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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020616
Report Date: 11/02/2022
Date Signed: 11/04/2022 08:19:05 PM

Document Has Been Signed on 11/04/2022 08:19 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LEE FAMILY CHILD CAREFACILITY NUMBER:
198020616
ADMINISTRATOR:CHA LEEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 880-0750
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
11/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Cha Lee TIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with Licensee Cha Lee and toured the facility. LPA observed 11 children in care with the Licensee and 1 assistant. Adults that reside in the home include the Licensee and licensee's husband. This family child care home operates Monday-Friday 8AM-6PM.

This is a two-story duplex, Licensee resides on the 1st floor which consists of 3 bedrooms, 1 ½ restroom, living room, kitchen, dining area, garage (detached), basement, and backyard (fenced).

All areas identified on the facility sketch were inspected. Areas that are accessible to daycare children are the living room, dining room, (1) restroom (located next to the dining room), and backyard (fenced). Based on the Facility Sketch submitted, areas off-limits to children and parents are 3 bedrooms, ½ bathroom, basement, detached garage, and kitchen.

LPA did not observe any hazards inside the home. LPA asked to be shown the electrical outlets in the areas used by the children and observed to be covered. Detergents, cleaning compounds, medicines, sharp objects, and hazardous items that can pose a danger to children are inaccessible in areas designated for children. The backyard is used for daycare outdoor play. LPA observed the backyard area to be fenced. There are age-appropriate toys and play equipment on site. Licensee stated there is 1 dog that resides in the home in the off limits part of the home. Licensee stated there are no fire arms in the home. No bodies of water was observed during the inspection.

The last fire drill conducted with children was on 11/01/22 per log. Fire extinguisher was purchased on 10/30/2022. Licensee's CPR is valid until 11/2024.

SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LEE FAMILY CHILD CARE
FACILITY NUMBER: 198020616
VISIT DATE: 11/02/2022
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Children's records were reviewed during the inspection.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

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.

No Deficiencies were cited on this visit.

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs.



LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars

Exit interview conducted with Licensee Cha Lee. Appeal rights provided by LPA Lee.
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC809 (FAS) - (06/04)
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