<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400234
Report Date: 10/10/2024
Date Signed: 10/10/2024 02:33:04 PM

Document Has Been Signed on 10/10/2024 02:33 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MCDANIEL FAMILY CHILD CAREFACILITY NUMBER:
198400234
ADMINISTRATOR/
DIRECTOR:		JASMINE MCDANIELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 577-6296
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 22CENSUS: 5DATE:
10/10/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Staff-Brandi Bowman & Licensee- Jasmine McDanielTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) LPA Ashley Calderon arrived to the facility and met with Brandi Bowman who granted LPA entry to the facility. The purpose of the inspection was to conduct a complaint inspection. Due to LPA record review and observation LPA conducted a Case Management inspection. Bowman notified via telephonically Licensee Jasmine McDaniel that LPA was present at the facility.

During the visit there were (3) infants and (1) preschool child. LPA observed (3) individuals. LPA reviewed LIS Facility Personnel Report Summary to check for individual(s) clearances and staff #2 was not listed. At 12:02pm LPA asked LPA's for assistance, LPA Alicia Mooberry did a search for Staff #2, background shows individual is not fingerprinted cleared. Deficiency cited and Civil Penalty- Background Check was given. 1 out of 3 individuals resides in the home, (2) individuals were assisting the children.

LPA reviewed Licensing payment history, fees are not paid and overdue, deficiency cited. Licensee during visit paid fees.

At 11:53am LPA observed infants with attached pacifier, Child #1 , Child #2 and Child #3, picture taken and deficiency cited.

At 12:20pm Licensee Jasmine McDaniel arrived at the facility, LPA disclosed purpose of today's visit. LPA Calderon requested Staff #2 documentation's, Licensee was unable to provide clearance documentation. Licensee notified Staff #2 that they will need to return to facility upon fingerprint clearance, Staff #2 left facility.

It was observed during visit between 11:45am-12:20pm, Qualified staff was present with a uncleared fingerprinted assistant / Staff assistant #2; facility was not in compliance and was over capacity requirement. Present was 4 child (4 infants and 1 preschool child) and one qualified staff, deficiency cited. Staff #1 file was reviewed, pediatric first aid/cpr expires 9/28/25 and Mandated reporter expires 2/19/26. (Page 1/ Cont.)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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 4
Document Has Been Signed on 10/10/2024 02:33 PM - It Cannot Be Edited


Created By: Ashley Calderon On 10/10/2024 at 12:04 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: 10/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2024
Section Cited
CCR
102384(a)(1)(e)

1
2
3
4
5
6
7
(e) The failure of an applicant for licensure or a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license.”
The requirement was not met as evidenced by: File review regarding Licensing Fees not paid and due $210.
1
2
3
4
5
6
7
Licensee will pay licensing fees by POC due date. Website link provided and pin # to pay fees. Licensee will email receipt of proof of payment.
Type B
10/14/2024
Section Cited
CCR
102425(b)(1)(A)

1
2
3
4
5
6
7
(A) There shall not be anything attached to the pacifier.

The requrment was not met as evidanced by:
Infants: Child #1 , Child #2 and Child #3 had pacifier attachments while in the play yard.
1
2
3
4
5
6
7
During visit staff removed attachments on pacifiers. Licensee will review infant safe sleep regulations provided, provide (3) statements on declaration form LIC855 and send to LPA Calderon by poc due date.


8
9
10
11
12
13
14
8
9
10
11
12
13
14
Type B
10/14/2024
Section Cited
CCR
102417(g)(8)

1
2
3
4
5
6
7
 (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

The requrment was not met as evidanced by:
At 12:26pm Licensee stated roster is not current.
1
2
3
4
5
6
7
Licensee will work on updating roster and email LPA Calderon by poc due date.
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:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2024


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 10/10/2024 02:33 PM - It Cannot Be Edited


Created By: Ashley Calderon On 10/10/2024 at 12:59 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: 10/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/11/2024
Section Cited
CCR
102370(d)(1)

1
2
3
4
5
6
7
(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.
1
2
3
4
5
6
7
Licensee stated will contact Guardian and get informed on the situation, LPA provided Guardian contact info. Licensee told Staff #2 that they need to leave facility and return until fingerprint status is cleared. By 11/10/24 Licensee will update LPA Calderon on Staff #2 clearance status and submit clearance.
8
9
10
11
12
13
14
This requirement is was not met as evidenced by: LIS- Personnel Report Summary to check for individual(s) clearances and staff #2 was not listed. 12:02pm LPA A. Mooberry did a search for Staff #2, background shows individual is not fingerprinted cleared. No paperwork provided.
8
9
10
11
12
13
14
Type A
10/11/2024
Section Cited
CCR102416.5

1
2
3
4
5
6
7
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by : At 11:45am-12:20pm,
1
2
3
4
5
6
7
Licensee was provided with Capacity / Ratio form. LPA Calderon provided regulation on Staffing Ratio and Capacity to review, Licensee will provide (3) statements on declaration form LIC855 and send to LPA Calderon by poc due date.
8
9
10
11
12
13
14
Qualified staff was present with a uncleared fingerprinted assistant (Staff #2);facility was not in compliance and was over capacity requirement. Present was 4 child (4 infants and 1 preschool child) and one qualified staff.
8
9
10
11
12
13
14
 Licensee returned to the facility at 12:20pm to met ratio/ capacity requirements.
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:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
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: MCDANIEL FAMILY CHILD CARE
FACILITY NUMBER: 198400234
VISIT DATE: 10/10/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA requested roster, at 12:26pm per Licensee, stated roster is not current. LPA took pictures of roster and deficiency cited.

Per California Code of Regulations, Title 22, Division 12, (5) deficiencies and (1) civil penalty (LIC421BG) was cited during today's visit. Cited on LIC809-D pages, Type A and Type B was given.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).

The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

A Notice of Site Visit - LIC9213, was given and must be posted for 30 days and appeal rights were provided.

An exit interview was conducted with Licensee Jasmine McDaniel.

(Page 2/ End of Report)

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

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4