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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400234
Report Date: 04/04/2023
Date Signed: 04/04/2023 02:10:03 PM

Document Has Been Signed on 04/04/2023 02:10 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:MCDANIEL FAMILY CHILD CAREFACILITY NUMBER:
198400234
ADMINISTRATOR:JASMINE MCDANIELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 577-6296
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 25DATE:
04/04/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jasmine McDaniel, LicenseeTIME COMPLETED:
02:25 PM
NARRATIVE
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On 04/04/23, Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced case management- other. Upon arrival, LPA met with Licensee assistant Brittany Payton, who gave LPA a tour of the facility.

At around 12:10pm, an adult who is not fingerprint cleared came into the facility and was at the home for about 35 minutes. Licensee arrived at the facility around 12:25pm. LPA explained that there is an uncleared fingerprinted adult does not have fingerprints on file. Per Licensee, thought the adult was fingerprinted. Licensee sent adult to go get his fingerprints. Licensee stated adult comes to visit about once a month.

A type A citation was issued for the uncleared individual present today. LPA advised that uncleared individual cannot be present in the home. LPA observed individual leave the facility at 12:50 PM. LPA advised Licensee that individual cannot be present in the home prior to obtaining the criminal record clearance.



The deficiencies listed on the following page were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. One type A citation was issued today for CCR 102370(d)(1) Criminal Record Clearance . Please see attached LIC 809-D for citations. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

Exit interview conducted and report was reviewed with the Licensee, Jasmine McDaniel. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023
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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Document Has Been Signed on 04/04/2023 02:10 PM - It Cannot Be Edited


Created By: Susann Sanchez On 04/04/2023 at 01:36 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MCDANIEL FAMILY CHILD CARE
FACILITY NUMBER: 198400234

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/05/2023
Section Cited
CCR
102370(d)(1)

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is
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LPA observed the individual leave the home at 12:50PM. LPA observe Licensee give individual a livescan form and per licensee, adult was on his way to get fingerprinted. Licensee was advised that individual requires a completed criminal record clearance prior to being present in the home. Licensee stated
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not met as evidenced by:Based on observation and interview. LPA observe an uncleareed individuals (Micheal Mays) and Licensee stated that adult visits facility once a month. This poses an immediate health, safety or personal rights risk to persons in care.
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she understood. Licensee stated she would provide s copy of the completed livescan form by 8/5/22. LPA explained the department TSP program and wants LPA to send a referral.

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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:Valarie Cook
LICENSING EVALUATOR NAME:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 04/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/04/2023


LIC809 (FAS) - (06/04)
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