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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001806
Report Date: 02/05/2026
Date Signed: 02/05/2026 04:22:10 PM

Document Has Been Signed on 02/05/2026 04:22 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:FORD FAMILY CHILD CAREFACILITY NUMBER:
198001806
ADMINISTRATOR/
DIRECTOR:		YOUNG-FORD, LOUELLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 762-6033
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 3DATE:
02/05/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:50 PM
MET WITH:LICENSEE / FORD, LOUELLATIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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 Licensing Program Analyst (LPA) Ashley conducted an Unannounced Required – 3 Year inspection to the above facility. Upon arrival, LPA met with Licensee Louella Ford who allowed LPA entrance into the facility. LPA disclosed the purpose of the inspection and shortly after met with Co-Licensee Kenneth Ford.

The home is Licensed for a Large Family Day Care with a Capacity of 14. Hours of operation are: 7 days a week: Monday - Sunday 12am-11:59pm. "Overnight Care" means care being provided to children anytime between the hours of 6 p.m. and 6 a.m. Care provided during the day and overnight combined shall not exceed 24 hours from the time the child entered care.

Adults in the home were discussed and all have criminal record clearance. Also, present Licensee’s Assistant Staff #3. There was were 1 children present with the staff assistant when LPA Calderon arrived. Licensee states that there are currently 9 children enrolled, The children's roster was reviewed and is current.

This is a two-story home which consists of five bedrooms and two bathrooms, Laundry Room, Kitchen, Dining Room, Living Room, Family Room, and converted garage / drive way, front yard, side yard, back yard.
On limits: 1 Bathroom (located down the hallway towards rear of home), converted garage as Daycare Activity Space (located to the rear and right of the home), and Family Room (located in the rear of the home next to Daycare Space) and the side yard and drive way.

Off limits: front of the home which includes: Kitchen, Living Room, Laundry Room, Dining Room, Bedrooms 1, 2, and 3, and 1 Bathroom ; as well as all upstairs is off limits which includes rest of bedrooms 4 & 5, and the back yard.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: FORD FAMILY CHILD CARE
FACILITY NUMBER: 198001806
VISIT DATE: 02/05/2026
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All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children - facility uses portable fans, Ac Wall unit, ceiling fans and portable heaters, LPA informed Licensee when using portable devices to have them in an inaccessible area from the children for safety. There is a working telephone maintained in the home. Per Licensees no pets in the home. Per Licensees do not provide transportation at this time. Per licensee L.Ford currently no children are being administered medication at the day care home.

Per Licensee L.Ford and K.Ford, no guns and ammunition stored in the home; LPA did not observe any during facility tour. LPA Calderon conducted tour of the facility alongside L.Ford.

LPA observed required postings (Pub Notification Parent Rights form, License and Emergency Disaster Drill), and LPA Calderon provided Earthquake Preparedness form to post in the garage (primary day care room). Disaster drill log was available during today’s inspection, last disaster drill conducted on 01/24/2026, LPA reminded Licensee to conduct every 6 months. Fire extinguisher was observed and a receipt of purchase within one year was observed, dated 1/29/2026. Smoke and carbon monoxide detectors were tested and found operable.

There is a baby gate at foot of steps blocking the areas of the mid - front of the home and leading to the staircase; although children can use the bathroom in the hallway area. The staircase was observed with no baby gate at the bottom of the staircase and there was child under 5 years old present Child #1, consultation provided. LPA Calderon reminded Licensees: Where children are less than five years old are in care, stairs shall be fenced or barricaded.

LPA reminded Licensees - converted garage is only to be used for Daycare Activity Space and cannot be used for napping or eating if not permitted and approved by the City. LPA observed infant napping equipment in the family room; two play yards with firm mattress and fitted sheets. Licensees stated at this time do not have infants in care. At approximately 2:15pm two additional children arrived at the facility. During the tour, LPA observed to barricaded fireplaces located in the dining room and family room. LPA observed the Laundry Room that was observed locked, in the laundry room there is a cabinet that has cleaning compounds / solutions and detergents. Per Licensee L.Ford, facility has no poisons stored in the home, LPA reminded Licensees when poisons are brought in the home must maintain poisons not only inaccessible but locked for safety of the children.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: FORD FAMILY CHILD CARE
FACILITY NUMBER: 198001806
VISIT DATE: 02/05/2026
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LPA observed the kitchen area. Kitchen door is maintained locked, LPA observed a chime ringer with an audible message indicating when someone enters the kitchen area used for safety measures. Knives are observed in the stove warmer. LPA reminded Licensees when children bring food from the home food must be labeled with child's name, and stored properly.

LPA observed restroom children use in the hallway area - observed clean, operable and no hazards items observed. LPA observed the outdoor areas - children primary use the use the side yard and the drive way area, and on occasions per Licensee L.Ford uses the front yard, these yards are closed off and have a gate/fence. Back yard was observed with a locked door and if off limits to the children, back yard has a locked shed and there are hazardous materials that is not accessible to the children in care. The facility premises- all yards observed to be free of bodies of water.

LPA Calderon observed age appropriate materials, furniture, equipment and toys for children in care. For children that show signs of illness and waiting for picked up by authorized Guardian must be separated from other children, the facility will use on limit room that is not occupied by other children; either the day care room or the family room.

LPA Calderon reminded Licensees -Rooms that are off-limits need to be made inaccessible during operating hours with baby safety knobs, latches or kept locked. LPA reminded Licensees No smoking - prohibited in day care homes and NO infant walkers, NO Johnny jumpers, NO saucer chairs, NO incline sleepers (gliders) and any other item that falls into that category are not to be permitted in the facility.

Records were reviewed - Licensee K.Ford had required documentation's in file; has Red Cross Child / Infant cpr and first aid expires 12/15/2027/ Mandated reporter expires 5/28/2027/ decline flu statement in file. Licensee L.Ford has Red Cross Child / Infant cpr and first aid expires 12/15/2027/ Mandated reporter expires 5/28/2027/ decline flu statement in file. Facility has a staff assistant- Staff #3 has Red Cross Child / Infant cpr and first aid expires 12/15/2027/ Mandated reporter expires 5/28/2027 / MMR / TDAP/ TB records in file and decline flu statement. Home uses LIC282 Affidavit Regarding Liability Insurance. During today's visit LPA Calderon printed out a New Current License - no changes to the License were conducted.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: FORD FAMILY CHILD CARE
FACILITY NUMBER: 198001806
VISIT DATE: 02/05/2026
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  • 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.
  • 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. 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.
  • 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/.
  • Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on today’s visit, Per California Code of Regulations Title 22 facility was found to be in compliance and no deficiencies cited. 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. Exit interview conducted and report was reviewed with the Licensee LOUELLA FORD.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC809 (FAS) - (06/04)
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