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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021187
Report Date: 06/01/2023
Date Signed: 06/01/2023 12:18:05 PM

Document Has Been Signed on 06/01/2023 12:18 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BARR FAMILY CHILD CAREFACILITY NUMBER:
198021187
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/01/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Applicant, Tileen BarrTIME COMPLETED:
12:40 PM
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An announced Pre-Licensing Inspection was conducted by Licensing Program Analyst (LPA) Lilli Babcock. A risk assessment was conducted upon entry and appropriate COVID PPE was used. The purpose of today's visit is to inspect and evaluate facility for initial licensure, Applicant is applying for a Small Family Child Care Home. Present during this inspection was Applicant only.

Per applicant, she is the only person residing in the home. No additional adults and no children live in the home. Per applicant, operation hours will be Monday to Friday, 5:00 AM to 6:00 PM, and Saturday and Sunday the hours of operation are 6:00 am – 6:00 pm. Applicant states that she will care for children from birth - 13 years of age.

During this inspection the following was observed:

All areas identified on the facility sketch were inspected, including but not limited to, all off-limit areas. This is a two-story condominium, that consists of 4 bedrooms, 3 bathrooms, kitchen, living room, dining room, back patio (fenced) and attached garage.

Per applicant, the children will use 1 bathroom, living room, dining room, and fenced back patio. Areas that will be used by children were inspected for safety, comfort, cleanliness, telephone service via a cell phone, ventilation and heating. Applicant states the facility has central air and heating.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2023
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BARR FAMILY CHILD CARE
FACILITY NUMBER: 198021187
VISIT DATE: 06/01/2023
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Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible in areas designated for children. The applicant states that there are poisons (insecticides) on the premises which are locked in the off-limits kitchen cabinet in a lock box, which is locked with a combination lock.

Based on the Facility Sketch submitted, areas off-limits to children and parents are: The kitchen, which is made accessible with a child gate on the dining room side and a locked door in the living room. Applicant is aware that if during licensing visits the kitchen is accessible, the area will be inspected. Also off-limits is the entire upstairs which consists of 4 bedrooms and 2 bathrooms. The upstairs area is made inaccessible by a child gate at the foot of the stairs. Additionally, the garage is off-limits to children and parents and made inaccessible by a locked door. The applicant understands that licensing staff may have access to off-limit areas during inspection visits if necessary.

LPA observed a fire extinguisher in the home. The valve on the 2A10BC fire extinguisher indicates fully charged and was serviced on 6/27/22 as indicated on the service tag. LPA observed a fireplace in between the living room and dining room. Per applicant, she has ordered a child-proof fireplace enclosure which is due to arrive any day. Per applicant, the child-proof fireplace enclosure will make the fireplace inaccessible for children in care. The smoke detector located in between the living and dining room was tested during the inspection and observed to be operable. At 9:44 am, LPA observed the carbon monoxide detector did not have batteries and was inoperable.

There are toys available for children. LPA advised applicant that when infant is sleeping in playpen the playpen should be clear of any toys, blankets, or stuff animals.

The applicant states that they will provide food for children in care and is planning to apply for the food program.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BARR FAMILY CHILD CARE
FACILITY NUMBER: 198021187
VISIT DATE: 06/01/2023
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The applicant has completed the required Health and Safety Training, Nutrition Training and Pediatric First Aid and CPR. There are first aid supplies available.

Per applicant, there are no guns or weapons in the facility, and none were observed on this day. Per applicant there are no bodies of water on the premises. LPA did observe a built-in swimming pool for condominium residents, which is located approximately 100 feet behind the facility and can be viewed from the back gate of the facility. LPA observed the swimming pool to have a metal fence. Applicant does not have the key for pool entry at this time.

The children will use the back patio for outdoor play, which was observed to be fenced. LPA observed an air conditioner unit, with openings wide enough for a child to place their fingers inside. Per applicant, she will add some type of barricade to make area inaccessible to children in care. LPA also observed debris on the back patio including cement blocks and metal rods stacked in the corner of the patio. Per applicant, the items will be removed.

Applicant states that they will care for infants. LPA discussed the safe sleep regulations with Applicant Tileen Barr 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 Applicant 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 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

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BARR FAMILY CHILD CARE
FACILITY NUMBER: 198021187
VISIT DATE: 06/01/2023
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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

At 11:00 AM The following was discussed with the applicant:

· Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Civil Penalties will be assessed if not in compliance.
· In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current Pediatric First Aid and CPR training, Immunizations (TDAP, MMR, Influenza), mandated reporter training and a valid criminal record clearance associated to the facility license.
· Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License may be terminated.
· The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked and batteries replaced as needed.
· Reporting Requirements: Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
· Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing.
· Fire and safety drills must be performed every six months and documented for review by the Department.
· Smoking is prohibited in a family child care home.
· Children and Staff records must be maintained and updated as needed and must be available for review by the Department.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BARR FAMILY CHILD CARE
FACILITY NUMBER: 198021187
VISIT DATE: 06/01/2023
NARRATIVE
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· No infant walkers, No Johnny jumpers, No saucer chairs, and any other item that falls into that category are not permitted in the facility.
· All adults living and working in the home shall be made of aware of the Department’s right to inspect the home, which includes, but is not limited to the right to enter the home when children are being cared for, interview children and adults, and review documentation.
· The facility license number must be on all advertisements, publications or announcements with the intent to attract clients.
· Isolation for Ill children: When a child is ill he/she shall be separated from other children (reference 102417(e) Operation of a Family Child Care Home).
· Liability Insurance was discussed; LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information.

· Immunization Requirement: H&S 1597.622: 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. The licensee and all adults working with children have proof of immunizations.

· Mandated Reporter Training: H&S 1596.8662: Beginning January 1, 2018, all licensed providers, applicants, directors and employees need to complete training as specified on mandated reporter duties. Training is available at: www.mandatedreporterca.com

At 11:00 am LPA reviewed and issued the LIC 311D - Forms/Records to Keep in Your Family Child Care Home. All required forms listed were explained and were provided to the applicant during the visit.



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

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BARR FAMILY CHILD CARE
FACILITY NUMBER: 198021187
VISIT DATE: 06/01/2023
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OTHER INFORMATION AND FORMS PROVIDED:
· Handouts provided for Safe Sleeping practices
· Capacity Handout for a Small Family Child Care Home and Large Family Child Care Home was provided.
· Lead Exposure Flyer
LPA consulted with applicant regarding COVID-19 health and safety guidelines on this date, and applicant was provided forms to post.
Per applicant, there are no dual licenses at this address. Applicant’s email address was obtained. The applicant was advised that email may be public information.

The applicant’s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.

Applicant is seeking to provide care for 8 children from birth - 13 years old. Based upon today’s inspection, the following corrections need to be completed by 6/21/23.

- Air conditioner unit- per applicant a barricade will be placed around or over the air conditioner to make area inaccessible for children.
- Install childproof fireplace enclosure to make fireplace inaccessible to children.
- Obtain and install an operable carbon monoxide detector.
- Remove debris from back patio.
- Obtain key to swimming pool, so LPA can inspect the pool enclosures.

The application will be submitted for final review to the Department once the corrections have been received. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license.
Exit interview conducted and report was reviewed with Applicant, Tileen Barr.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
LIC809 (FAS) - (06/04)
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