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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021121
Report Date: 12/05/2024
Date Signed: 12/05/2024 01:07:11 PM

Document Has Been Signed on 12/05/2024 01:07 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:THOMAS FAMILY CHILD CAREFACILITY NUMBER:
198021121
ADMINISTRATOR/
DIRECTOR:		THOMAS, RIOS JOANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 679-0204
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
12/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Licensee Joann ThomasTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On December 5, 2024 at 9:50am, Licensing Program Analyst (LPA’s) Stephanie Li and Joanne Solorio Campos conducted an unannounced annual inspection at Thomas Family Child Care Home. Upon arrival, LPA’s disclosed the purpose of the inspection and met with Licensee, Joann Rios who guided the LPA’s on a tour of the home. Adults present in the home all have criminal record clearance. There were 3 children present during today’s inspection. Licensee states that there are currently 6 children enrolled. The children's roster was reviewed and is current. Per licensee, the facility’s hours of operation are 6am to 6pm.

This is a one-story home which consists of 3 bedrooms 2 bathrooms, kitchen, dining room, living room and backyard. Areas used by the children include the living room, 2 bedrooms, 1 restroom, and the backyard. Per Licensee, areas off- limits to children include 1 bedroom, 1 bathroom, and the kitchen. LPA's observed that there is a baby gate separating areas used by children and off-limits area. LPA’s also observed the wall heater to have a gate around it that was not secured to the wall. Licensee was advised the wall heaters need to have a secured barricade to restrict access. LPA’s observed that the wall heater was in use and provides heat. Wall heater is located in the hallway. A deficiency is being issued, see page LIC809D. Per licensee, off limit areas are also locked during operating hours, LPA’s observed doors to be locked.

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. There is a working telephone maintained in the home. LPA’s observed age-appropriate toys, free of loose and sharp parts. LPA’s observed electrical cover outlets all through the home. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible to children and locked under the sink. The Licensee states that there are no poisons in the home. The Licensee does understand that poison must be locked, and LPA’s Li and Campos did not observe any poisons during this visit. LPA’s observed First Aid kit and was inventoried for necessary supplies.
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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 198021121
VISIT DATE: 12/05/2024
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Per licensee, food is provided. Licensee provides am snack, lunch and PM snack. Children below the age of 2 bring food from home. Licensee was advised that if food is brought from the children’s homes, all containers must be labeled with child’s name and properly stored or refrigerated. Licensee does not transport the children in vehicle but does pick up children from school on foot.

LPA’s did not observe any pets at time of inspection and Licensee confirms she has no pets. Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPA’s did not observe the above mentioned at time of inspection.

Emergency Disaster Plan, Facility License, and Parents’ Rights poster were observed at the time of inspection. Disaster drill log was not available during today’s inspection. LPA’s advised licensee that fire and earthquake drills need to be conducted and documented every 6 months. A deficiency is being cited, see page LIC809D. A blank fire/earthquake drill log was provided to licensee during today’s visit.

The valve on the required 2A 10BC fire extinguisher indicates fully charged and was observed in the kitchen area of the home. LPA's observed an operational smoke and carbon monoxide detector located in the hallway and are in operable condition. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

LPA’s toured the outdoor play area and inspected it for safety. LPA’s observed perimeter fencing around the yard. Outdoor play yard was observed to have a 2ft high trampoline about 7-8ft in diameter and was seen to have a safety net around it with a zippered closure and clasps attached to restrict access. LPA’s advised licensee to maintain supervision at all times when children are actively using the trampoline. An a/c unit with extruding screws and bent metal frame was also observed to be in the play area which poses a potential risk for the health and safety risk of the children. LPA’s asked licensee that the Ac unit needs to be removed to an off limits area before children utilize the play yard. Other age-appropriate toys were observed and were free of loose and sharp parts.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 198021121
VISIT DATE: 12/05/2024
NARRATIVE
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Licensee’s and children’s records were reviewed. The licensee has completed training on preventive health practices including Pediatric First Aid and CPR however, is expired. 5/2024. A deficiency is being cited, see LIC809D. Licensee has current Mandated reporter certificate (exp 10/2026) Children’s records were reviewed and check for completeness. LPA’s discussed with licensee that CPR/First Aid and Mandated reporter training is required to be renewed every two years before the expiration date.

LPA’s advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov Licensee was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

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, 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.

LPA’s reviewed safe sleep regulations with licensee Joann Rios Thomas 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’s 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.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 198021121
VISIT DATE: 12/05/2024
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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/.

MyChildCarePlan.org – Licensee Joann Rios Thomas 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 Joann Rios Thomas, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Based on Licensing staff observations, interview, and record 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 and safety.

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

Exit interview was conducted, report was reviewed and appeal rights were provided with the Licensee Joann Rios Thomas.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
Page: 4 of 7
Document Has Been Signed on 12/05/2024 01:07 PM - It Cannot Be Edited


Created By: Stephanie Li On 12/05/2024 at 12:10 PM
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: THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 198021121

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in one wall heater barricade was not secured in place to restrict access from children in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/20/2024
Plan of Correction
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Per licensee, she is going to bolt the screen to the wall and will send a photo of secured barricade to LPA S Li via phone by 12/20/24.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above as licensee has not conducted or log fire drills with children in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/12/2024
Plan of Correction
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Per licensee, she will ring her smoke alarm and practice stop, drop and roll. and review walking out the front door with children. Then log the drill on the Fire Drill log provided and submit a photo of completed log to LPA S Li by 12/12/24.
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:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024


LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 12/05/2024 01:07 PM - It Cannot Be Edited


Created By: Stephanie Li On 12/05/2024 at 12:10 PM
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: THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 198021121

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as licensee has not been documenting the 15 minute safe sleep checks for infants in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/06/2024
Plan of Correction
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Per licensee, she has begun logging the 15 minute safe sleep check in her notebook for infants napping. LPA's observed licensee log the safe sleep checks for the first nap during today's visit. Licensee will send photo of completed sleep check logs for infants in care to LPA S Li by 12/12/24.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in CPR/First Aid card was expired on 5/2024 and has not been renewed, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/06/2024
Plan of Correction
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Per licensee, she will enroll in a CPR/First Aid course today and inform LPA S Li when the course will take place. Once CPR/First aid is completed, licensee will submit photo of CPR certificate to LPA via text to phone.
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:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024


LIC809 (FAS) - (06/04)
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