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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017507
Report Date: 06/24/2022
Date Signed: 06/24/2022 01:58:32 PM

Document Has Been Signed on 06/24/2022 01:58 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:CHRISTOPHER AND EVANS FAMILY CHILD CAREFACILITY NUMBER:
198017507
ADMINISTRATOR:ANGEL CHRISTOPHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 413-1835
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
06/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Angel Christopher - LicenseeTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Alicia Bailey conducted an unannounced random annual (or Required) inspection. LPA met with Licensee assistant Marlene Martinez 9:20 am. Licensee assistant state the licensee was on her way. Licensee Angel Christopher arrived at 9:40 who guided this LPA on a tour of the facility. At 10:00 am during the inspection LPA Bailey discussed, assessed and noted individuals residing in the home. The facility Entrance Checklist for Family Child Care Homes was given to Licensee Christopher. This is a one story home consists of 4 bedrooms and 1 bathroom. Areas used by the children include the day-care day care room, one (1) restroom, kitchen and back yard. Per Licensee Christopher and facility sketch , areas off limits to children include: 4 (four) bedrooms, and the garage .The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The Licensee Christopher stated there are no other license held at this facility. There are 11 children present during time of inspection. Licensee Christopher states that there are currently 14 children enrolled in the facility. Facility hours of operation Monday thru Sunday 6:00am to 4:59am 23 hours.

At 10:30 am LPA Bailey ask licensee Christopher do you have a firearm, licensee Christopher state yes. LPA Bailey ask Licensee Christopher where do you kept the firearm ? Licensee stated , it lock inside of safe with ammunition stored in different safe in off-limit bedroom.

At 10:50 am LPA Bailey observed a large television ( mounted on the wall ), age appropriate toys and napping equipment in in the day care rooms. At 11:02 am LPA Bailey tour the children bathroom. LPA Bailey observed children safety latches on the bathroom cabinet. LPA Bailey did not observe any hazardous items in the bathroom.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2022
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: CHRISTOPHER AND EVANS FAMILY CHILD CARE
FACILITY NUMBER: 198017507
VISIT DATE: 06/24/2022
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At 10:55 am LPA Bailey toured the kitchen the counter tops were clean and free of clutter or standing food. Kitchen cabinets has safety lock and knives and medicine was in secure cabinet with safety lock. Licensee Christopher provides breakfast, lunch and snack.

LPA Bailey observed there no swimming pool or body of water. At 11:06 am LPA Bailey observed first aid kit, fire extinguisher ( in the kitchen) service on 07/07/2021. LPA Bailey reviewed the Earthquake & fire drill log last conducted on 03/01/2022. First Aid supplies were inventoried. A review of medication policy, including administering, labeling, storage, and records was made.

The smoke detectors, was tested by LPA is in operable condition, the carbon monoxide was not in operable condition.

At 11:25 am LPA Bailey toured the front yard and back yard observed that all areas are adequately fenced and was inspected for hazards.

Licensee do not a current mandated reporter training LPA Bailey advise licensee Christopher she need to complete mandated reporting training submit proof within 30 days. Licensee Christopher state she understood. Licensee Christopher PED F/A & CPR EXP. 06/21/2023. Licensee Assistant Marlene Martinez PED F/A & CPR EXP. 06/21/2023.



At 11:34 am, LPA Bailey reviewed 9 children's files 9 children files was in compliance. At LPA, Bailey reviewed four personal files was in compliances.

Licensee Christopher was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPA Bailey reviewed with Licensee different item prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs, no trampolines and any other item that falls into that category are not permitted in the facility.

At 11:42 am Licensee Christopher was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022
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: CHRISTOPHER AND EVANS FAMILY CHILD CARE
FACILITY NUMBER: 198017507
VISIT DATE: 06/24/2022
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Licensee Christopher provides transportation for school age children. At 11:49 am LPA Bailey also consulted with Licensee Christopher regarding COVID-19 health and safety guidelines.

At 12:01pm LPA Bailey conducted staff interview with Licensee Christopher.



At 12:20 pm, the following was discussed with the Licensee Chrsitopher

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/process

The following was discussed with Licensee Christopher Individuals who are 18 years of age or older living in the home must be fingerprint cleared prior to licensure. Individuals within one month of their 18th birthday must be fingerprinted immediately. The existing, immediate $100 per individual Civil Penalty has been increased to an immediate $100 per day Civil Penalty, for a maximum of five days for the first violation and a maximum of 30 days for subsequent violations. If an individual has a clearance with the Department a criminal record clearance may be transferred. LIC 9182 Criminal Background Clearance Transfer Request may be used.

The licensee Christopher do not providing Incidental Medial Services currently.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - 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: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022
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: CHRISTOPHER AND EVANS FAMILY CHILD CARE
FACILITY NUMBER: 198017507
VISIT DATE: 06/24/2022
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LPA Bailey reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. *Infants should always sleep on their backs, mouths facing up.

Infant Needs and Services Plan: The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. Infant Care: LPA advised the applicant to sleep infants where they can be directly supervised at all time. LPA advised against sleeping infants in a separate room. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts were provided. LPA discussed PIN 20-24-CCP.

Overnight Care: There is no overnight care provided at the moment. LPA Bailey discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in a separate area from the licensee, the door must remain open. If the licensee cannot hear children when they wake up, a video or audio device can be use.

LPA Bailey advise licensee Christopher to review department website for current updates :

INTERNET ADDRESS: http://www.ccld.ca.gov – To access licensing forms, updates and Title 22.



LPA Bailey advise that Licensee Christopher review the Department’s training videos
at https://ccld.childcarevideos.org/ in regards to (personal rights/supervision ect.).
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022
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: CHRISTOPHER AND EVANS FAMILY CHILD CARE
FACILITY NUMBER: 198017507
VISIT DATE: 06/24/2022
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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.

****Licensee advised that signing the report does not imply agreement with the findings but is acknowledging receipt of the licensing report.*



Technical advisory was issue during today inspection.

An exit interview was conducted, and a copy of this report was provided to the Licensee Christopher. Notice of site visit was issued.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022
LIC809 (FAS) - (06/04)
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