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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191804620
Report Date: 07/12/2024
Date Signed: 07/12/2024 12:09:15 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/12/2024 12:09 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:GARRETT, LINDA M. FAMILY DAY CAREFACILITY NUMBER:
191804620
ADMINISTRATOR:GARRETT, LINDA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 293-4049
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 0DATE:
07/12/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Linda Garrett, Licensee TIME COMPLETED:
12:30 PM
NARRATIVE
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On July 12, 2024 at 10:05 A.M., Licensing Program Analyst (LPA) Brittanee Cleveland arrived to the above facility to conduct an unannounced annual inspection. Upon arrival, LPA Cleveland was greeted by licensee, Linda Garrett. There were no children in care at the time of LPA’s arrival.

Per Licensee, the facility has not operated since March of 2020.

LPA Cleveland provided licensee with a copy of the Request for Inactive Child Care License Status (LIC 9211) form.

Licensee agrees to the following terms stated on form:

I hereby agree to comply with all of the following conditions:



a. I will not provide child care for which a license is required until my license is reactivated.

b. I will continue to promptly pay the annual license fee.

c. I will inform your office of any changes in the above dates prior to re-opening my facility by submitting a new LIC 9211.

d. I will be in compliance with all licensing laws and regulations upon re-opening my facility, including but not limited to:

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SUPERVISOR'S NAME: Raul NavarroTELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Brittanee ClevelandTELEPHONE: 424-301-3050
LICENSING EVALUATOR SIGNATURE:
DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/12/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GARRETT, LINDA M. FAMILY DAY CARE
FACILITY NUMBER: 191804620
VISIT DATE: 07/12/2024
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- Ensuring all adult staff and residents, including children who turn 18 during the inactive period, have criminal record clearances
- Maintaining current CPR and First Aid certification
- Maintaining a current fire extinguisher and functioning smoke alarms

LPA Cleveland informed licensee that the form is valid for 6 months up to 1 year.

LPA informed licensee that the report will go under a final review with a Licensing Program Manager (LPM) to be completed.

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

Exit interview conducted and report was reviewed with the licensee, Linda Garrett. Appeal rights were provided to licensee.

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SUPERVISOR'S NAME: Raul NavarroTELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Brittanee ClevelandTELEPHONE: 424-301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024
LIC809 (FAS) - (06/04)
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