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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418441
Report Date: 05/29/2024
Date Signed: 05/29/2024 02:21:17 PM

Document Has Been Signed on 05/29/2024 02:21 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:BARRETT FAMILY CHILD CAREFACILITY NUMBER:
197418441
ADMINISTRATOR/
DIRECTOR:		BARRETT, CHEMONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 678-2743
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 3DATE:
05/29/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Licensee Chemon BarrettTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
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On May 29, 2024 at 9:40 am, Licensing Program Analyst (LPA) Angelica Wallin, conducted an unannounced Annual Required Inspection and was met by Licensee, Chemon Barrett. Per licensee, hours of operation are for 24 hours seven days a week. Licensee stated current enrolled children in care hours are Monday to Friday from 6:00 AM to 6:00 PM. LPA advised licensee cannot exceed the 23 hour limit of day care operations. LPA toured the home inside and outside and a census was taken.

This one story home which consists of four bedrooms and two bathrooms. Areas accessible to children in care include: a den as the day care room, one bedroom as the isolation room, one bathroom, kitchen (only as the walkway from den to the bathroom), and the back yard at this time. Per Licensee, areas off limits include: garage, living room, three bedrooms, one bathroom, and an off-limits detached back room in the backyard. During inspection, there were three children and one staff present. Per licensee, four children enrolled at this time.

During inspection, licensee informed LPA regarding one infant asleep in car seat located in front of TV in day care room. LPA informed licensee regarding PIN 20-24-CCP concerning safe sleep regulations. Licensee addressed issue immediately and removed infant from car seat. A technical violation citation. During inspection, LPA observed two cribs located in day care area with blankets hanging from sides of cribs and a couple toys inside the crib. LPA informed licensee regarding PIN 20-24-CCP concerning safe sleep regulations. Licensee addressed issue immediately and removed items from crib. A technical violation citation issued.



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. LPA noted space with age-appropriate toys. There is a working smoke and carbon monoxide detector. During inspection, LPA observed fire extinguisher with service tag dated 10/2023.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2024
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARRETT FAMILY CHILD CARE
FACILITY NUMBER: 197418441
VISIT DATE: 05/29/2024
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During inspection, LPA observed cleaning supplies and chemicals in cabinet located in the den on high shelf inaccessible to children in care. During inspection, per licensee, knives located in a lock box in off-limits bedroom. LPA observed knives inaccessible to children in care. During inspection, LPA observed main bathroom and observed no hazards accessible to children in care. According to the applicant, there are no weapons or firearms at the home; LPA did not observe any firearms or weapons at the time of the inspection.

Per licensee, outdoor play is not conducted at this time due to age of children and weather. LPA conducted inspection of backyard. LPA observed back yard is fully enclosed and no hazards to children in care. LPA observed there no swimming pool or bodies of water. Per licensee, the following services are provided: food service and transportation service. LPA advised licensee that complete supervision and safety when performing transportation services. Per licensee, overnight care are not provided at this time. LPA reviewed with licensee of Title 22 regulations regarding overnight care if desired to provide service.

During inspection, LPA reviewed three children’s records and observed they are updated and maintained. A review of staff records indicates that licensee and one staff has the following updated certificates: mandated reporter certificates with expiration date of 4/2026, updated CPR/1st aid certificate with expiration date of 4/2026 and updated immunization records on file for measles, pertussis, influenza and TB clearance. During staff record review, LPA observed one staff has pending fingerprint clearance. Per licensee, she received letter from Care Management Provider Bureau (CPMB) stating that assistant is cleared. LPA observed letter and informed licensee that per letter, staff is cleared for Department of Justice (DOJ) but not for Federal Bureau Intelligence (FBI) and CACI (Child Abuse Central Index), which is needed for complete background clearance. A type A citation and civil penalty issued. LPA reviewed the following documentation to be kept in facility: facility license, LIC610A, facility fire drill logs, PUB 394, and LIC9040.

Licensee Barrett 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 reviewed with Licensee Barrett items prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs, and any other item that falls into that category are not permitted in the facility.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARRETT FAMILY CHILD CARE
FACILITY NUMBER: 197418441
VISIT DATE: 05/29/2024
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 A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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

This facility does not provides Incidental Medical Services – IMS. 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: https://www.ada.gov/resources/child-care-centers/

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

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/10/2024 10:21 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 06/10/2024 10:10 AM


Citations on this Visit Report are Under Appeal!


Created By: Angelica Wallin On 05/29/2024 at 01:23 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BARRETT FAMILY CHILD CARE
FACILITY NUMBER: 197418441

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Under Appeal
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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No deficiency issued during visit.
POC Due Date: 05/30/2024
Plan of Correction
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Per licensee, she will obtain FBI and CACI clearances for one staff and submit proof of clearance via email. Per licensee, staff will no longer be allowed on premises until recieved clearances. Licensee will provide LPA with completed LIC 9224 documents via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Karen Chambers
LICENSING EVALUATOR NAME:Angelica Wallin
LICENSING EVALUATOR SIGNATURE:
DATE: 05/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/29/2024


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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BARRETT FAMILY CHILD CARE
FACILITY NUMBER: 197418441
VISIT DATE: 05/29/2024
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Exit interview conducted and report was reviewed with licensee, Chemon Barrett. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC809 (FAS) - (06/04)
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