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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493167
Report Date: 10/11/2022
Date Signed: 10/11/2022 03:59:35 PM

Document Has Been Signed on 10/11/2022 03:59 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:KENNEDY FAMILY CHILD CAREFACILITY NUMBER:
197493167
ADMINISTRATOR:KENNEDY, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 921-0879
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 8DATE:
10/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Mayra Torres and Patricia KennedyTIME COMPLETED:
03:30 PM
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On 10/11/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced Annual inspection. LPA met with Assistant 1, Mayra Torres, who guided analyst on a tour of the facility. Days and hours of operation are Monday through Friday from 7:45 am to 5:30 pm. LPA observed 2 staff (cleared and associated) with 8 children in care, including 4 infants. Licensee, Patricia Kennedy, arrived at approximate 1:50PM.

All areas identified on the facility sketch were inspected. This is a single story house with 4 bedrooms and 2 bathrooms. The following areas are designated as off limits in the Family Child Care Home: Master bedroom and bathroom (this bedroom is to the right off the living room), and bedroom 2 (adjacent to the master bedroom). The kitchen is used for food preparation. Facility provides breakfast, lunch, and morning/afternoon snack. LPA observed child safety latches on lower cabinets and child safety knobs on the stove. The kitchen area was found to be clean and sanitary. The knives and sharp objects are placed up high, making them inaccessible to children in care. Children eat on a bench and portable high chairs for the infants. Bedroom 2 which is to the right off the kitchen just past the refrigerator belongs to the applicant and is made inaccessible by lock. The laundry room is just through the kitchen between the bedrooms and the bathroom, first door on the right. LPA observed laundry detergents are placed high up and inaccessible to children in care.

The primary childcare area is the living room, which is used for activity time/circle time and play. There are educational and age appropriate toys for the children to utilize. Bedroom 3 is used for napping. LPA observed 4 cribs in this room. Cribs are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Licensee conducts physical checks on sleeping infants every fifteen minutes to document any signs of distress, which includes but is not limited to: flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room.
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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2022
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KENNEDY FAMILY CHILD CARE
FACILITY NUMBER: 197493167
VISIT DATE: 10/11/2022
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Infants up to 12 months of age are placed on their backs for sleeping. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

The bathroom for children in care is located near the laundry room. LPA observed 1 toilet, potty training seats, and 1 sink. LPA inspected the bathroom and did not observe any medications, toxins or cleaning compounds that would pose a risk to children in care.

LPA inspected the front and backyard areas, which are both used for outdoor activities. Both yards are fenced properly. LPA observed the front yard to have age appropriate toys with climbing apparatus for younger children. Proper cushioning was observed. LPA did not observe any debris or hazards that would pose a risk to children in care. The backyard was inspected to have a sand area with a large climbing apparatus with a swing set attached, sand is used for cushioning. A track for riding toys is on the perimeter of the sand area. Toys appeared to be in good condition and age appropriate. There is a gate that leads to the alley, this gate is used for entrance into the facility when the applicant is conducting outdoor play.

All areas used by children were inspected for safety, comfort, cleanliness, and ventilation and heating. LPA observed a working smoke detector, carbon monoxide detector and 2A:10BC Fire Extinguisher (serviced on 10/2022). All electrical outlets were covered with plastic covers. All detergents, cleaning supplies are stored in well latched cabinets. Sharp objects, including knives are stored in well latched cabinets in the kitchen. Medications are stored away from children’s reach. Per the licensee, there are no firearms on the premises. LPA observed a first aid kit in the kitchen.

LPA observed 2 staff records to be complete, including CPR and Pediatric First Aid for all staff (expiration date 6/28/2023). Mandated Reporter training is current for Licensee and Assistant #1 (9/2022). LPA reviewed a sample of 3 children’s files and observed files were complete. LPA observed that all necessary postings (i.e. Notification of Parents’ rights, Emergency Disaster Plan, Facility License) were posted on a board located in the hallway leading to the backyard.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KENNEDY FAMILY CHILD CARE
FACILITY NUMBER: 197493167
VISIT DATE: 10/11/2022
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Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption.


Incidental Medical Services (IMS) are not currently being provided. Director is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Patricia Kennedy.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC809 (FAS) - (06/04)
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