198019389-12-17-2021-54-CC-KCHE-C9SRJ5-20211217120323

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019389
Report Date: 12/17/2021
Date Signed: 12/17/2021 12:03:43 PM

Document Has Been Signed on 12/17/2021 12:03 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	THOMPSON FAMILY CHILD CARE		FACILITY NUMBER:	198019389
ADMINISTRATOR:	LISA RENEE THOMPSON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 342-0663
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90003
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 1	DATE:	12/17/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:43 AM
MET WITH:	Licensee, Lisa Renee Thompson		TIME COMPLETED:	12:30 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	Licensing Program Analyst (LPA)Katrina Chicote conducted an Unannounced Required – 1 Year inspection to the above facility on 12/17/2021 at 9:45 AM. LPA Chicote conducted a COVID-19 Screening Call prior to entering facility. Upon arrival, LPA disclosed the purpose of the inspection and met with Licensee, Lisa Renee Thompson, who guided the LPA on a tour of the facility. Also present was Licensee's Assistant, who has criminal record clearance. All individuals in the home were discussed and adults have criminal record clearance. There was one day care child present during today’s inspection. Licensee states that there are currently fourteen children enrolled. The children's roster was reviewed and is current. Per Licensee, the facility’s hours of operation are 6:30 AM to 6:30 PM, Monday thru Friday. Emergency Disaster Plan, License, and Parents’ Rights were posted at the time of inspection. Disaster drill log was also available during today’s inspection, last disaster drill conducted on 06/21/2021. This is a single story home which consists of two bedrooms and one bathroom, kitchen, living room, and day care space. This facility is front unit of duplex property, rear home has separate address (245 W. 87th Place). Areas used by the children include the day care space (located upon entry of the home), living room (located to the right of day care space), Bedroom 1 (located through left doorway) which is used only for isolation of sick children, and Bathroom 1 (located in Bedroom 1). Per Licensee, areas off limits to children and parents include kitchen and Bedroom 2. LPA observed doors to be closed and signs posted on areas off limits to children. Per Licensee, off limit areas are also locked during operating hours, LPA observed doors to be locked. All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. LPA observed ceiling fans and a A/C wall unit in the home. There is a working telephone maintained in the home. At 10:05 AM, LPA observed main day care space to have one infant pack-n-play (Playtrend brand) and a white wooden crib used for infant sleep. LPA Report continues- Page 1 of 4

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

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

FACILITY NAME: THOMPSON FAMILY CHILD CARE	FACILITY NUMBER: 198019389
	VISIT DATE: 12/17/2021

NARRATIVE

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observed pillows and lose blankets in cribs at time of inspection, LPA reminded Licensee of safe sleep regulations that these items must not be in the crib when infants are sleeping. Licensee confirmed she is aware of safe sleep regulations and does not keep these items when cribs are being used. LPA observed a diaper changing area in main day care space, Licensee's Assistant was changing C1's diaper at time of inspection. At 10:07 AM, LPA observed child size table, chairs, soft matting through out day care space, shelf filled with books, play kitchen filled with dramatic play toys, and other age appropriate toys, free of loose and sharp parts available for children at time of inspection. At 10:15 AM, LPA observed Living Room space to have two large couches, soft rug, entertainment center, and flat screen TV hanging. Per Licensee this area is mostly used by after school children. At 10:17 AM, LPA observed Bedroom 1 which children will use as sick/isolation area to have a small daybed and office equipment. At 10:18 AM, LPA observed Bathroom 1 to have operable toilet and sink, step stools for children to access sink, floor to be free of hazards, and adequate hand washing supplies. Per licensee, there are no pets and LPA did not observe any pets. Detergents, cleaning compounds, sharp knives, medications, and other items which can pose a danger to children are inaccessible. At 10:20 AM, LPA observed these items to be kept in off limits kitchen area in cabinets and drawers with operable child safety locks at time of inspection. The Licensee states that there are no poisons in the home. The Licensee does understand that poison must be locked with a key or combination lock.

Per Licensee, the children will have access to front yard area for outdoor play. At 10:25 AM, LPA observed front yard has turf grass and adequate perimeter fencing through-out the yard. LPA observed large swing set, plastic slides, ball pit with shade, various plastic ride along toys, plastic play house, and other age appropriate toys free of loose and sharp parts available for the children in the front yard and all trees, shrubs, and plants are maintained. Licensee states she also uses a small area in the back yard as a sitting and reading area in the Summer time. At 10:27 AM, LPA observed this area to have chairs and turf grass and area to be maintained. LPA observed storage sheds with operable locks kept in backyard that Licensee states stores washer and dryer as well as cleaning supplies and other day care supplies.

Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPA observation did not see any of these items at the premises at time of inspection. Per Licensee, they provide food for children in care.

Report continues- Page 2 of 4

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

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

FACILITY NAME: THOMPSON FAMILY CHILD CARE	FACILITY NUMBER: 198019389
	VISIT DATE: 12/17/2021

NARRATIVE

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At 10:19 AM, LPA observed the valve on the required 2A 10BC fire extinguisher indicates fully charged but with no service tag. At 10:23 AM, LPA observed smoke and carbon monoxide detectors are in operable condition at time of inspection. Per Licensee, First Aid kit is kept in the main day care space. At 10:58 AM, LPA observed First Aid kit and was inventoried for necessary supplies. The Licensee has current Pediatric First Aid and CPR. Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has also taken the Mandated Reporter Training
—CPR Card valid until: 06/23/2022
—Fire Extinguisher was last serviced on: N/A
—Mandated Reporter AB1207 Completed: 12/13/2020
—Children records and required licensing forms were discussed as well as mandated child abuse reporting and criminal record clearance requirement.

The following were discussed:
Incidental Medical Services (IMS)
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee (or facility representative) was reminded that all adults 18 and over living or working in the home, 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 licensed 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.

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. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.
Report Continues - Page 3 of 4

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

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

FACILITY NAME: THOMPSON FAMILY CHILD CARE	FACILITY NUMBER: 198019389
	VISIT DATE: 12/17/2021

NARRATIVE

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The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

AB 1207: Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: http://www.mandatedreporterca.com/www.mandatedreporterca.com

Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.

Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted and report was reviewed with the Licensee (or facility representative), Lisa Renee Thompson.

Report ends- Page 4 of 4

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/17/2021 12:03 PM - It Cannot Be Edited

Created By: Katrina Chicote On 12/17/2021 at 11:30 AM

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: THOMPSON FAMILY CHILD CARE	FACILITY NUMBER: 198019389
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/17/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, at 11:18 AM, LPA did not observe Licensee's Assistant to have proof of completion of mandated reporter training. Per Licensee, she stated that she was unsure of the requirement for assistants. This poses a potential health, safety, and personal rights risk to children in care.
	POC Due Date: 12/21/2021
	Plan of Correction
1 2 3 4	Licensee states she will have Licensee's Assistant complete Mandated Reporter training and she will provide certificate to LPA via email by POC date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Trevino Cochran

LICENSING EVALUATOR NAME:

Katrina Chicote

LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

LIC809 (FAS) - (06/04)

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