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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400052
Report Date: 10/31/2024
Date Signed: 10/31/2024 01:25:33 PM

Document Has Been Signed on 10/31/2024 01:25 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LACKEY FAMILY CHILD CAREFACILITY NUMBER:
198400052
ADMINISTRATOR/
DIRECTOR:		TAMEIKA LACKEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 668-3426
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
10/31/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Licensee-TAMEIKA LACKEYTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On October 31, 2024 at 11:00a.m., Licensing Program Analyst (LPA) Keneisha Dunlap arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee - Tameika Lackey. There are 11 children enrolled, and 11 children present at the time of inspection. The hours of operation are Monday- Friday from 6:00am-6:00pm. All adults in the home were discussed and background and fingerprinted cleared. License, Facility sketch, earthquake preparedness list, disaster plan and PUB 394 posted. Licensee does have a current disaster log drill with the date of 8/12/24. Licensee does have current LIC 9040 (facility roster).

This is one story home. 2 bedrooms, and one bathroom, living room, and dining room area. The main care areas are the living room and dining room which are adjacent to one another. There is a detachable garage in the backyard. The main care area is located in the living room. LPA observed a wall mounted television, child sized tables, child sized chairs, and sleeping cots are stored in the hallway. Children sleep in the living room (main care area). LPA observed age appropriate toys and materials in the living area. LPA observed a baby gate at the entrance of the kitchen making the area inaccessible to children in care. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts.

The kitchen area has a baby gate that separates the children eating tables in the dining room area. LPA Dunlap observed all drawers and cabinets with safety latches inaccessible to children. The Licensee has all knives in a cabinet inaccessible to children. The Licensee states that they provide food for children in care. LPA observed all cleaning supplies and chemicals have been made inaccessible to children with cabinet with safety latch.

The bathroom designated for children in care was observed to be clean and free of defects. Door knob locks were observed on the door of each off limit bedrooms. LPA observed wall heater covered.
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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LACKEY FAMILY CHILD CARE
FACILITY NUMBER: 198400052
VISIT DATE: 10/31/2024
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The backyard play area and detached garage unit is off-limits. The backyard has a grass area, age appropriate toys, playhouse, and chairs. LPA observed equipment to be in good condition, free of sharp, not loose, and/or pointed parts.

LPA observed the smoke detector and carbon monoxide detector to be operable in the main care area.

LPA observed a fire extinguisher with an expiration date of 8/22/24.

Staff Files:

Staff # 1

Files have required licensing documents including immunization's and TB in folders.

CPR expiration date of 5/27/25

Mandated Reporter expiration date of 3/2/25

Staff # 2

Files have required licensing documents including immunization's and TB in folders.

CPR expiration date of 5/27/25

Mandated Reporter expiration date of 6/19/25

Children Files

Child # 1- all required licensing documents are in file including immunization record.

Child # 2- all required licensing documents are in file including immunization record.

Child # 3- all required licensing documents are in file including immunization record.

Child # 4- Missing LIC 9227 the other required licensing documents are in file including immunization record. Page 2 of 5

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
Page: 2 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LACKEY FAMILY CHILD CARE
FACILITY NUMBER: 198400052
VISIT DATE: 10/31/2024
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Child # 5 Missing LIC9227 the other required licensing documents are in file including immunization record.

A Technical Violation will be issued during todays inspection for missing LIC9227.

The Licensee stated that they communicate with parents via phone, person, and/or Pro Care app. The Licensee has a cell phone that they use.

The Licensee stated they do not have any children that they administer medication to at this time.

The Licensee states that when children are in sick, they are placed in the main care area by the door.

The Licensee stated there are no firearms in the home.

The Licensee stated that there are no smokers in the home.

The Licensee stated that they do provide transportation for children.

The Licensee stated that they have 3 pets (dogs) in the home.

The Licensee stated they do not have any children with allergies.

The Licensee stated that does have first aid kit.

There are no large bodies of water on the premises.

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

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LACKEY FAMILY CHILD CARE
FACILITY NUMBER: 198400052
VISIT DATE: 10/31/2024
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Criminal Record Clearance - Family Child Care Homes Licensee - Tameika Lackey 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.

Safe Sleep

LPA discussed the safe sleep regulations with Licensee - Tameika Lackey 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 - Tameika Lackey 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 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-carecenters/.

MyChildCarePlan.org – Centers and Family Child Care Homes Licensee - Tameika Lackey 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.

Megan’s Law - Family Child Care Homes During the exit interview, the Licensee - Tameika Lackey, 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.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LACKEY FAMILY CHILD CARE
FACILITY NUMBER: 198400052
VISIT DATE: 10/31/2024
NARRATIVE
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Appeal rights explained and given to Licensee - Tameika Lackey.

Exit interview conducted and report was reviewed with the Licensee - Tameika Lackey.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
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