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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415240
Report Date: 08/16/2022
Date Signed: 08/16/2022 05:03:02 PM

Document Has Been Signed on 08/16/2022 05:03 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:ALLEN-WOOD FAMILY CHILD CAREFACILITY NUMBER:
197415240
ADMINISTRATOR:ALLEN-WOOD, TILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 763-4155
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
08/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Tila Allen -Wood - LicenseeTIME COMPLETED:
05:08 PM
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Licensing Program Analyst (LPA) Alicia Bailey conducted an unannounced random annual (or Required) inspection. LPA met with Licensee Tila Allen Wood and assistant at 2:36 PM who guided the LPA on a tour of the facility. At 2:40 PM during the inspection LPA Bailey discussed, assessed and noted individuals residing in the home. The facility Entrance Checklist for Family Child Care Homes was given to Licensee Allen Wood. This large family child care home. This is a one story home consists of 4 bedrooms and 2 bathrooms, children room, attach garage, front yard and backyard. Areas used living room, one (1) restroom, backyard. Per Licensee Allen Wood and facility sketch, areas off limits to children include: four bedrooms, one bathroom, kitchen and garage .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. The Licensee Allen Wood stated no other license is held at the facility. There are 11 children present during time of inspection. Licensee Allen- Wood states that there is currently 14 children enrolled in the facility. Facility hours of operation Monday thru Friday 5:00 am to 5:30 PM. The facility ages 0 years old to 12 years old.

At LPA Bailey ask licensee Allen-Wood do you have a firearm, licensee Allen-Wood state no. LPA Bailey ask licensee Allen-Wood do you own a pet licensee Allen-Wood state yes, we keep the dog lock in room away from the day care children

At 3:00 PM LPA Bailey observed a large television mounted to the wall in the living room. LPA Bailey observed , age appropriate toys and napping equipment. At 3:10 PM LPA Bailey tour the children bathroom. LPA Bailey did not observe any hazardous items in the bathroom.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2022
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: ALLEN-WOOD FAMILY CHILD CARE
FACILITY NUMBER: 197415240
VISIT DATE: 08/16/2022
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At 3:18 PM LPA Bailey toured the kitchen the counter tops were clean and free of clutter or standing food. Kitchen cabinets has safety lock and knives and medicine was in secure cabinet with safety lock. Licensee Allen-Wood provides breakfast, lunch and snack.

LPA Bailey observed there no swimming pool or body of water. At 3:30 PM LPA Bailey observed first aid kit, fire extinguisher was last service on 11/05/21. Licensee Allen Wood state the last Earthquake & fire drill was conducted on 04/19/2022. First Aid supplies were inventoried. A review of medication policy, including administering, labeling, storage.

The smoke detectors, and carbon monoxide was tested by licensee is in operable condition.

At 3:40 PM LPA Bailey toured the Back yard observed that all areas are adequately fenced and was inspected for hazard.

Licensee Allen Wood mandated reporter training 04/21/2022. Licensee Polk PED F/A & CPR EXP. 07/27/2024. Licensee Allen Wood have record of immunization and TB clearance for herself. Licensee Assistant M.Woods mandated Reporter training 04/21/22 Licensee Assistant PED F/A & CPR EXP. 07/27/2024.



At 10:55 am LPA Bailey request the children files . LPA Bailey reviewed five children files five children files was in compliance.

Licensee Allen Wood was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPA Bailey reviewed with Licensee different item prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs, no trampolines and any other item that falls into that category are not permitted in the facility.Highchair are only use during feeding. Car seats are only use for transportation

Licensee Allen Wood provides transportation. At 4:00 PM LPA Bailey also consulted with Licensee Allen Wood regarding COVID-19 health and safety guidelines. At 4:10 PM LPA Bailey conducted staff interview with Licensee Allen Wood.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
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: ALLEN-WOOD FAMILY CHILD CARE
FACILITY NUMBER: 197415240
VISIT DATE: 08/16/2022
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At 4:26 PM, the following was discussed with the Licensee Allen Wood

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

The following was discussed with Licensee Allen Wood Individuals who are 18 years of age or older living in the home must be fingerprint cleared prior to licensure. Individuals within one month of their 18th birthday must be fingerprinted immediately. The existing, immediate $100 per individual Civil Penalty has been increased to an immediate $100 per day Civil Penalty, for a maximum of five days for the first violation and a maximum of 30 days for subsequent violations. If an individual has a clearance with the Department a criminal record clearance may be transferred. LIC 9182 Criminal Background Clearance Transfer Request may be used.

The licensee Allen Wood is not providing Incidental Medial Services currently.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - 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

LPA Bailey reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. *Infants should always sleep on their backs, mouths facing up.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
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: ALLEN-WOOD FAMILY CHILD CARE
FACILITY NUMBER: 197415240
VISIT DATE: 08/16/2022
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Infant Needs and Services Plan: The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. Infant Care: LPA advised the applicant to sleep infants where they can be directly supervised at all time. LPA advised against sleeping infants in a separate room. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. Safe sleep concepts was provided. LPA discussed PIN 20-24-CCP.

Overnight Care: There is no overnight care provided at the moment. LPA Bailey discussed the following: Licensee is aware that they must remain awake while children are awake. If children sleep in a separate area from the licensee, the door must remain open. If the licensee cannot hear children when they wake up, a video or audio device can be use.

LPA Bailey advise licensee Allen Wood to review department website for current updates :

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.

https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
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: ALLEN-WOOD FAMILY CHILD CARE
FACILITY NUMBER: 197415240
VISIT DATE: 08/16/2022
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LPA Bailey advise that Licensee Allen Wood review the Department’s training videos
at https://ccld.childcarevideos.org/ in regards to (personal rights/supervision ect.).

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

****Licensee advised that signing the report does not imply agreement with the findings but is acknowledging receipt of the licensing report.*



An exit interview was conducted, and a copy of this report was provided to the Licensee Allen Wood Notice of site visit was issued.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
LIC809 (FAS) - (06/04)
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