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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019190
Report Date: 11/28/2023
Date Signed: 11/28/2023 03:41:07 PM

Document Has Been Signed on 11/28/2023 03:41 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RUNNELS-GIBSON FAMILY CHILD CAREFACILITY NUMBER:
198019190
ADMINISTRATOR:TAMEKA RUNNELS-GIBSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 396-3600
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 7DATE:
11/28/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Licensee, Tameka Runnels-GibsonTIME COMPLETED:
04:00 PM
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On November 28, 2023 at 1:15 pm, Licensing Program Analysts (LPAs) Angelica Wallin and Alicia Mooberry, conducted an unannounced Annual Required Inspection and was met by Licensee, Tameka Runnels-Gibson. Hours of operation are from Monday through Friday, 6:00 am - 6:00 pm. LPAs toured the home inside and outside and a census was taken.

This one - story home consists of 3 bedrooms and 2 bathroom. Areas used by the children include daycare room, restroom located in the day care room, and office as an isolation area. Per Licensee Runnels-Gibson, areas off limits to children include: three bedrooms, two bathrooms, kitchen, living room, dining room, laundry room (in den), attached garage, and the backyard. There are 7 children and 1 staff present during time of inspection. Licensee Runnels-Gibson stated that there are currently 9 children enrolled in the facility.

Upon arrival for inspection, LPAs observed infant asleep in high-chair. LPAs informed licensee and staff of Title 22 Regulations 102425(i) regarding infant safe sleep. LPAs advised that infant needed to be removed from high-chair immediately. Staff immediately removed infant from high-chair and placed on mat for nap time. A technical assistance citation issued.

All poisons are kept in a locked storage area. Detergents, cleaning compounds and other hazardous items are made inaccessible. There is a working smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. During inspection, LPAs observed fire extinguisher was serviced on June 2023.

During inspection, safe toys and play equipment were observed. The home has a working telephone service. Licensee informed LPAs that backyard was undergoing complete remodel. Licensee stated at this time outdoor play was being conducted at nearby park. Licensee stated construction started on 11/6/2023 and is currently being conducted on weekends. LPAs informed licensee about Title 22 Regulations 102463.461(a)(5) regarding reporting requirements. LPAs advised that any change being made to facility plant needed to be reported to licensing. A type B citation issued.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RUNNELS-GIBSON FAMILY CHILD CARE
FACILITY NUMBER: 198019190
VISIT DATE: 11/28/2023
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LPAs observed there no swimming pool or bodies of water. Per licensee, no firearms are kept on premises. Per licensee, food service is provided. Per licensee, overnight care is not provided at this time.Per licensee, transportation service is provided only for field trips. LPAs discussed with licensee supervision and safety when providing transportation services

LPAs reviewed 7 children’s files and observed that all children’s files are maintained and updated. A review of staff records indicates that licensee and two staff the following updated certificates: updated pediatric CPR/First Aid certificates, mandated reporter certificates, LIC9052 employees rights, and updated immunization records on file for measles, pertussis, influenza and TB clearance. LPAs reviewed the following documentation to be kept in facility: facility license, LIC610A, facility fire drill logs, PUB 394, and LIC9040.



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

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.

LPAs discussed the safe sleep regulations with licensee Runnels-Gibson 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. LPAs 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.

This facility does not provides Incidental Medical Services – IMS. 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RUNNELS-GIBSON FAMILY CHILD CARE
FACILITY NUMBER: 198019190
VISIT DATE: 11/28/2023
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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/

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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.

Exit interview conducted and report was reviewed with licensee, Tameka Runnels-Gibson. 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. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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Document Has Been Signed on 11/28/2023 03:41 PM - It Cannot Be Edited


Created By: Angelica Wallin On 11/28/2023 at 03:00 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: RUNNELS-GIBSON FAMILY CHILD CARE

FACILITY NUMBER: 198019190

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/28/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.3(a)(5)

102416.3 Alterations to Existing Buildings 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...(5) Construction of play equipment including swing sets/climbing structures.

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 in notifying the department regarding complete backyard remodeling which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/01/2023
Plan of Correction
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Licensee to complete LIC 855 declaration statement regarding plan of construction, plan of alternate outdoor play and supervision and submit via email.
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:Karen Chambers
LICENSING EVALUATOR NAME:Angelica Wallin
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2023


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