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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017888
Report Date: 10/21/2024
Date Signed: 10/21/2024 11:45:22 AM

Document Has Been Signed on 10/21/2024 11:45 AM - 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 CAREFACILITY NUMBER:
198017888
ADMINISTRATOR/
DIRECTOR:		WILLIS, LA CREASHIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
5624815556
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
10/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH: La Creashia Willis- Licensee TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On October 21, 2024 at 9:00a.m., Licensing Program Analysts (LPAs) Keneisha Dunlap and Dayna Chamber arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee - La Creashia Willis. There are 17 children enrolled, and 8 child present at the time of inspection, and 3 adults. The hours of operation are Monday- Sunday from 12:00a.m-12:00p.m. (Earliest time 4:00a.m.- 1l:00p.m. & 11:30-p.m.- 4:00a.m.)All adults in the home were discussed and background and fingerprinted cleared. License Facility sketch, disaster plan and PUB 394 posted. Licensee does have a current disaster log drill with 7/9/24 Licensee does have current LIC9040 (facility roster).

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen/dining room, living room, a detached garage, front yard, and fenced backyard. The off-limit areas include 3 bedrooms, 1 bathroom, kitchen, front yard, and detached garage.



The main care area is in living room there is a sectional couch, a cubby locker for children's personal belongings, art supplies, and a ceiling fan. The second main care care area is the dining area is used for children in care. In the second main care room there is a Graco playpens, age-appropriate toys, additional art supplies, additional sleeping cots, and a wall mounted television.

The bathroom designated for children in care was observed to be clean and have an operable toilet and sink, and there are no inaccessible items.

2 Baby gates at both entrances to the off-limits kitchen.

The outdoor play area is in the backyard. Outdoor play equipment, a swing and slide structure, and adequate shade structure were observed in the backyard play area.

LPA’s observed the smoke detector and carbon monoxide detector to be operable.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 6
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: 198017888
VISIT DATE: 10/21/2024
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LPA’s observed a fire extinguisher with an expiration date of 6/2/24.

Staff Files
Staff #1
All required licensing forms in the file.
Mandated Child Abuse Report - Exp 10/2/26
Health & Safety Prevention/Child Nutrition

Staff #2
All required licensing forms in the file.
Mandated Child Abuse Report - Exp 4/24/26
Health & Safety Prevention/Child Nutrition

Staff #3
All required licensing forms in the file.
Mandated Child Abuse Report - Exp 2/5/26
Health & Safety Prevention/Child Nutrition

All Staff have CPR & First Aid Certification, but are incorrect certifications.
A Technical Violation will be issued.

Children Files
Child #1
All required licensing forms in the file with immunization records.

Child #2
All required licensing forms in the file with immunization records.

Child #3
All required licensing forms in the file with immunization records.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: 198017888
VISIT DATE: 10/21/2024
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Child #4
All required licensing forms in the file with immunization records.

Child #5
All required licensing forms in the file with immunization records.

Child #6
All required licensing forms in the file with immunization records.

The Licensee stated that they communicate with parents via phone, text, Bright Wheel, Instagram, and/or person. The Licensee has a cell phone that they use.

The Licensee stated they do not have any children that they administer medication to at this time.

The Licensee states that when children are in sick, they are placed in the second main care area.

The Licensee stated there are no firearms in the home.

The Licensee stated that there are no smokers in the home.

The Licensee stated that they do not provide transportation for children.

The Licensee stated they do not have any children with allergies.

The Licensee stated that does have first aid kit.

The LPA's did not observe any large bodies of water on the premises.

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

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: 198017888
VISIT DATE: 10/21/2024
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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

Criminal Record Clearance - Family Child Care Homes Licensee- La Creashia Willis 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.

Safe Sleep

LPA discussed the safe sleep regulations with Licensee- La Creashia Willis and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Licensee- La Creashia Willis 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-carecenters/.

MyChildCarePlan.org – Centers and Family Child Care Homes Licensee- La Creashia Willis 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.

Megan’s Law - Family Child Care Homes During the exit interview, theLicensee- La Creashia Willis,

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: 198017888
VISIT DATE: 10/21/2024
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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.

Appeal rights explained and given to Licensee- La Creashia Willis

1 Technical Violation issued during todays visit.

Exit interview conducted and report was reviewed with the Licensee- La Creashia Willis

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC809 (FAS) - (06/04)
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