198401293-1-12-2026-54-CC-PBON-DQ9T45-20260112132323

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198401293
Report Date: 01/12/2026
Date Signed: 01/12/2026 01:23:45 PM

Document Has Been Signed on 01/12/2026 01:23 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:	CHASE DAVIS FAMILY CHILD CARE		FACILITY NUMBER:	198401293
ADMINISTRATOR/ DIRECTOR:	CHASE, EBONY/DAVIS, CATHER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 984-9633
CITY:	COMPTON	STATE: CA	ZIP CODE:	90220
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	01/12/2026
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:43 PM
MET WITH:	Yvonne Davis, Applicant		TIME VISIT/ INSPECTION COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On January 12, 2026 Licensing Program Analyst (LPA) Portia Bowden continued Pre Licensing Inspection at the above facility. At 1PM LPA arrived, announced the purpose of the visit and was granted entry into the home by Applicant Yvonne Davis. Per the Applicant, hours of operation will be Monday- Friday 6AM to 1030PM. The Applicant will serve children ages 0-13 years of age. This single-story home includes 5 bedrooms, 2 bathrooms, kitchen, dining room, living room, den, enclosed backyard and attached garage. The main care areas are the den, 1 bathroom, 1 bedroom (office) and enclosed back yard. All accessible areas were inspected for cleanliness, health, safety, heating, and ventilation. Per Applicant all children in care and parents will enter and exit facility through enclosed gated side entrance located in front of home that leads directly to the Den (main daycare room). Off limits areas include 4 bedrooms, Kitchen, dining room and 1 bathroom. LPA observed all 4 bedrooms to be locked preventing access from children in care. DEN: LPA observed a floor to ceiling sliding barn door with combination lock separating den from offlimit kitchen, living room and 2 bedrooms. This area features laminate floors with age-appropriate tables and chairs. LPA observed various play stations for dramatic play and a quiet station for reading. All furnishings, equipment, and materials were found to be in good condition. LPA observed a built-in kitchenette along the wall in the Den. LPA observed magnetic child locks on all cabinets and drawers in the kitchenette. LPA observed knives in a kitchen drawer secured by a magnetic lock. Per Applicant all cleaning supplies are kept in the offlimit kitchen, inaccessible to children in care.

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Portia Bowden
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CHASE DAVIS FAMILY CHILD CARE	FACILITY NUMBER: 198401293
	VISIT DATE: 01/12/2026

NARRATIVE

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Bathroom: Bathroom for children’s use is located in the hallway of the Den across from the daycare office. Per Applicant she will provide potty training. LPA observed Handwashing soap, toilet paper, and paper towels readily available for children’s use. The sink and toilet are operable, and the bathroom floor is free of hazards. Shower/ Tub in bathroom was empty and free of any hazards to children in care. LPA observed bathroom sink cabinet to have a child safety latch preventing children’s access. Per Applicant sink cabinet contains excess toilet paper. LPA observed the bathroom to be free of clutter and present no hazards to children in care.

Office: Per Applicant bedroom next to daycare Den will be used as office/ isolation area for sick children. LPA observed the area to contain a desk, 3 computer chairs and a storage closet. LPA observed 12 cots for children’s sleeping, per Applicant all linens will be washed in the facility once a week and as needed. All furnishings, equipment, and materials in the office were found to be in good condition and present no hazard to children in care.

Outdoor Play Area: The fenced enclosed backyard includes shady area, grass, and various age-appropriate toys and equipment. The equipment is in good condition, free of sharp, loose, or pointed parts. The side entrance pathway is cemented, in good condition, free of obstructions and free of any hazards to children in care.

LPA observed licensing board posted on wall of the Den next to entrance/ exit complete with: Notification of Parents' Rights Poster (PUB 394), Child Care Facility Roster (LIC9040), Emergency Disaster Plan (LIC610a) and ER drill log.
The home is properly ventilated and has central AC/Heating
An operable combination smoke detector/ carbon monoxide detector was observed on the wall of the Den.
A 2A 10BC fire extinguisher with a receipt dated 2/25, was hung on the Den wall. Per Applicant it will be serviced prior to 2/1/26.
The Applicant has both a land line and cell phone for communication.
No firearms or ammo are present in the home.
No smokers are present in the home.
Exposed electrical outlets throughout the home are covered.
The Applicant will provide Breakfast, Lunch, Dinner and 3 snacks.
The Applicant will administer medication to children in care.
The Applicant will provide transportation to children in care.
Sick children will be isolated in the on limit bedroom (Office)
No pets are present in the home
There are no bodies of water on the premises.

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Portia Bowden
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CHASE DAVIS FAMILY CHILD CARE	FACILITY NUMBER: 198401293
	VISIT DATE: 01/12/2026

NARRATIVE

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Applicant 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.

The applicant provided proof of control of property via lease

Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

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) or (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.

LPA reviewed with applicant the LIC 311D, Forms/Records to Keep in your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations with applicant 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 and removing 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

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Portia Bowden
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CHASE DAVIS FAMILY CHILD CARE	FACILITY NUMBER: 198401293
	VISIT DATE: 01/12/2026

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On this date, 01/09/2026, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility address. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ

Applicant was informed of the MyChildCarePlan.org site, 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

Corrections: Fire clearance:
Per applicant fire clearance will be granted upon fire inspectors follow up inspection today at 3PM for corrections: LED Exit signs above exits. LPA observed required signs above exit doors.

Pending fire clearance and Department review, a large Family Child Care Home license will be granted upon review by a Licensing Program Manager. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with the applicant Yvonne Davis.

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Portia Bowden
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026

LIC809 (FAS) - (06/04)

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