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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400130
Report Date: 06/25/2024
Date Signed: 06/25/2024 01:21:09 PM

Document Has Been Signed on 06/25/2024 01:21 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:YOUNG HOWARD FAMILY CHILD CAREFACILITY NUMBER:
198400130
ADMINISTRATOR/
DIRECTOR:		LATANIA YOUNG HOWARDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 781-5073
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 11DATE:
06/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Maria Calderon/ Assistant and Licensee LaTania HowardTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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At 9:30pm., Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced random annual inspection and met with assistant staff Maria Calderon. LPAs disclosed the purpose of the inspection and was granted entry into the facility by assistant staff. Facility hours of operation are: 4am-11pm Monday-Friday. LPA observed 8 children and 2 assistance upon entrance.

At 9:44am LPA spoke with Licensee LaTania Young Howard via telephonically and licensee spoke with Lead Staff Assistant M.Calderon to provide LPA with children and staff records.



LPA was given permission to conduct a self guided tour by licensee and assistant staff M.Calderon. This is a one story home that consists of 4 bedrooms, 2 restrooms, dining room, living room, den, front room, kitchen, garage, backyard (backyard is split into two sections), and home has a front yard.

LPA Calderon observed children use the restroom in the hallway (near the dining room), the front room (living room), the den, and half of the backyard. Areas that are used by children were inspected for safety, comfort, cleanliness. Facility has telephone service (cell phone & land line), and central ventilation and heating. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are located in the kitchen (passage way to the backyard ) is inaccessible to children, all rooms/areas have doors/ baby gates to provide inaccessibility to off limit areas. LPA observed children are supervised at all times and supervised during each transition to areas accessible to children. Areas off limits to children and parents are: Three bedrooms, one bathroom, garage, half of the backyard, and front yard.

Outdoor area was observed. The children use half the back yard for outdoor play, which was observed to be fenced. LPA observed a pet dog in the backyard area that is off limit to children. LPA did not observe any large bodies of water. At 11:15am children had water play with water hose and were using a water table. LPA advised to lead staff M.Calderon to empty out water in the water table after water play is over.
(Page 1, Continuation on 809-C...)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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 5
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: YOUNG HOWARD FAMILY CHILD CARE
FACILITY NUMBER: 198400130
VISIT DATE: 06/25/2024
NARRATIVE
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LPA observed a 2A10BC fire extinguisher, indicates fully charged and was serviced on 01/06/2023, as indicated on service tag. Licensee is aware that inspection is to be done annually. Smoke and Carbon detector was tested and was found operable.

LPA conducted record review. Last drill documented was conducted in 06/2024. LPA reviewed (3) staff files. Licensee Mandated reporter expired on 4/24/23 and Pediatric First Aid/CPR expired on 4/2023. Staff #2 Mandated reporter certificate training expired on 8/22/23 & CPR/ First Aid expired 12/2021. Staff #2 missing tuberculous Immunization records. LPA did not observe Staff #3 immunization records. Staff #3 mandated reporter training certificate exempt due to language barrier. Staff are fingerprinted cleared, Licensee and staff #2 have the requirements to be left alone with children. LPA provided deficiencies on 809-D page for staff record review who were missing and/or had expired immunization's, mandated reporter training certificate and first aid/cpr. Per licensee, no children are on medication and food is provided at the facility.

LPA reviewed a total of (5) children records, all records were in place. LPA provided to Licensee advise on record organization and documentation's required for licensing.

At 11:00 AM - Staff #4 came to the home, with 3 additional children making census 11, no infants present during time of visit. Per Licensee, stated has 1 infant child enrolled at this time.

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 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.

(Page 2, Continuation LIC809-C...)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2024
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: YOUNG HOWARD FAMILY CHILD CARE
FACILITY NUMBER: 198400130
VISIT DATE: 06/25/2024
NARRATIVE
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LPA discussed the safe sleep regulations with Licensee 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 licensee 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-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.

During the exit interview, the facility representative and licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. Based on today’s visit, Per California Code of Regulations Title 22 facility was provided with (3) deficiencies listed on LIC 809-D.

At 12pm Licensee LaTania Howard arrived at the facility LPA discussed purpose of today's visit, went over visit, provided consolation regarding record review, how to be licensed with a center/ additional family child care home.


A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report and appeal rights was reviewed and provided with Licensee LaTania Howard.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 06/25/2024 01:21 PM - It Cannot Be Edited


Created By: Ashley Calderon On 06/25/2024 at 12:08 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: YOUNG HOWARD FAMILY CHILD CARE
FACILITY NUMBER: 198400130

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon observation and record review Licensee and Staff #1 had expired CPR and First Aid Certificate, the licensee did not comply with the section cited above in [2] out of [3] persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2024
Plan of Correction
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Licensee and Staff #2 will renew cpr and first aid and send to LPA Calderon by poc due date.
Type B
Section Cited
CCR
102416(a)
102416 Personnel Requirements
(a) The licensee shall provide each employee with a copy of the Notice of Employee Rights (LIC 9052 (4/88)) form furnished by the Department.
(1) Each employee shall be requested to sign and date the notice form acknowledging receipt.
(2) A copy of the signed notice form shall be retained in the employee's personnel record.

This requirement was not met as evidrnced by:
Deficient Practice Statement
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Based on LPA observations through record review staff #3 did not have LIC9052 in staff file, the licensee did not comply with the section cited above in [1] out of [1] persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2024
Plan of Correction
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Licensee will provide staff #3 with LIC9052 and will provide picture of form once completed by poc due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 06/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/25/2024


LIC809 (FAS) - (06/04)
Page: 5 of 5
Document Has Been Signed on 06/25/2024 01:21 PM - It Cannot Be Edited


Created By: Ashley Calderon On 06/25/2024 at 12:30 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: YOUNG HOWARD FAMILY CHILD CARE
FACILITY NUMBER: 198400130

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(a)(2)
Provide training including statewide guidance on the responsibilities of a mandated reporter who is a licensed day care provider or an applicant for that license, administrator, or employee of a licensed child day care facility in accordance with the Child Abuse and Neglect Reporting.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review conducted by LPA Calderon Licensee and staff #2 has expired mandated reporter training, the licensee did not comply with the section cited above in [1] out of [1] persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2024
Plan of Correction
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Licensee and staff #2 will conduct mandated reporter training and send certificate to LPA Calderon via text by poc due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 06/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/25/2024


LIC809 (FAS) - (06/04)
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