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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493375
Report Date: 11/15/2024
Date Signed: 11/19/2024 04:30:28 PM

Document Has Been Signed on 11/19/2024 04:30 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:DAVIS FAMILY CHILD CAREFACILITY NUMBER:
197493375
ADMINISTRATOR/
DIRECTOR:		DAVIS, CANDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 462-1849
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
11/15/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Candia DavisTIME VISIT/
INSPECTION COMPLETED:
01:19 PM
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On 11/15/24, Licensing Program Analyst (LPA) V. Wheatley conducted an Annual Inspection and met with Licensee, Candia Davis. LPA could not get into the gated complex and called licensee who stated she was not home. LPA waited for licensee to come home. LPA observed licensee's husband and no day care children present today. Licensee does pick up school aged children from school in the afternoons. Days and hours of operation Monday -Friday 7am to 5pm. No weekend care.

LPA toured the home inside and outside. LPA did not observe any day care children. Current facility sketch reviewed and licensee confirmed that the living room, dining room, one downstairs bedroom and backyard is used for the day care. All other areas are off-limits and made inaccessible.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. All poisons are kept in a locked storage area. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. The stairs in the home are gated. The closet and garage are inaccessible and have door knob covers. LPA observed napping cots and sheets.

There is a working fire extinguisher, smoke detector, and carbon monoxide detector. There is adequate heating and ventilation for safety and comfort (central heat and air conditioning). Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number. Parent board and fire drill log is current.

LPA discussed Safe Sleep Regulations with licensee. There is one play yard for each infant in care and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Licensee will keep a sleeping log for the children. There is one infant enrolled.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: DAVIS FAMILY CHILD CARE
FACILITY NUMBER: 197493375
VISIT DATE: 11/15/2024
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Provider will physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The licensee and her husband transport children and have permission slips. The outdoor play area in the backyard is fenced. LPA did not observe any hazards. Licensee has two dogs which are kept in a fenced area and inaccessible to the children.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training expires 11/2026. Licensee’s pediatric CPR/First Aid expires 9/2025. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Forms and Regulations.

Exit interview conducted. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations no deficiencies are cited. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
LIC809 (FAS) - (06/04)
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