198021250-8-24-2026-33-CC-CNGN-DX9PKN-20260824112324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021250
Report Date: 08/24/2026
Date Signed: 08/24/2026 11:23:56 AM

Document Has Been Signed on 08/24/2026 11:23 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	VICKMAN FAMILY CHILD CARE		FACILITY NUMBER:	198021250
ADMINISTRATOR/ DIRECTOR:	REBECCA VICKMAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 935-3488
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90036
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 9	CENSUS: 0	DATE:	08/24/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Licensee Rebecca Vickman		TIME VISIT/ INSPECTION COMPLETED:	11:45 PM

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On Monday August 24, 2026 at 9:30 a.m. Licensing Program Analyst (LPA) C. Nguyen conducted an unannounced annual inspection and met with licensee Rebecca Vickman, whom the purpose of the visit was explained, and guided LPA on a tour of the facility. Entrance Checklist LIC 126 was provided. Licensee states that there are 9 children enrolled and LPA observed 0 children at time of inspection. Also present was licensee’s spouse. Licensee stated operating hours Monday – Thursday from 8:45 am to 12:45 pm and Fridays from 8:45 am to 12:00 pm.

This is a two-story home that consists of 4 bedrooms, 3 bathrooms, kitchen, breakfast room, dining room, living room, office, front yard, back yard, detached garage and in-ground swimming pool. Family members residing in the home were discussed (criminal record clearances on file) and names listed on form Confidential Names LIC811. The LPA toured all areas used by children during this visit. For ill isolation, licensee stated that the hallway entrance near the restroom or lobby is utilized for the child to wait for their parents to pick them up. Garage usage and limitation discussed with Licensee Rebecca Vickman.

Areas accessible to children include: 1 bedroom downstairs, restroom downstairs, living room, office, dining room, garage (craft room) and backyard.
Areas inaccessible to children: entire upstairs area that consists of 3 bedrooms, 2 bathrooms which is made inaccessible by a safety gate at the bottom of the stairway. The kitchen, the breakfast room, the front yard and swimming pool are also off limits. All areas inaccessible were observed to have a lock and a security gate making them inaccessible for children in care.

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Katrina Chicote
Caroline Nguyen
	DATE: 08/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VICKMAN FAMILY CHILD CARE	FACILITY NUMBER: 198021250
	VISIT DATE: 08/24/2026

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LPA observed the following required postings in the entry way of the facility: License, LIC 9148 Earthquake Preparedness Checklist, LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, and LIC 999 Facility sketch.

LPA inspected the facility for safety, comfort, cleanliness, ventilation and working cell phone. Beginning the tour of the facility, children and parents enter through the front gate which then leads to the front door of the facility. LPA then toured the living room where LPA observed several age-appropriate toys for children in care (furniture, manipulatives, books, soft plush toys, puzzles, art materials). LPA also observed a barricaded fireplace in the living room area, making it inaccessible to children in care. Per licensee, children do not nap at the facility as this is a half-day program. Per license, if a child is tired, the parent is called and is picked-up immediately. All areas were observed to be clean, orderly, comfortable, and well ventilated. The office area adjacent to the living room was inspected inspected and did not observe any hazards that can pose a danger to children. Then the dining area and breakfast room was inspected and no hazardous items were observed inside the cabinets. Adjacent to the breakfast room is the inaccessible kitchen with a sliding door which licensee states that it remains closed and children do not have access.

LPA the off-limits kitchen and observed the knives and sharp objects stored inside a top cabinet making it inaccessible for children. Per licensee, the facility does not provide meals to daycare children; children bring their own meals from home. LPA informed licensee any food brought from the children's homes, shall be labeled with the child's name and properly stored or refrigerated. Licensee stated that there are no children with severe food allergies nor on medication. The kitchen also has a laundry area where cleaning compound items are stored on a high shelf. Per licensee, kitchen and laundry areas are off-limits to children in care.

Then, LPA was guided through the lobby to the hallway towards the back door where LPA observed the bathroom that children us which has a working toilet and sink with hand soap. The sink cabinet was observed and did not have any hazardous items that can pose a danger to children. LPA reminded licensee and personal items (ex; shampoo, toothpaste, mouthwash, or items that fall into that category) must be made inaccessible to children and licensee stated that items are stored upstairs which is off-limits. The hallway cabinets and closet was also inspected which did not have any hazardous items that can pose a danger to children. There is a bedroom that is off-limits in front of the bathroom and licensee states that the door remains closed during operating hours.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2026

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VICKMAN FAMILY CHILD CARE	FACILITY NUMBER: 198021250
	VISIT DATE: 08/24/2026

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Next, LPA observed the backyard which has a detached garage and swimming pool. Licensee states that the detached garage is only used to store arts and crafts and is locked during hours of operation. Licensee also states she brings the arts and crafts outside and the children never go inside. LPA observed the garage door to be locked and only accessible with a key. LPA also observed several age-appropriate toys (cars, basketball hoop, water play, balls) in the backyard. There is an in-ground swimming pool that is surrounded by a mesh style fencing that is 5ft tall, a self- latching device which opens away from the swimming pool and can only be accessed with a key. The measurement from the hard concrete surface to the bottom of the fence is 1 inch, the openings between railings are 1 3/4 inches. LPA discussed with licensee the updated pool regulations and provided AB- 2866 Pool Safety Bill. Licensee stated pool will not be used during facility hours.
LPA asked the Licensee if there were any pets, poisons, firearms, or weapons. Licensee stated they have fish in a tank as pets. Licensee stated they do not have any of the above-mentioned and LPA did not observe any. Licensee's cleaning compounds, medications and other items which could pose a danger to child are stored where they are inaccessible to children. The licensee was informed that if any poisons (ex; drano, rat poison or items that fall into that category), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

At time of inspection, LPA observed the required 2A10BC fire extinguisher located in the living room and the valve on the green area indicating fully charged and last purchased with receipt on 01/26/2026. Per State Fire Marshall standards, fire extinguishers shall be serviced or purchased with receipt annually. LPA informed licensee disaster drills shall be conducted every 6 months and LPA observed the last emergency drill conducted on 6/19/2026. LPA observed licensee test a combined a carbon monoxide detector and smoke alarm in the hallway lobby and was operable.

LPA observed licensee’s American Red Cross Pediatric First Aid/ CPR certification and expires 04/27/2027, and has proof of immunization against Pertussis, MMR, and Influenza declination. Licensee has completed the Child Abuse Mandated Reporter (AB 1207) training and expires 07/15/2027. Licensee was advised that the Pediatric First Aid/ CPR certification and mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2026

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VICKMAN FAMILY CHILD CARE	FACILITY NUMBER: 198021250
	VISIT DATE: 08/24/2026

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LPA also reviewed children’s roster, children files, licensee files. LPA observed the files to be complete. LPA consulted regarding record keeping.

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.

Per licensee, children do not nap at facility. LPA informed licensee of safe sleep regulations 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 of the importance of checking for and removing any 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.

LPA reminded licensee that the following items are not permitted in a family child care facility: Infant Walkers, Johnny Jumpers, trampolines, Saucer Chairs, and/or any other item that fall into these categories. LPA informed licensee to follow instruction manual on trampoline to ensure safety.

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-care-centers/.

Licensee 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.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2026

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VICKMAN FAMILY CHILD CARE	FACILITY NUMBER: 198021250
	VISIT DATE: 08/24/2026

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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.

Licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B. The on Duty Worker is available for questions Monday through Friday at (323) 981-3350 from 8:00 AM - 5:00 PM.
During the exit interview, licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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.
Appeal Rights provided to licensee.

Exit interview conducted and report was reviewed with licensee Rebecca .

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2026

LIC809 (FAS) - (06/04)

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