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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494008
Report Date: 04/07/2021
Date Signed: 04/07/2021 03:58:00 PM

Document Has Been Signed on 04/07/2021 03:58 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:JONES FAMILY CHILD CAREFACILITY NUMBER:
197494008
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
04/07/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lathesa Jones, LicenseeTIME COMPLETED:
04:15 PM
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On 4/7/2021 at 2:00 PM, Licensing Program Analysts (LPA) Adrian Risher conducted an announced Case Management televisit via facetime for the purpose of an inspection for a proposed capacity increase. LPA met with Lathesa Jones, Licensee and toured the facility inside and out. The facility is applying for a capacity increase from 8 to 14 . LPA observed 4 children in care with the Licensee. The hours of operation are Monday through Friday from 5:00 AM – 12:00 AM. The fire clearance was granted on 04/1/2021 by inspector Gregory Hoerner.

This is a single family home with 3 bedrooms and 1 bathroom. The Day-care is in Bedroom 1 and the bathroom. These areas were inspected by LPA. The other bedrooms and rooms are considered off-limits and inaccessible. Applicant is renting the home. Applicant provided property owner/landlord consent form with the application. Licensee stated that the children eat, nap and complete daily activities in bedroom 1. Licensee stated that she uses cots for napping. LPA observed age appropriate toys, furniture and activities for children while in care at the facility. LPA inspected the bathroom and did not observe any medications or poisons that could pose a potential risk to children in care. The kitchen was inspected during the visit. LPA did not observe any knives or sharp objects, detergents or cleaning supplies that would pose a potential risk to children in care. These items were made inaccessible to the children. Licensee has put at safety gate at the entrance of the kitchen. LPA observed safety latches on the cabinets and drawers in the kitchen. LPA observed signs throughout the facility in response to COVID-19. Licensee stated that the children use hand sanitizer when they arrive at the facility.

Licensee stated that the children primarily play outside. LPA observed a trampoline with a net around it. LPA observed toys and cars in the play area outside. LPA did not observe any bodies of water.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2021
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: JONES FAMILY CHILD CARE
FACILITY NUMBER: 197494008
VISIT DATE: 04/07/2021
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LPA observed a charged fire extinguisher (2-A:10-B:C). LPA had the licensee test the smoke detector and carbon monoxide detector. Applicant has a first aid kit which includes band aids and a thermometer. The home has central heating and air.

Applicant has current CPR, first aid, health and safety which expires 7/7/2021. Per the applicant, there are no firearms on the premises. Applicant reports that there are no pets in the home. LPA did not observe any baby walkers, exersaucers or bouncers.



The parent board will be posted for parents to view required information such as the license, parent's rights poster, personal rights, and emergency disaster plan. A copy of the children's roster will be kept accessible.
LPA received copies of immunization records and mandated reporter training certificate.

The following was discussed with the licensee:
The licensee was informed to have a qualified assistant when the capacity exceeds 8 children. The assistant must be at least 14 years of age, but can not be left alone with the children in care. If the assistant is 18 years of age and older, the assistant must have current Adult/Infant & Pediatric First Aid certificates if left alone with children while the licensee is out of the home. Each assistant must also have TB clearance, valid criminal record clearance, immunizations and be associated to the facility license.

LPA did not observe any corrections needed during today's inspection.



A license to operate a Large Family child care home will be reviewed following final administrative review. No license will be issued today 04/07/2021.

Exit interview and copy of report provided. Appeal rights have been reviewed and provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021
LIC809 (FAS) - (06/04)
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