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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017813
Report Date: 03/18/2025
Date Signed: 03/18/2025 05:36:23 PM

Document Has Been Signed on 03/18/2025 05:36 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:MCDONALD FAMILY CHILD CAREFACILITY NUMBER:
198017813
ADMINISTRATOR/
DIRECTOR:		MCDONALD, CHARISSEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 350-3004
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
03/18/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:MCDONALD, CHARISSE / LICENSEETIME VISIT/
INSPECTION COMPLETED:
05:45 PM
NARRATIVE
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On 3/18/25 at 2:55pm, Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced annual/random inspection. LPA Calderon knocked on door, rung door bell and called Licensee Charisse McDonald. McDonald arrived at the facility at 3:10pm with staff assistant Laura Caranza. LPA disclosed the purpose of today's visit and was granted entrance to the facility by Licensee Charisee McDonald.

Upon entrance LPA Calderon observed 4 children in care and 1 staff assistant (staff is fully qualified, record reviewed). All adult individual's present at the home are fingerprinted cleared and associated . Facility capacity is in compliance for a Large Family Child Care Home. Hours of operation are Monday-Friday 7:00 AM - 5:00PM.

This is a one-story home which consists of 4 bedrooms, 2 bathrooms, kitchen, dining room, living room, front yard and backyard. The children use the bathroom in the hallway next to the den. LPA observed that there are no fireplaces at the facility. Per Licensee, areas off limits to children and parents include: all 4 bedrooms, living room, dining room, 1 bathroom, kitchen, and the back yard. The only rooms accessible to the children is the den (kid room), 1 restroom, and the side yard.

LPA conducted tour of the facility along side with C.McDonald. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection:

LPA reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log, last drill conducted on 3/10/2025. (Page.1 / cont)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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: MCDONALD FAMILY CHILD CARE
FACILITY NUMBER: 198017813
VISIT DATE: 03/18/2025
NARRATIVE
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Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicated fully charged and is located in the dining area, and inspection tag expired 4/10/2021, deficiency cited. The home maintains telephone service via cell phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children.

Children showing signs of illness are separated by different tables in the day care area waiting to be picked up by parental guardian.

Attached Garage was observed to have laundry machines, LPA observed chemicals stored in Garage, garage door is located in kitchen. Knives are stored in high inaccessible area. Per licensee, no children on medication at the day care and no poisons are stored in the home.

Outdoor area was observed children use side yard play area and per Licensee McDonald children are supervised at all times. No bodies of water was observed.

Facility has two infants in care, none present during LPA's visit. LPA observed play yards in day care area.

LPA reviewed (5) Children records and (3) staff records. LPA conducted interview with Licensee. Licensee has mandated reporter- expires 1/27/27. Licensee and Staff #3, pediatric first aid and cpr certification was reviewed and no EMSA sticker therefore not valid, deficiency cited. Staff #2 record was reviewed and did not have verification of Measles and Tuberculous immunization records in file, deficiency cited. Children records was reviewed and had appropriate documentation in file.

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. (Page 2 / cont...)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 03/18/2025 05:36 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/18/2025 at 04:57 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: MCDONALD FAMILY CHILD CARE
FACILITY NUMBER: 198017813

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon observation fire extinguisher was had an service tag dated 4/10/2021, no inspected within 1 year, the licensee did not comply with the section cited above in [1] out of [1] fire extinguisher \ which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/31/2025
Plan of Correction
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Licensee will provide fire extinguisher with updated service tag inspected within 1 year, and send picture to LPA Calderon via email by poc due date.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review Licensee and Staff #3 had cpr and first aid that did not have an EMSA sticker or from a approved vendor, the licensee did not comply with the section cited above in [2] out of [3] staff pediatric cpr/first aid records, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/04/2025
Plan of Correction
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Licensee will provide Pediatric first aid and cpr certifications with EMSA sticker, from Red Cross or American Heart Association for Licensee and Staff #3 via email to LPA Calderon by poc due 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:Denise Gibbs
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2025


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: MCDONALD FAMILY CHILD CARE
FACILITY NUMBER: 198017813
VISIT DATE: 03/18/2025
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.

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 [or facility representative] 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 PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/. Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care 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. Based on today’s visit, Per California Code of Regulation Title 22, (3) deficiencies were provided on LIC 809-D pages.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Charisse McDonald.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5
Document Has Been Signed on 03/18/2025 05:36 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/18/2025 at 05:15 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: MCDONALD FAMILY CHILD CARE
FACILITY NUMBER: 198017813

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review Staff #3 did not have immunization from Measles and Tuberculous, the licensee did not comply with the section cited above in [1] out of [3] staff records which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/04/2025
Plan of Correction
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Licensee will obtain TB/MMR immunization records from Staff #2 and provide copy to LPA Calderon via email by poc due date.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2025


LIC809 (FAS) - (06/04)
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