documents were posted in a prominent, publicly accessible area: Facility License, Notification of Parents' Rights (PUB 394), Earthquake Preparedness (LIC 9148), and Emergency Disaster Plan (LIC 610A). Licensee has a current Facility Roster (LIC 9040) available for review. Licensee has verification of Disaster and Fire Drills available for review. The last drill was conducted on December 9, 2022.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 12/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022

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: WATKINS & DENNIS FAMILY CHILD CARE	FACILITY NUMBER: 198013051
	VISIT DATE: 01/23/2023

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Areas used by children were inspected for safety, comfort, heating, cleanliness and telephone service. Upon arrival, LPA entered the facility through the driveway gate and side door which enters directly into the day care room. LPA immediately noticed a smell of cigarette smoke inside the day care room. LPA did not observe smoke inside the home or any cigarettes. All adults present denied that anyone smokes inside the home. LPA advised the Licensee that smoking is prohibited on the premises of a family child care home.

The home does not have any wall heaters or fireplaces. The home is equipped with central air and heating. Detergents, cleaning compounds, and medicines were made inaccessible to children. Per Licensee, there are no poisons kept in the home. Licensee was advised that if any poisons are purchased, it is required to be locked with a key or combination lock. Per Licensee, the home has 1 dog. LPA advised that best practice is to keep pets isolated from children in care. Per Licensee, there are no bodies of water, firearms and/or weapons on the premises. LPA observed age appropriate toys and napping equipment for children. LPA also observed electrical outlet covers installed in the child care area.

LPA observed the required fire extinguisher (2-A:10-B:C) that is fully charged and purchased on January 23, 2023. Licensee was reminded to have the fire extinguisher serviced yearly. Smoke detector and carbon monoxide detector were tested and are operable. First Aid kit and emergency supplies are available and kept in the bathroom used by children. Licensee was reminded that food that is brought from the children's home shall be labeled with the child’s name and properly stored or refrigerated.

LPA conducted a record review of five (5) children's records, and 3 personnel records. Based on the children's record review, the Licensee did not have verification of the 15-minute physical checks for napping infants available for review. Based on the personnel record review, Licensee's Assistant/Staff (S1) did not have the immunization record for measles, and pertussis (or documentation of exemption) available for review.

Licensee, Teshia Watkins and Licensee, Josie Dennis have proof of immunization against measles, pertussis, influenza, and a TB clearance. Both Licensees have a current Pediatric First Aid and CPR certification (expiring October 1, 2024). Both Licensees completed the Preventative Health and Safety Practices (EMSA-approved) training on October 15, 2006 and Mandated Reporter Training (AB 1207) on March 31, 2022. Licensee was advised that the Mandated Reporter training (AB 1207) must be completed every 2 years and is available at www.mandatedreporterca.com.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

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: WATKINS & DENNIS FAMILY CHILD CARE	FACILITY NUMBER: 198013051
	VISIT DATE: 01/23/2023

NARRATIVE

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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.

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

Licensee 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PINs), Program Quarterly Update Newsletters and other important information communication platforms.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

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: WATKINS & DENNIS FAMILY CHILD CARE	FACILITY NUMBER: 198013051
	VISIT DATE: 01/23/2023

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Deficiencies were cited during today's inspection (refer to deficiency page). LPA also issued an Advisory Note - Technical Assistance (LIC 9102) regarding Smoking Prohibition.

LPA requested that an updated Facility Sketch (LIC 999A) be submitted to LPA via e-mail by Monday, January 30th.

A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Teshia Watkins.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/23/2023 02:37 PM - It Cannot Be Edited

Created By: Monique Ayala On 01/23/2023 at 01:43 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: WATKINS & DENNIS FAMILY CHILD CARE	FACILITY NUMBER: 198013051
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/23/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 1 personnel record (S1) which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/23/2023
	Plan of Correction
1 2 3 4	Licensee will submit the immunization record for Licensee's Assistant/Staff (S1) for pertussis and measles via e-mail by February 23, 2023.

Type B

Section Cited

CCR

102425(j)(2)(D)

Infant Safe Sleep

Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above as Licensee did not have verification of the 15 minute physical checks for napping infants available for review which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/23/2023
	Plan of Correction
1 2 3 4	Licensee will submit documentation of the 15-minute physical checks for napping infants for at least one week to LPA via e-mail by February 23, 2023.

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:

Monique Ayala

LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

LIC809 (FAS) - (06/04)

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