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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020670
Report Date: 02/13/2025
Date Signed: 04/10/2025 11:47:20 AM

Document Has Been Signed on 04/10/2025 11:47 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:TARPLEY-PELHAM & WALKER FAMILY CHILD CAREFACILITY NUMBER:
198020670
ADMINISTRATOR/
DIRECTOR:		M.TARPLEY-PELHAM &A.WLAKERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 430-7755
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
02/13/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Licensee Mary Tarpley-PelhamTIME VISIT/
INSPECTION COMPLETED:
11:55 AM
NARRATIVE
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On 02/13/25 Licensing Program Analyst (LPA) Mary Silva conducted an unannounced POC (Plan of Correction) inspection to insured that the Type B deficiencies cited on 01/21/2025 have been cleared. LPA met with licensee Mary Tarpley-Pelham to whom the reason of the inspection was explained. LPA was led on a tour of the facility. There were 8 children and three staff present during this inspection. The following was observed:

- Fire Extinguisher size 2A10BC with proof of purchase dated 02/06/25

- Fire and Disaster Drill completed on 02/05/25

- Complete file for child #1

- Pending renewal of Mandated Reporter Training for Staff #1, Staff #2 and Staff #3

- Pending verification of MMR and TDAP vaccine for Staff #4

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov

Based on the LPA observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal rights were given.

Exit interview conducted and report was given and reviewed with Licensee, Mary Tarpley-Pelham.

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Mary Silva
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2025
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 2
Document Has Been Signed on 04/10/2025 11:47 AM - It Cannot Be Edited


Created By: Mary Silva On 02/13/2025 at 09:41 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TARPLEY-PELHAM & WALKER FAMILY CHILD CARE
FACILITY NUMBER: 198020670

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
HSC
1596.8662(b)(1)

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(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
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Per licensee will submit verification of mandated reporter training for staff 1, staff 2 & staff 3 by POC due date.
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Based on (record review), the licensee did not comply with the section cited above staff 1,2 &3 has an expired mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
02/28/2025
Section Cited
HSC1597.622(a)(1)

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(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
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Per licensee will submit verification of MMR/TDAP for staff 4 by POC due date.
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Based on (record review), the licensee did not comply with the section cited above, staff #4 is missing TDAP/MMR which poses/posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Mary Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2025


LIC809 (FAS) - (06/04)
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