198400691-2-16-2023-54-CC-SSAZ-CP4QPJ-20230216112049

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400691
Report Date: 02/16/2023
Date Signed: 02/16/2023 11:21:01 AM

Document Has Been Signed on 02/16/2023 11:21 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	BROWN FAMILY CHILD CARE		FACILITY NUMBER:	198400691
ADMINISTRATOR:	BROWN, MURLYN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 974-2810
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	02/16/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Murlyn Brown, Licensee		TIME COMPLETED:	11:35 AM

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) Susann Sanchez met with Licensee Murlyn Brown, for the purpose of conducting a Pre-Licensing Inspection. This is a change of location from license #197494437. LPA arrived at the facility at 9:40am. Licensee guided analyst on a tour of the facility. Per Licensee hours of operation will be Monday to Friday 2am to 11pm, however if needed Licensee is available at all hours of the day during the week. Licensee understands that care for a child cannot exceed 24 hours per day. This home which consists of four bedrooms and two bathrooms. Areas used by the children include the living room, kitchen, dining area, indoor patio downstairs bathroom, and backyard. Areas that are off limits to the children in care and parents include: two bedrooms upstairs, upstairs bathroom, 2 bedrooms downstairs, garage, and front yard. All off limit rooms are were observed to be locked. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Per Licensee, there are no weapons or firearms on the premises. All areas identified on the facility sketch that children use, were inspected for safety, comfort, cleanliness, telephone service, ventilation. The following was observed and reviewed during this inspection. Detergents, cleaning compounds, medications, and other items which could pose a danger are in the garage and some are locked under in the kitchen. The 2A-10BC fire extinguisher was serviced on 01/24/2023 as indicted on the service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Smoke detector and carbon monoxide detector were tested and operable. The Licensee's has completed the Pediatric First Aid and CPR and expires on 01/31/24. Licensee has current Mandated Reporter Training and expires on 11/10/24. The home is observed to be clean and orderly. There is heating and ventilation for safety and comfort. There are toys available for children. The Licensee's states that they will use a cell phone is used and stays at the facility during operating hours.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BROWN FAMILY CHILD CARE	FACILITY NUMBER: 198400691
	VISIT DATE: 02/16/2023

NARRATIVE

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Licensee states she does plan to care for infants. LPA reviewed following safe sleep regulations with the Licensee: Napping equipment should not block entrances or exits. Infant mattresses must to be firm with tightly fitted sheets. Cribs or play pens cannot have loose object, bumpers, objects hanging, or objects attached. LPA provided licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months and the 15 -minute sleep check documentation for infants 0-24 months.

Licensee stated they are planning to provide overnight care if needed. Licensee is aware that they must remain wake while children are awake. If children sleep in separate area from Licensee, the door must remain open. If Licensee cannot hear children when they wake up, video or audio device can be used.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

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 advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA reviewed and issued the Forms/Records to Keep in Your Family Child Care Home (LIC 311D).

Licensee will provide food for the children. Children will bring their own blanket and sheet for nap. Bedding will be washed weekly or as needed. The isolation area for a sick child waiting to be picked up will be in the living room next to the exit away from other children.

The following was corrected and collected during today's inspection:
1. Facility sketch- measurements & 2nd floor
2. Pre-Licensing Readiness Guide was completed.
3. Application- Hours were fixed.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BROWN FAMILY CHILD CARE	FACILITY NUMBER: 198400691
	VISIT DATE: 02/16/2023

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The following items are with El Segundo Regional Office. Per El Segundo Regional Office, file will be mailed out today 02/16/23.
1. Copy of orientation
2. Copy of Licensee immunization's
3. R. Henderson TB clearance
4. Health & Safety certificate.
5. LIC 508 -Criminal Record Clearance for R. Henderson with a copy of his photo ID.

Paperwork needed:
Lease agreement

Physical corrections needed:
1. Loose tree brunches need to be removed from backyard.
2. Fire place needed to be blocked or gated.

Corrections due date will be 03/02/23.

Licensee is contingent upon completion of the above corrections. After further review by the department, Licensee will be notified if/when the License is granted. Once licensed, the Licensee is required to adhere to the terms and limitation as stated on the license.

Exit interview was conducted with the Licensee Murlyn Brown.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023

LIC809 (FAS) - (06/04)

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