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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400263
Report Date: 12/18/2024
Date Signed: 12/18/2024 12:50:04 PM

Document Has Been Signed on 12/18/2024 12:50 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:DORLUS FAMILY CHILD CAREFACILITY NUMBER:
198400263
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
12/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Jessieka Dorlus, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Franchesca White arrived at the above facility for the purpose of an announced Case Management - Licensee Initiated visit increasing capacity from a small to a large family child care home max capacity 14. Fire clearance was granted on 12/12/2024. LPA announced purpose of visit and met with Jessieka Dorlus, Licensee, and was taken on a guided tour of the facility both indoors and outdoors. Adults in the home were discussed and all have criminal record clearance. There are 3 children enrolled, and 0 children present at the time of inspection.
This is a single story home with three bedrooms, two bathrooms, living room, dining room, kitchen, front yard, back yard and an unattached garage. Areas used as main care areas is Bedroom #3, Bathroom #2, the back yard, and the living room as an isolation space for sick children only. The areas that are off limits to children and parents are the kitchen bedrooms 1 and 2, the front yard, and the detached garage. Licensee was reminded that the department has the inspection authority to observe all areas of the home. All areas listed on the facility sketch as main care areas were inspected for the health, safety, heating, and ventilation for the children. Licensee states that her cell phone will be used as the main contact number for the facility (323) 847-6171.

The Large cubbies for diaper bags divides the living room space making the front portion available as an isolation area for sick children. LPA observed a wall heater in Living Room that has a gate bolted onto wall around the wall heater as a barricade making it inaccessible to children in care. LPA observed observed living room to have reading area with books and shelves with a ABC rug, and comfy pillow chairs. A kitchenette with plenty of cooking toys. There is also another book shelf with age-appropriate learning materials, and puzzles.

.......................................................Report Continues 1 of 4 Pages........................................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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 4
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: DORLUS FAMILY CHILD CARE
FACILITY NUMBER: 198400263
VISIT DATE: 12/18/2024
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Based on LPA White's observation the following areas have not changed since the annual inspection conducted 8/7/2024. LPA entered the back gate of the home that leads to the main care area of the facility that has a separate entrance from the front of the home Upon entry of the main care area which is Bedroom #3, there are cubbies located to the left of the entrance in a large closet space. LPA White observed individual storage containers for the day care children's belongings and blankets. There are supplies for the children activities such as, puzzle cushions, and crayons store on top of the cubbie space. LPA observed napping cots and overhead car seats are strategically placed. Licensee states that the car seats will be moved to the detached garage, because she will no longer offer transportation. In the main care area there are two round tables with chairs for the children to sit

Kitchen is off-limits to children in care and made inaccessible by the use of a baby gate. Licensee states she will provide food to children in care but will also allow children to bring food from home. Licensee states she has children who bring their own milk, and she places their names on their items, and places it in the refrigerator. She returns it to the parent at the end of the day. Licensee states children will use Day Care Room (Living Room) for eating.

LPA observed Bathroom #2 to have operable toilet and sink, general area safety and sanitation, and adequate supplies at time of inspection. The Licensee was advised that any poisons such as detergents, cleaning compounds, and medicines must be made inaccessible or stored somewhere with a key or combination lock. Licensee states that cleaning solutions and detergents are located in a cabinet in an off limits space at the rear of the home. The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the age of children in care.

Per Licensee, the children will use the backyard for outdoor play. LPA observed backyard has adequate perimeter fencing through-out the yard. LPA observed backyard to have playhouse, orange tree, and a large tent providing ample shade to children in care. Licensee states she will have full supervision when children are outside. Licensee has a chalked trail for children to play with cars and trucks around the age appropriate bench /table, and play area. Licensee added artificial grass turf to ensure a soft landing for children during play time. LPA observed the play area to be free of hazardous items, and amply space for the capacity increase of 14 children to the facility.



................................................Report Continues 2 of 4 Pages.............................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: DORLUS FAMILY CHILD CARE
FACILITY NUMBER: 198400263
VISIT DATE: 12/18/2024
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The valve on the required 2A-10BC fire extinguisher indicates fully charged with service tag for 01/20/2024. LPA tested smoke and carbon monoxide detectors and observed to be in operable condition at time of inspection. LPA observed first Aid kit kept in Bathroom #2 at time of inspection.

Licensee states that there are no bodies of water on the property. LPA did not observe any bodies of water. Licensee states that there are no weapons or firearms in the home. LPA did not observe any firearms in the home. Licensee has three pet dogs in the home. They are kept in a kennel that is locked making them inaccessible to children in care.

LPA White observed the Licensee's file to have proof of immunization, LIC 9108, LIC 9052, CPR/First Aid - 6/2026, and Mandated Reporter Training Certificate 4/11/2026.

The following were discussed:
JESSIEKA DORLUS was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

LPA reviewed with Jessieka Dorlus the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant. PIN 22-05-CCP Page Eight.

LPA discussed the safe sleep regulations with [applicant, licensee, or facility representative] 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 Jesseika Dorlus 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.
........................................................Report Continues 3 of 4 Pages...........................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: DORLUS FAMILY CHILD CARE
FACILITY NUMBER: 198400263
VISIT DATE: 12/18/2024
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Rooms that are off-limits need to be made inaccessible during operating hours. NO smoking, NO infant walkers, NO Johnny jumpers, NO saucer chairs, NO incline sleepers and any other item that falls into that category are permitted in the facility.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today.
Based on today's observations LPA will submit to Department for final review and approval for a large family child care home.

Pending approval, Licensee must meet regulatory requirements and license limitations.

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

Exit interview was conducted and report was reviewed with the Licensee, Jesseika Dorlus.

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.

.............................................................Report Ends Here 4 of 4 Pages.........................................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4