198019864-8-16-2021-54-CC-SSAZ-C5XUDC-20210816152919

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019864
Report Date: 08/16/2021
Date Signed: 08/16/2021 03:29:25 PM

Document Has Been Signed on 08/16/2021 03:29 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:	WILLIAMS-GREER & NORMAN FAMLIY CHILD CARE		FACILITY NUMBER:	198019864
ADMINISTRATOR:	KOLISHA WILLIAMS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 978-5176
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 2	DATE:	08/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Kolisha Williams, Licensee		TIME COMPLETED:	03:50 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	Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced annual random inspection to the above facility. LPA met with Kolisha Williams-Greer, Licensee who guided analyst on a tour of the facility at 1:30PM. Also present during this inspection, was cleared assistant. Per Licensee, there are 17 children that are currently enrolled (including licensee’s school age child and co-licensee’s preschooler), but there are not all here at the same time. A current children’s roster was available for review. There were 2 children present upon arrival. This is a two-story home which consists of 4 bedrooms, 2 bathrooms, kitchen, dining room, living room, family room, and attached garage, backyard and front yard. Areas designated for childcare use: 1 bathroom in the hallway by the kitchen, living room, dining room, family room and backyard. LPA observed that there is a fireplace in the family room and is barricaded. Areas off limits to children and parents include per licensee: Upper level, kitchen, attached garage, downstair bedroom, and front yard. The licensee provides food for children in care. The licensee states that 2 adults currently live in the home. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. Licensee states that there are no firearms stored in the home or no bodies of water. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a landline or a cellphone that is used and the cellphone for the facility. There is ventilation and heating (central). Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. The restroom that children use was observed to be safe and sanitary. Report Continued on 809C

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

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: WILLIAMS-GREER & NORMAN FAMLIY CHILD CARE	FACILITY NUMBER: 198019864
	VISIT DATE: 08/16/2021

NARRATIVE

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At 1:48pm, Licensee had to leave to pick up additional children from school. Tour just finished.
Licensee returned at 2:45pm.

The valve on the required 2A 10BC fire extinguisher indicates fully charged. The service tag shows that fire extinguisher was last serviced on 04/26/2021. Smoke and carbon monoxide detectors were tested and are operable. The licensee is observed to be operating within the license capacity limitations. The licensee's Pediatric First Aid and CPR expires on 08/01/22. There are first aid supplies available.

The home is observed to be clean and orderly. Where children less than five years old are in care, stairs are fenced or barricaded. There is a child safety gate which keeps stairs inaccessible to children. There are toys available for children. Appropriate sleeping arrangements were observed.

Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA observed a side yard that is currently used for storage and can pose a risk to children in care.

Children’s records were available for the children in care. The licensee does have proof of immunization against influenza, pertussis, and measles.

LPA observed that the Licensee and co-licensee do not have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. LPA reminded Licensee that mandated reporter must be updated every two years at mandatedreporterca.com

All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. Last drill documented was conducted on 07/15/2021.

There is a small dog on the premises currently.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

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: WILLIAMS-GREER & NORMAN FAMLIY CHILD CARE	FACILITY NUMBER: 198019864
	VISIT DATE: 08/16/2021

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Infant Care: Licensee states that she is currently caring for infants but there are no infants enrolled. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room. The licensee stated the following as a supervision plan for infants: Licensee states that infants sleep in the living room. LPA provided the licensee with a copy of the Child Care Pro. LPA consulted and explained Child Abuse Reporting, Updated Patent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices. Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS. PIN 20-24 was given and explained
Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (use LIC624B for written report). Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

Based on the LPA’s observations and records review there are no deficiencies cited.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with licensee. Appeal Rights were given and explained.
Exit interview was conducted with Licensee, Kolisha Williams- Greer. The Licensee was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

LIC809 (FAS) - (06/04)

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