192000706-3-1-2023-54-CC-WBIS-CPJ2ZU-20230301165056

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 192000706
Report Date: 03/01/2023
Date Signed: 03/01/2023 04:51:05 PM

Document Has Been Signed on 03/01/2023 04:51 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	THRASH FAMILY CHILD CARE		FACILITY NUMBER:	192000706
ADMINISTRATOR:	THRASH, PARIS R.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 225-2604
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY:	14	CENSUS: 3	DATE:	03/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Paris Thrash		TIME COMPLETED:	03:45 PM

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	NOTE: THIS IS BASED ON A MANUAL HAND WRITTEN REPORT DUE TO COMPUTER MALFUNCTION. Licensing Program Analyst Warren Birks conducted Annual One Year Required Inspection today. LPA met with Licensee Paris Thrash who assisted LPA with a tour of the facility. LPA observed Licensee Thrash caring for three preschool children during nap time. All adults in the home were notated. All areas of the facility sketch were inspected. All areas of the facility sketch were inspected. This is 3 bedroom 2 bathroom home consisting of the living room, kitchen, den, backyard, garage, and bathrooms. Per Licensee daycare takes place in the den, two bedrooms and the backyard (and one bathroom). LPA observed the daycare areas to appear safe free of hazards. Toys and play equipment appear to be safe and age appropriate. The Backyard is off limits at this time and will require a small amount of cleanup due to rainy weather. LPA observed detergents, cleaning compounds, medications and other

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023

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: THRASH FAMILY CHILD CARE	FACILITY NUMBER: 192000706
	VISIT DATE: 03/01/2023

NARRATIVE

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items were inaccessible.

Mandated Reporter EXP 7/9/23 CPR EXP 7/6/23

LPA informed Licensee of PIN 20-24-CCP Safe Sleep Requirements. LPA informed Licensee that an additional visit may be required due to computer technical difficulties.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Licensee Tracey Tillman..

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023

LIC809 (FAS) - (06/04)

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