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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020051
Report Date: 07/03/2024
Date Signed: 07/03/2024 11:12:07 AM

Document Has Been Signed on 07/03/2024 11:12 AM - 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:FREDERICK FAMILY CHILD CAREFACILITY NUMBER:
198020051
ADMINISTRATOR/
DIRECTOR:
DARNETTA FREDERICKFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 897-5017
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
07/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:DARNETTA FREDERICK / LICENSEETIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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Licensing Program Analyst (LPA) Ashley Calderon conducted unannounced random /annual visit. LPA met with assistant Monteasia Chandler who granted LPA entry to the facility. LPA met with Licensee Darnetta Frederick and explained the purpose of today's visit.

Facility capacity is in compliance for a Large Family Child Care Home. Currently hours of operation are Monday through Friday, 7:00 am to 6:00 pm,. However, Licensee may extend hours if needed due to parents schedule. Licensee understands she cannot exceed 24 hour care at one time. Licensee cares for children infant -12 years of age.

This is a one-story home. Areas off limits include: (3) bedrooms, (1) bathroom and half of the backyard (inaccessible by a gate). Areas used by children include: Garage (Classroom), one bathroom, living room (daycare room), dining room area and half the back yard. All areas identified on the facility sketch that children use, were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating (central). The following was observed and reviewed during this inspection. Per Licensee there are no weapons, firearms on the premises.

LPA reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form and (LIC) 9148- Earthquake Preparedness form. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log and the last drill conducted was 01/08/24, Per Licensee will conduct a disaster and fire drill this month to remain incompliance. LPA reminded Licensee drills are to be conducted every 6 months. Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicated fully charged and was purchased on 07/2024, LPA reminded Licensee that fire extinguisher must be serviced or purchase a new one yearly. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. (Page. 1/ Continuation 809-C...)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: FREDERICK FAMILY CHILD CARE
FACILITY NUMBER: 198020051
VISIT DATE: 07/03/2024
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LPA observed infant play pens/ yards visible in living room for infants in care. Licensee has 15 min log for infants and Individual Infant Safe Sleep plan in children's files for infants. Licensee was reminded that no eating and napping are to taken place in the garage (classroom).

Currently, children are using the backyard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care. There are no pools or spas, or other bodies of water. Backyard is has two sections, 1 area for children and 1 area off limit to children in care.



LPA Calderon reviewed (4) staff and (4) children files. Children’s records were reviewed and files had appropriate documentation's. Staff files were reviewed and all staff are cleared, immunized, active cpr/first aid and active mandated reporter training. Licensee mandated reporter certificate expires: 2/15/26 and Licensee's pediatric cpr and first aid expires: 2/09/25. All staff had appropriate documentation in place, facility has assistants to assist with day care.

LPA provided Licensee consultation on operating a center per Licensee's request. Per licensee, no children are on medication. LPA observed no pets at the home. LPA observed chemicals, and sharps located in kitchen area, cabinets and have safety latches /locks and/or baby gate in place. Per Licensee, food is provided at the facility. LPA advised Licensee to update facility sketch on any changes regarding off-limit areas and areas accessible to children.

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. (Page 2/ Continuation 809-C...)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: FREDERICK FAMILY CHILD CARE
FACILITY NUMBER: 198020051
VISIT DATE: 07/03/2024
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LPA discussed the safe sleep regulations with licensee 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 of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

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. Based on today’s visit, Per California Code of Regulations Title 22 the facility was found in compliance, and no citations were given today.

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

Exit interview conducted and report was reviewed with the licensee Darnetta Frederick

(End of report).

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
LIC809 (FAS) - (06/04)
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