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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012311
Report Date: 05/16/2022
Date Signed: 05/16/2022 05:04:17 PM

Document Has Been Signed on 05/16/2022 05:04 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:DUCKETT FAMILY CHILD CAREFACILITY NUMBER:
198012311
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 232-0727
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
05/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Yolanda Duckett, LicenseeTIME COMPLETED:
05:15 PM
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On Monday, May 16, 2022 at 1:25 p.m. Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with assistant Bobbie Whaley who guided LPA Rivera on a tour of the facility.

During the inspection, 9 preschool children were present and two assistants. Family members residing in the home has been discussed with licensee and are cleared. Operating hours are Monday to Sunday, 12:00 a.m. to 11:59 p.m. and care for children ages 0 to 13 years.

This facility is a one-story home that consists of three bedrooms, one and half bathroom, kitchen, living room, dining room and front yard and backyard (fenced and gated). Areas that are accessible to children and identified on the facility sketch were inspected by LPA Rivera; living room, half bathroom, daycare (back room), front and backyard. Areas off limits to children include- master bedroom, bedroom # 2 and kitchen (gated),.

At approximately 1:34 p.m. licensee Yolanda Duckett arrived at the facility. LPA Rivera inspected the facility for safety, comfort, cleanliness, ventilation and working phone (cell phone and land line). For ventilation, LPA Rivera observed central AC/heater and vents located on the top ceiling walls. LPA observed the furniture and children materials to be in good condition and age appropriate. LPA observed a safety gate barrier in place between the kitchen and dining room, kitchen and hallway to prevent children entering the kitchen area.

At approximately 1:40 p.m., LPA Rivera entered the restroom and observed the toilet, hand washing sink, hand soap and paper towels. LPA did not observe any hazards inside the bottom sink cabinet. LPA observed the restroom to be in good condition.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DUCKETT FAMILY CHILD CARE
FACILITY NUMBER: 198012311
VISIT DATE: 05/16/2022
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At approximately 1:46 p.m. LPA observed cleaning compounds items stored inside the laundry room LPA observed the laundry room closed and locked with a key lock making it inaccessible to children to open the door. Knives and sharp objects, LPA observed the items inside the top kitchen cabinet making it inaccessible for children to reach For drinking water, licensee provides disposable cups.

LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has two dogs, no body of waters, no firearms, no weapons or poisons. LPA observe one dog, and did not observe firearms, weapons, poisons nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.



At approximately 1:50 p,m. LPA Rivera observed the correct 2A10BC fire extinguisher located in the kitchen and the valve on the green area indicating fully charged and serviced on 8/27/2021. LPA observed the smoke detector and carbon monoxide detector in the hallway. LPA tested the detectors and heard the sound. The detectors are in operable condition. LPA also observed and emergency kit/first aid in the kitchen and fully equipped. LPA observed the fire/earthquake drill log and last drill conducted on 5/3/22.

At approximately 1:55 p.m., LPA Rivera inspected the outdoor area used by children for safety, comfort and cleanliness. LPA observed the front and backyard to be fenced and play equipment to be in good condition and age appropriate. LPA observed a back house. The back house is currently in the process of obtaining a Family Child Care License. LPA informed Licensee to complete a declaration in regards the schedule for outdoor play (no commingling) and not exchanging daycare children.

LPA observed Licensee Pediatric First Aid/ CPR certification with expiration date 7/12/2022. Licensee has proof of immunization against Pertussis, MMR and Influenza declination. Licensee has completed AB 1207 Child Abuse Mandated Reporting training on 3/14/2021. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

At approximately 2:20 p.m LPA reviewed licensee, staff #1, #2 and child #1, #2, and #3 files. LPA observed the children’s files to up to date and complete. Staff #1 is missing proof of MMR and staff # 2 missing proof of TDAP.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DUCKETT FAMILY CHILD CARE
FACILITY NUMBER: 198012311
VISIT DATE: 05/16/2022
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Safe Sleep: LPA discussed the safe sleep regulations with licensee Yolanda Duckett and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Yolanda Duckett of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at also explained to licensee that car seat, stroller are only and only for https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA Rivera also reviewed Sudden Infant Death Syndrome (SIDS), Never Shake A Baby, and Lead Exposure information with licensee. LPA transportation, highchair is only and only for feeding and stated items cannot be misused. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into this category are not permitted in a family child care facility.



Medication: Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Criminal Record Statement: Licensee Yolanda Duckett was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee has been given technical violations for missing proof of staff #1 MMR and staff #2 TDAP.

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

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DUCKETT FAMILY CHILD CARE
FACILITY NUMBER: 198012311
VISIT DATE: 05/16/2022
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To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Exit interview conducted and report was reviewed with the licensee Yolanda Duckett.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022
LIC809 (FAS) - (06/04)
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