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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400425
Report Date: 06/21/2024
Date Signed: 06/21/2024 03:17:25 PM

Document Has Been Signed on 06/21/2024 03:17 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:BRITT FAMILY CHILD CAREFACILITY NUMBER:
198400425
ADMINISTRATOR/
DIRECTOR:
KIMBERLY BRITTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 200-9341
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 7DATE:
06/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:KIMBERLY BRITT/LICENSEETIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analysts (LPA) Ashley Calderon conducted unannounced annual random visit and met with Licensee Kimberly Britt. LPA disclosed the purpose of the inspection and was granted entry into the facility by Licensee.

Licensee along side with LPA conducted a guided tour of the facility. During time of visit there was a total of 2 staff (including Licensee) and 7 children (included 1 infant). Per Licensee, hours of operation are Monday through Friday, 7:00 am to 5:30 pm and does not to exceed 24 hour care at one time. Licensee states cares for children ages: Infants -10 years of age.

This is a two-story home which consists of 5 bedroom, 3 bathrooms, kitchen, dining room, living room, family room, learning/ nap room (bedroom), nap room (bedroom), garage, front yard and backyard (fenced). The children use the bathroom attached to the learning room. Per Licensee, areas off limits to children and parents include: personal 2 bedroom, living room, kitchen, family room, garage, 2 bathroom, half of the backyard and front yard. On limit areas for children are: the learning room and the nap room and half of backyard.
LPA observed at 1:13pm Child #4 sleeping in the back napping bedroom in a play pen with an attached pacifier, deficiemcy cited. . LPA observed the outdoors. The backyard is split into two sections and the children use the section on the left side of the home. Per Licensee, there are no weapons or firearms premises. In the off- limit section of the backyard, LPA observed an above ground jacuzzi. The Jacuzzi was gated. The jacuzzi has a lid/cover that is strong enough for an adult to walk on, this area is off limit to children. Per Licensee, children are supervised outside at all times, outside area is fully gated for safety.All areas identified on the facility sketch that children use, were inspected for safety, comfort, cleanliness, telephone service via mobile, ventilation and heating (central). Home has a staircase that is located in an off limit room, which remains inaccessible to the children. Chemicals, detergents, medication and sharps are all inaccessible to children in care. Per Licensee, poisons are stored in the garage that maintains locked. LPA advised Licensee to ensure poisons need to remain locked and not only inaccessible to children in care. (Page,1 Continuation 809-C...)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
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 5
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: BRITT FAMILY CHILD CARE
FACILITY NUMBER: 198400425
VISIT DATE: 06/21/2024
NARRATIVE
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LPA observed and reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form posted outside in the area that parents enter from. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log, last drill conducted on 6/13/24. (2) Staff Records and (5) children records were reviewed by LPA. Child #4 did not have in their file LIC9227 Individual Sleep Plan, Licensee was unable to provide LPA with documentation requested, deficiency cited. Child #6 has medication present in the facility. Per Licensee, only one child is administered medication, if needed. All other children records had appropriate documentation's. LPA Calderon during record review observed Staff #2 did not have mandated reporter certificate training. Licensee during recorded review had Mandated Reporter Certificate exp 8/14/25 / Pediatric First Aid/ CPR expires 9/2025.

Smoke and carbon monoxide detectors are operable. The 2A10BC fire extinguisher was last inspected on 08/11/2023, LPA reminded Licensee to inspect fire extinguisher yearly. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. LPA observed a family pet dog.

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: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BRITT FAMILY CHILD CARE
FACILITY NUMBER: 198400425
VISIT DATE: 06/21/2024
NARRATIVE
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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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are 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 Regulation Title 22 there were (3) deficiencies cited on todays visit, provided on LIC 809-D.

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

Exit interview conducted and report was reviewed with the licensee Kimberly Britt.

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

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 06/21/2024 03:17 PM - It Cannot Be Edited


Created By: Ashley Calderon On 06/21/2024 at 02:41 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: BRITT FAMILY CHILD CARE

FACILITY NUMBER: 198400425

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/21/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(b)(1)(A)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects. (1) Pacifiers shall be allowed in the crib or play yard if the following provisions are in place: (A) There shall not be anything attached to the pacifier.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA Calderon observed child #4 with an attached pacifier during nap time sleeping in the play pen, the licensee did not comply with the section cited above in [1] out of [1] person which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/08/2024
Plan of Correction
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Licensee during LPA Calderon's visit observed licensee removing attachment pacifer off, and provided child #4 with the pacifier alone, LPA provided regualtion to review 102425 Infant Safe Sleep, Licensee will write a statement stating she reviewed infant regulations to be submitted by poc due date.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(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:
Deficient Practice Statement
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Based on LPA Calderon's observation during staff record review, Staff #2 did not have mandated reporter training on file, the licensee did not comply with the section cited above in [1] out of [1] person which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/08/2024
Plan of Correction
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Licensee will have staff #2 conduct mandated reporter training and submit certificate to LPA Calderon as proof, 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: 06/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 06/21/2024 03:17 PM - It Cannot Be Edited


Created By: Ashley Calderon On 06/21/2024 at 02:41 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: BRITT FAMILY CHILD CARE

FACILITY NUMBER: 198400425

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/21/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon observation during record review did not observe Child #4 LIC9227, Indiv. Infant Sleep Plan, Per Licensee interview stated will have for completed and placed in child's records, the licensee did not comply with the section cited above in [1] out of [1] person which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/08/2024
Plan of Correction
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Licensee will submit to LPA Calderon LIC9227 Sleep Plan to LPA by poc due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2024


LIC809 (FAS) - (06/04)
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