Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417694
Report Date: 09/23/2016
Date Signed 09/23/2016 12:27:05 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:HAMPTON FAMILY CHILD CAREFACILITY NUMBER:
197417694
ADMINISTRATOR:HAMPTON, DEANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 295-5219
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:14CENSUS: 1DATE:
09/23/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Deanna HamptonTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual/Random inspection. LPA met with and toured the inside and outside of the home with licensee, Deanna Hampton. At time of visit there was 1 child in care. The home is a single dwelling with 3 bedrooms, 2 baths, living room, dining room, family room, office, laundry area, kitchen with eating area and gated back yard. The living room has a fireplace that is properly screened however the living room, front 2 bedrooms and the front bath are off-limits. Residents of the home are the licensee, her mother and two guardianship children (5 & 6 yrs.) The office and laundry area will only be a passage way to the childcare area. The kitchen has been made safe for the children. The childcare room is located in the family room which is located to the rear of the home, the licensee's bedroom with attached bath is located at the back of the home and the children will utilize her bathroom. The dining room is now used as a bedroom for 1 of the licensee's two guardianship children. There is an attached garage however it remains locked at all times.
There is a fire extinguisher located in the laundry room, and an operable smoke/carbon monoxide detector. The licensee has first aid kits and earthquake supplies. All unused electrical outlets are covered with safety covers. The home has central heating. First Aid/CPR are met by the licensee with an expiration date of 06/2017.
Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. All met Department standards. Chemicals, detergents, cleaning compounds are kept in the locked kitchen cabinetry. Medications and sharp pointed objects are inaccessible to children.
Licensee has age appropriate outdoor play equipment and toys. Children do not play on the deck areas, just the concrete open area Play area was inspected for hazards and inaccessibility to bodies of water. At time of visit there were no bodies of water. One dog in home that interacts with children.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (310) 337-4332
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (310) 337-3753
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2016
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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: HAMPTON FAMILY CHILD CARE
FACILITY NUMBER: 197417694
VISIT DATE: 09/23/2016
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Incidental Medical Services (IMS) were discussed with the licensee.

SB 792 - requires all staff and volunteers to show proof of immunization against influenza, pertussis and measles, and TB clearance, beginning September 1, 2016; SB 277 - require all children attending day care or school based programs to be immunized and will eliminate personal/religious belief exemptions;

No deficiencies cited. An exit interview was conducted, Notice of Site visit issued and copy of report given.

SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (310) 337-4332
LICENSING EVALUATOR NAME: Karren StarksTELEPHONE: (310) 337-3753
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2016
LIC809 (FAS) - (06/04)
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