<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700057
Report Date: 03/22/2024
Date Signed: 03/22/2024 02:09:38 PM

Document Has Been Signed on 03/22/2024 02:09 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NAMAYIGA FAMILY CHILD CAREFACILITY NUMBER:
195700057
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Licensee / Winnie NamayigaTIME COMPLETED:
02:30 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 Analysts (LPAs) Joe Katrdzhyan and Tatiana Bickham conducted an unannounced Case Management Visit to this facility. While conducting an alternate visit at Namayiga Family Child Care on 3/22/24, the following deficiencies were observed.
  • At 8:10AM, LPAs observed 5 day care children present during today’s inspection, of which 4 are infants and 1 toddler.
  • At 8:30AM, LPAs observed Adult 1 residing and working at the licensed facility prior to obtaining a criminal record clearance.
  • At 8:56AM, LPAs observed two bouncers inside the Play Room / Main Room 3. At 9:07AM, LPAs observed a third bouncer in Room 2.


The following deficiencies were observed to be in violation of California code of Regulations, Title 22, Division 6 (refer to 809D).

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report
documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive
days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this
report shall be provided to the parent/guardian of children currently enrolled by the next business day or
immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly
enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be
maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of
the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

A notice of site visit was given and must remain posted for 30 days.
Exit interview was conducted and report was reviewed with the Director and Appeals Rights provided.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 03/22/2024 02:09 PM - It Cannot Be Edited


Created By: Joe Katrdzhyan On 03/22/2024 at 12:28 PM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NAMAYIGA FAMILY CHILD CARE
FACILITY NUMBER: 195700057

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2024
Section Cited
CCR
102416.5(b)(1)

1
2
3
4
5
6
7
Staffing Ratio and Capacity. For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: Four infants.
1
2
3
4
5
6
7
Licensee will review Title 22 Regulations Section 102416.5 on Staffing Ratio and Capacity and develop a written Plan of Correction (POC) to ensure compliance. The written plan must include if services will be terminated for a child or if Licensee will coordinate a new schedule with parent to ensure compliance.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: On 3/22/24, at 8:10AM, LPAs observed 5 day care children present during today’s inspection, of which 4 are infants and 1 toddler. This poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Type A
03/25/2024
Section Cited
CCR102370(d)(1)

1
2
3
4
5
6
7
Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department .
1
2
3
4
5
6
7
The Licensee shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 102370(d)(1). POC is due to CCL by the POC due date of 3/25/24.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: On 3/22/24, at 8:30AM, LPAs observed Adult 1 residing and working at the licensed facility prior to obtaining a criminal record clearance. This poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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:Rita Ramos
LICENSING EVALUATOR NAME:Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:
DATE: 03/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/22/2024 02:09 PM - It Cannot Be Edited


Created By: Joe Katrdzhyan On 03/22/2024 at 12:54 PM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NAMAYIGA FAMILY CHILD CARE
FACILITY NUMBER: 195700057

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/05/2024
Section Cited
CCR
102417

1
2
3
4
5
6
7
Operation of a Family Child Care Home.
A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c).
1
2
3
4
5
6
7
Licensee removed all three bouncers and placed them in the off limit room, making them inaccessible to children. Deficiency was cleared at the time of visit.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: On 3/22/24, at 8:56AM, LPAs observed two bouncers inside the Play Room / Main Room 3. At 9:07AM, LPAs observed a third bouncer in Room 2. This poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Rita Ramos
LICENSING EVALUATOR NAME:Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:
DATE: 03/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3