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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197400552
Report Date: 09/04/2019
Date Signed: 09/04/2019 04:45:15 PM

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:CHILDS FAMILY DAY CAREFACILITY NUMBER:
197400552
ADMINISTRATOR:WOLITA CHILDSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
3106383062
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY:12CENSUS: 7DATE:
09/04/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:05 PM
MET WITH:Licensee Assistant_Marissa JonesTIME COMPLETED:
05:00 PM
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Licensing Program Analyst(LPA) Reiko Jones-Modeste conducted a Case Management visit to amend Annual Inspection Report page 4 dated August 22, 2019. Upon arrival LPA met with Licensee Assistant #2 and one additional Assistant and toured the facility. LPA observed seven children in care.

LPA recorded Licensee Assistant's signature on page 4.

LPA observed appropriate immunizations for Licensee Assistant #3 with the exception of Measles (MMR).

There were no deficiencies found during this visit. Licensee Assistant was given a Notice of Site Visit during exit interview.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019
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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