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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400642
Report Date: 10/31/2022
Date Signed: 10/31/2022 11:15:53 AM

Document Has Been Signed on 10/31/2022 11:15 AM - 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:YOUNG FAMILY CHILD CAREFACILITY NUMBER:
198400642
ADMINISTRATOR:YOUNG, YANISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 556-7707
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/31/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Yanisha Young, ApplicantTIME COMPLETED:
11:30 AM
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On 10/31/22 Licensing Program Analyst (LPA) Alicia Mooberry conducted a pre-licensing inspection to the above address. LPA met with Yanisha Young, Applicant, who guided LPA on a tour of the home. The Pre-licensing Entrance Checklist (LIC 9280) was provided to the applicant. Individuals residing in the home were discussed and noted. Per Applicant, hours of operation will be Monday - Sunday, 6:00 am to 12:00 am. Applicant states they will care for children Infants -12 years of age. Applicant is requesting a Small Family Child Care license. The applicant will provide overnight care, Overnight care regulations were discussed.

This is a single story home which consists of 3 bedrooms, 2 bathroom, living room, kitchen and laundry area (in hallway), front and back yard. There is a garage on the property that is not accessed by applicant.

The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children in care.

Areas used by children include: Living room, kitchen, bedroom, bathroom and back yard (fenced).

Areas off limits include: Two (2) bedrooms and 1 bathroom in master bedroom. LPA observed safety latches and safety knobs on stove in kitchen. Knives and other sharp utensils are inaccessible to children in the kitchen. Cleaning products and detergents are made inaccessible in kitchen in locked cabinets and drawers.

Licensee was advised that storage areas for poisons, firearms and other dangerous weapons shall be locked. LPA observed the fireplace in the living room needs to be screened and made inaccessible to children in care. There are outlet covers throughout the home. Smoke detectors and carbon monoxide detector were observed, tested and found to be operable. Applicant was reminded that off limit areas should always stay inaccessible to children in care during hours of operation.


First Aid and emergency supplies are available located in bathroom used by children in care. The bathroom was observed to be clean and free of hazards. -------------PAGE 1
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YOUNG FAMILY CHILD CARE
FACILITY NUMBER: 198400642
VISIT DATE: 10/31/2022
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The applicant has completed the required Health and Safety, Nutrition, and Lead Training, Mandated Reporter Training and EMSA approved Pediatric First Aid/CPR. The required immunizations are current.

LPA observed the required 2A10 BC fire extinguisher mounted in the kitchen. Applicant was reminded that fire extinguishers need to be purchased or serviced yearly.

The applicant states meals will be provided by facility. Applicant understands that any food brought from the children’s homes must be labeled with child’s name and properly stored or refrigerated.

LPA discussed weapons and/or firearms in the facility. Applicant has no pets at this time.


Per applicant, the back yard will be used as outdoor play area. LPA observed an air-conditioning unit that needs to be made inaccessible to children in care. The applicant was advised to ensure there are no poisonous or thorny plants in the area where children play. There are no bodies of water on the premises. LPA discussed water play and supervising at all times.

LPA reviewed with applicant 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.

The isolation area for a child that is ill waiting to be picked up will be in the living room away from other children. Per licensee Infants will nap in bedroom, the door will remain open at all times. Mats and a play yards are available.

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 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: http://www.ada.gov/childqanda.htm -------------Page 2
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YOUNG FAMILY CHILD CARE
FACILITY NUMBER: 198400642
VISIT DATE: 10/31/2022
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LPA observed age appropriate toys and learning materials in the daycare area. The home has central air and heating to provide a safe and comfortable environment,

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, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following corrections need to be made prior to obtaining a small family child care license.


Proof of corrections are due by 11/04/22
1. The fire place locate in the living room will be made inaccessible to children in care.
2. The air conditioning unit and thorny plant located in the children's play area will be made inaccessible to children in care.
3. The applicant states they will place a lock on the front loading washer in the hallway by the children's bathroom.
4. The applicant will show proof of locked cabinet for insecticide and other poisons in the home.

A small family childcare license will be granted upon completion of all required documentation and corrections. A final application review will be completed by the department. 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 Yanisha Young, applicant

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
LIC809 (FAS) - (06/04)
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