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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192007928
Report Date: 03/08/2023
Date Signed: 03/08/2023 02:29:54 PM

Document Has Been Signed on 03/08/2023 02:29 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:BANNER FAMILY CHILD CAREFACILITY NUMBER:
192007928
ADMINISTRATOR:BANNER, ANDREA PAULINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 820-1975
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
03/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:04 PM
MET WITH:Licensee Andrea BannerTIME COMPLETED:
02:30 PM
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 On 3/8/2023 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced Annual Random/ I year required visit for Banner Family Child Care Home. Present in the home were licensee Andrea Banner, licensee spouse Earl Banner, licensee's adult daughter Kristian Banner and 6 day care children. The home is a single family, single story home, with three bedrooms and 2 restrooms. The home consists of a living-room, kitchen, dining room and living room, per the licensee bed rooms and the family restroom are off limits. Children use the restroom located at the end of the homes hallway, there were no hazardous condition, detergents or toxins observed in the restroom. The home was inspected according to the facility sketch on file, for Health and Safety compliance per Title 22.
LPA observed the following:
Care and supervision were being provided by licensee and adult daughter.
The homes capacity was within the scope of the license
Appropriate size fire extinguisher was observed, licensee was advised to have the extinguishers inspected annually.
Carbon and smoke detector were present and in operable condition.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2023
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: BANNER FAMILY CHILD CARE
FACILITY NUMBER: 192007928
VISIT DATE: 03/08/2023
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Detergents, and knives were made inaccessible.
Per licensee there is was a gun present
The home had a properly working telephone LPA observed the homes parent notification board; the license, facility
sketch, Emergency Disaster Plan, Notification of Parent’s Rights Poster, Lead Poison Awareness, Safe Sleep and California Safety Seat Law were posted.
A first aid kit was observed containing the required supplies: scissors, tweezers, bandages, medical ointment and a thermometer. At least one person present had Pediatric CPR and First Aid Card expiring 12/2023
No bodies of water were observed on the premises
Children records available and in good order.
Personal records were reviewed, LPA observed; immunization records for Pertussis, Measles and Influenza for licensee and adult daughter
Licensees Mandated Reporter certificate expires 8/10/2022
A roster was readily available for review.
Parents and authorized adults sign children in and out using their original signatures
Licensee was not providing Incidental Medical Services (IMS) at this time.
All adults in the home cleared a Criminal Background Clearance.
Toys, equipment and materials available and in good order Children napped on cots that were found to be in good condition.
Infant safe sleeping was discussed with licensee.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
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: BANNER FAMILY CHILD CARE
FACILITY NUMBER: 192007928
VISIT DATE: 03/08/2023
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Per licensee transportation is provided for school- age children. LPA reminded licensee that children are only to use car seats during transportation, feeding chairs shall only be used during mealtime.

During todays inspection there was construction being conducted in the outdoors area per licensee children take exploration walks as an outdoor activity source. Licensee shall provide construction outline and architect reports.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Licensee 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.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
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: BANNER FAMILY CHILD CARE
FACILITY NUMBER: 192007928
VISIT DATE: 03/08/2023
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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 Child Care Center. 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at wttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed licensee [facility representative] 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.

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

Exit interview conducted and report was reviewed with the licensee

Due to printer malfunctioning this report shall be emailed to licensee at bestdaycare@att.dot

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
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