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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400873
Report Date: 03/19/2024
Date Signed: 03/19/2024 11:50:54 AM

Document Has Been Signed on 03/19/2024 11:50 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:BROWN FAMILY CHILD CAREFACILITY NUMBER:
198400873
ADMINISTRATOR:BROWN, SHANICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 904-2765
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
03/19/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Applicant - Shanice BrownTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Randy Derraco conducted an announced pre-licensing inspection to the above mentioned address on 03/19/24 at 9:30 AM. LPA met with licensee, Shanice Brown, who guided LPA on a tour of the home. LPA observe one child present during this inspection. Children present living in the home and were verified via LIC 279B. Individuals that reside in the home have been noted and discussed. The licensee is requesting an address change to her large family childcare home license. Per applicant, operation hours will be Monday through Sunday, 6:00 AM to 11:00 PM and then 12:00 PM to 6:00AM. Applicant states that they will care for children 0-14 years old.

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a one story home that consists of 3 bedrooms, 1 bathroom, living room, kitchen, front yard and backyard (fenced). Off limit areas include 1 bedroom, kitchen, and front yard. The applicant understands that licensing staff may have access to off-limit areas during inspection visit if necessary.

Main care areas include the living room, bedroom 1 and bedroom 2. The living room was observed with child sized tables, child sized chairs, a wooden locker for personal belongings/storage, age appropriate toys, and children board games. Wall space has been designated at the entrance of the living room for required postings. A wall heater was also observed with a Richell wooden cover, and is operable. Bedroom 1 was observed with a baby changing station, 3 high chair feeding tables, and a television. Bedroom 2 was observed with a couch, television, and a Pomo Babe pack and play playpen. Per licensee, the kitchen will be off-limits to children in care. During the inspection, LPA observed the kitchen to be accessible to children. Licensee states she will provide food for children. LPA advised applicant that food that is brought from a child's home must be labeled and properly stored or refrigerated. The bathroom was observed to be clean with an operable sink, faucet and toilet. The outdoor play area is located in the backyard. LPA observed perimeter fencing, two storage sheds, child sized picnic tables, additional age appropriate toys, outdoor play equipment and a tether ball pole. Locks were not observed on both the storage sheds. Per applicant there is a pet dog that is kept in the off-limits bedroom.


(page 1 of 3)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2024
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 3
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: BROWN FAMILY CHILD CARE
FACILITY NUMBER: 198400873
VISIT DATE: 03/19/2024
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Areas that will be used by children were inspected for safety, comfort, cleanliness. LPA observed operable telephone service via a cell phone. Licensee understands that cell phone must remain at the facility during operation hours. Detergents, cleaning compounds and hazardous items that can pose a danger to children are made inaccessible in a locked cabinet beneath the kitchen sink. The licensee was advised that any poisons must be locked, not just inaccessible. LPA observed that the Applicant has a 2A10 BC fire extinguisher in the home, with a service tag dated 08/29/23. Smoke and carbon monoxide detector were tested and are operable.

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.

The licensee has completed the required Health and Safety Training, Nutrition, and Lead Training, Mandated Reporter Training and Pediatric First Aid and CPR. Licensee has proof of required immunization records. There are first aid supplies available in a closet located in the main care area.

Incidental Medical Services (IMS):
This facility may provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov
(page 2 of 3)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BROWN FAMILY CHILD CARE
FACILITY NUMBER: 198400873
VISIT DATE: 03/19/2024
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Licensee is requesting a location change to her existing large family child care license. Fire clearance was approved on 01/16/24

A large family childcare license may be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the licensee is required to comply with the terms and limitations stated on the license.



Prior to approval, the licensee must show proof of the following corrections by 04/02/24:
-Off-limits kitchen area must be made inaccessible for children in care
-Wall heater unit must be made inaccessible to children in care
-Storage sheds located in the outdoor play area must be made inaccessible to children in care.

Exit interview conducted and report was reviewed with the licensee, Shanice Brown.

(page 3 of 3)

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3