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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192004286
Report Date: 07/11/2022
Date Signed: 08/05/2022 12:18:45 PM


Document Has Been Signed on 08/05/2022 12:18 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:WEST FAMILY CHILD CAREFACILITY NUMBER:
192004286
ADMINISTRATOR:WEST, VICKIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 299-2434
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 2DATE:
07/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:48 AM
MET WITH:Vicki WestTIME COMPLETED:
11:40 AM
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On 7/11/2022 Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection and was met Vicki West and two assistants.

Days and hours of operation are 24 hours a day, Monday through Sunday. Currently applicant cares for children ages 3 months to 13 years old.

LPA toured the home inside and outside and a census was taken; 2 children were present and licensee and two assistants. Licensee confirmed that living room and dining room area are used as the main activity room. Applicant confirmed children nap and eat in the space. The bathroom that children use is located outside the dining room area. LPA inspected and observed under the sink cabinet and no hazardous materials were observed. The following areas are currently OFF LIMITS: bedroom 1/office space, bedroom 2, bathroom 2, bedroom 3, kitchen and laundry room. The kitchen and laundry room are used as a walkway to access the back yard. All areas OFF LIMITS to the children in care have doors that will remain closed and locked during hours of operations. LPA observed the backyard to be enclosed and have age appropriate outdoor toys. A detached garage was observed and licensee confirmed the area is OFF LIMITS to the children in care and the door remains locked during hours of operations.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible; locked in the cabinets in the laundry room.

The fireplace located in the living room area and is made inaccessible by a metal screen door and will not be in use during day care hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2022
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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