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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495307
Report Date: 04/03/2025
Date Signed: 04/03/2025 04:13:15 PM

Document Has Been Signed on 04/03/2025 04:13 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:COX FAMILY CHILDCAREFACILITY NUMBER:
197495307
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
04/03/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:33 AM
MET WITH:Kevin & Ronyee Cox - LicenseesTIME VISIT/
INSPECTION COMPLETED:
04:31 PM
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Licensing Program Analyst (LPA), Keyona Scott, conducted a case management - licensee initiated inspection to the family child care home on 04/03/2025 at 11:33 AM for the purpose of conducting a capacity increase. LPA met with Licensee Kevin Cox at 11:50 AM. LPA observed four (4) children in care which includes two infants with two adults (A1) transitioning from lunch to nap-time at 11:55 AM. Licensee Ronyee Cox came into childcare area at approximately 12:00 PM. Assistant (A2) arrived from lunch at approximately 12:40 PM. All Adults present, working, volunteering, and/or residing in the home have a criminal record clearance or exemption.

Applicant is applying to increase capacity from a small family childcare home to a large family childcare home. Property Owner/Landlord Consent (LIC 9149) not received. Upon licensure update to increase capacity, facility will be licensed for twelve (12) children.

This is a multi-unit residence which consist of four bedrooms and two bathrooms. The following areas of the home are off-limits: All four bedrooms to include the bathroom in the master bedroom. Off-limit bedrooms are made inaccessible by closed doors during operation hours. The primary childcare area is located in the living room at the entrance of the home. The living room area is gated beginning at the front door entrance of the home. LPA observed the following in the living room: stored napping cots, pack n play, crib with fitted sheet, table and chairs set, kitchen play set, circle time carpet, individual cubbies for children in care, activity puzzle play set and other age-appropriate playthings. The children utilize the bathroom located directly through the hall. LPA observed safety latch on sink cabinet in the bathroom. LPA also observed safety latches on lower closet cabinets in the hallway to the bathroom. LPA observed gated kitchen area with safety latch on kitchen sink cabinet. PAGE 1
NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: COX FAMILY CHILDCARE
FACILITY NUMBER: 197495307
VISIT DATE: 04/03/2025
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The home was inspected inside and out for safety, comfort, cleanliness, and telephone service. The home utilizes ceiling fans as a cooling source and portable heater as a heating source. Poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children are inaccessible. LPA observed sharp objects stored in upper kitchen cabinet to be inaccessible from children in care. LPA observed age appropriate safe toys inside and outside. There is at least one functioning smoke detector and carbon monoxide detector in the home.

The outdoor play area is located at the rear of the unit. The outdoor play area is for the Licensee's private use and not used by other occupant's in the multi-residence property. The outdoor play area is gated and fenced. LPA observed activity slide and grill set and other stored age-appropriate playthings in the outdoor play area. There is artificial grass and cushioned mats throughout the outdoor play area to absorb a fall. LPA observed tented area to provide shade and gated stairs in the outdoor play area. LPA did not observe any hazardous conditions/items in the outdoor play area that may pose a danger to children in care. LPA did not observe any bodies of water to include in-ground pool on the property premises.

LPA observed the following documents posted in a publicly accessible area of the home:

  • Facility License
  • Notification of Parents' Rights (PUB 394)
  • Earthquake Preparedness (LIC 9148)

LPA reviewed the following documents during today's inspection:
  • Emergency Disaster Plan (LIC 610A)
  • Facility Roster (LIC 9040) - LPA observed eleven (11) children currently enrolled

LPA reviewed the following personnel records for Assistant present during today's inspection:
  • Current Pediatric CPR/First Aid Certification
  • Employee Rights (LIC 9052)
  • Proof of Immunization of Measles, Pertussis and Influenza
  • TB Clearance or risk assessment
  • Statement Acknowledging Requirement to Report Child Abuse (LIC 9108) - Completed by Assistant and filed by Licensee during inspection
  • Mandated Reporter Training Certificate PAGE 2
NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: COX FAMILY CHILDCARE
FACILITY NUMBER: 197495307
VISIT DATE: 04/03/2025
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LPA reviewed the following children's records for three out of four children in care during today's inspection:
  • Affidavit Regarding Liability Insurance (LIC 282)
  • Immunization record
  • Identification and Emergency Information (LIC 700)
  • Consent for Emergency Medical Treatment (LIC 627)
  • Notification of Parents' Rights (LIC 995A)

LPA obtained and reviewed the following documents prior to inspection:

  • Family Child Care Home Orientation Certificate - completed by Ronyee Cox 01/15/2023; Kevin Cox 07/21/2023
  • Statement Acknowledging Requirement to Report Child Abuse - In facility file at Regional Office (RO) for Kevin Cox and Ronyee Cox (Licensees)
  • Health and Safety training certificates - In facility file at RO for Licensees
  • Pediatric CPR/First Aid certificates - In facility file at RO for Licensees, completed 07/22/2023, expires 07/22/2025
  • Property Owner/Landlord Notification (LIC 9151)
  • Mandated Reporter certificates - completed by Ronyee Cox 08/25/2023; Kevin Cox 08/29/2023; must be renewed within two years from date of certification completion date
  • Fire clearance received on 04/01/2025 and granted on 03/27/2025
  • Immunization records for Licensees to include, Measles, Pertussis and Influenza waiver
  • TB clearance or risk assessment for Licensees
  • Updated rental/lease agreement for Licensees

LPA obtained updated facility sketch during today's inspection.

Based on today's inspection, the facility is approved for a capacity increase of large family child care home license for twelve (12) children pending managers approval.

There were no deficiencies cited during today's inspection on 04/03/2025.

Exit interview conducted and report was reviewed with Licensee Ronyee Cox. PAGE 3

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Keyona Scott
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC809 (FAS) - (06/04)
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