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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403791
Report Date: 10/23/2023
Date Signed: 10/23/2023 12:52:18 PM

Document Has Been Signed on 10/23/2023 12:52 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CARTER FAMILY DAY CAREFACILITY NUMBER:
197403791
ADMINISTRATOR:CARTER, MARY A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 764-4641
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/23/2023
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Licensee, Mary CarterTIME COMPLETED:
01:10 PM
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On October 23,2023 at 11:30 am, Licensing Program Analysts (LPAs) Angelica Wallin and Raul Navarro, conducted an unannounced Annual Required Inspection and was met by Licensee, Mary Carter. Hours of operation are for 24 hours. Licensee reminded that care cannot be exceeded for a maximum of 23 hours. LPA toured the home inside and outside and a census was taken.

This one-story home consists of 3 bedrooms and 1 bathroom. Areas used by the children include the day-care room and one (1) restroom. Per Licensee Carter, areas off limits to children include: bedrooms, living room, kitchen, and front yard. There are 0 children present during time of inspection.

All poisons are kept in a locked storage area. Detergents, cleaning compounds and other hazardous items are made inaccessible. There is a working smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. During inspection, LPAs observed fire extinguisher located in kitchen under the sink. Per licensee, fire extinguisher has not been service since June 2022. Technical advisory violation issued.

During inspection, safe toys and play equipment were observed. The home has working telephone. The front yard is fenced and there are no hazards to children present. LPAs observed there no swimming pool or bodies of water on the premises. Per licensee, shot gun firearm is kept on premises in off-limits master bedroom with ammunition stored in separate location in master bedroom. LPAs observed kitchen the counter tops were clean and free of clutter or standing food. Per licensee, food service is provided. Per licensee, overnight care is not provided at this time. Per licensee, no transportation service is provided at this time.

A review of staff records indicates that licensee has updated pediatric CPR/First Aid certificate with expiration date of 2/ 2025, updated mandated reporter certificate with expiration date of 11/2024 and updated immunization records on file for measles, pertussis, influenza and TB clearance.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2023
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CARTER FAMILY DAY CARE
FACILITY NUMBER: 197403791
VISIT DATE: 10/23/2023
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Licensee Carter was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation. LPA Wallin reviewed with Licensee items prohibited in FCCH, no baby bouncers, no infant walkers, No Johnny jumpers, no saucer chairs and any other item that falls into that category are not permitted in the facility.

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.

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-andresources/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. Per licensee, no infant care provided at this time.

This facility provides Incidental Medical Services – IMS. IF THERE IS NO CHILD AT THE FACILITY THAT CURRENTLY NEEDS IMS, USE AS FOLLOWS: Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
LIC809 (FAS) - (06/04)
Page: 2 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CARTER FAMILY DAY CARE
FACILITY NUMBER: 197403791
VISIT DATE: 10/23/2023
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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 [email protected]. 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.

Exit interview conducted and report was reviewed with the licensee, Mary Carter.

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.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
LIC809 (FAS) - (06/04)
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