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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493283
Report Date: 12/15/2023
Date Signed: 12/15/2023 01:56:24 PM

Document Has Been Signed on 12/15/2023 01:56 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ANDERSON FAMILY CHILD CAREFACILITY NUMBER:
197493283
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
12/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Licensee, Monica AndersonTIME COMPLETED:
11:15 AM
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On 12/15/2023 at 9:20am, Licensing Program Analyst (LPA) Sarah Garcia conducted a case management visit for the purpose of a capacity increase. LPA met with licensee, Monica Anderson. LPA observed 5 children in care with one assistant. Hours of operation are Monday -Friday 8:00am-5:30pm. Currently licensee is available to care for children 0 years old to 12 years old.
The single family home has 4 bedrooms, 2 bathrooms, living room, dining room, family room, play area, kitchen, attic/office, outdoor area and garage. The ON LIMITS areas include play area, bedroom #1 (kids room), bathroom #1, and outdoor play area. The OFF LIMITS areas include bedroom #2, bedroom #3, master bedroom, master bathroom, living room, dining room, kitchen area, attic/office and the garage.

LPA inspected play area and observed safe toys and children's tables and chairs. LPA observed a safety gate separating play area and kitchen area. LPA inspected bedroom #1 and observed mats for sleeping stored in the closet. LPA advised licensee to store children's sheets separately. The bathroom #1 that children use is located next to the bedroom #1. LPA inspected the bathroom #1 and observed a safety latch ensuring all poisons, medications, detergents, and cleaning supplies are inaccessible. LPA inspected the living room and observed a metal panel around the fireplace. LPA inspected the dining room and family room. LPA inspected the dining room and observed a metal panel around the fireplace. LPA inspected the kitchen and observed safety locks under the kitchen sink ensuring all poisons, medications, detergents, and cleaning supplies are inaccessible. LPA observed a safety latch on the cabinet ensuring knives and sharp objects are inaccessible. LPA observed a charged fire extinguisher (3A40BC) and dual smoke and carbon monoxide detectors. LPA observed (1) dog on the outside of the home. Licensee stated the dog is locked outside. When children transition to outdoor play, the dog is brought inside and locked in a cage. LPA reminded licensee that fire and earthquake drills must be conducted every two to six months.
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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ANDERSON FAMILY CHILD CARE
FACILITY NUMBER: 197493283
VISIT DATE: 12/15/2023
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LPA inspected the outdoor play area. The outdoor area is gated on surrounding sides and is under supervision at all times. The outdoor area is observed to be clean, safe, and free from loose or sharp objects.

As of 07/14/2023, the facility is fire clearance approved by the Los Angeles County Fire Department Bureau of Fire Prevention.

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



Exit interview conducted and report along with appeal rights was reviewed with the licensee, Monica Anderson.

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SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023
LIC809 (FAS) - (06/04)
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